scholarly journals Clinical case of sharp bowel obstruction during pregnancy for a patient with an extracorporal impregnation and large intergenic interval

2021 ◽  
pp. 77-82
Author(s):  
V.L. Dronova ◽  
◽  
O.I. Dronov ◽  
O.M. Mokrik ◽  
P.P. Bakunets ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Intestinal Obstruction ◽  
Pregnant Women ◽  
Bowel Obstruction ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
The Body ◽  
Biologically Active ◽  
Surgical Pathology ◽  
Septic Complications

The great importance in the development of acute intestinal obstruction (AIO) is the change in intestinal kinetics during pregnancy. In pregnant women, the rhythmic function of the intestine slows down due to an increase in the threshold of excitability of its receptors to biologically active substances. The article provides an overview of modern literary sources on the problem of acute intestinal obstruction in pregnant women. According to foreign literature sources, the incidence of intestinal obstruction in pregnant women is 1:3600–1:66000, and complications of diseases of the digestive system rank 4th among the causes of maternal mortality during pregnancy — 9%. According to domestic scientific sources, the frequency with which intestinal obstruction occurs in pregnant women is 1:40000–1:50000 births, mortality reaches 35–50%, stillbirth — 60–75%. The development of the disease is caused by physiological changes in the body of a pregnant woman. With increasing gestational age there are changes in the anatomical arrangement of the abdominal organs. From the second trimester of pregnancy, the uterus extends beyond the pelvis and gradually occupies the entire abdominal cavity. The increase in the size of the uterus due to hypertrophy and hyperplasia of muscle fibers, amniotic fluid, fetal growth, leads to increased intraabdominal pressure, displacement of the small intestine and lumbar colon up, thereby creating conditions for compression of intestinal loops, nodules, development. The modern classification, clinic, diagnostics and methods of treatment of this surgical pathology are presented. The author presents his own clinical case of acute intestinal obstruction in a 51-year-old pregnant woman with the sixth desired pregnancy, which occurred as a result of assisted reproductive technologies and a large intergenetic interval. Both surgeon and obstetrician-gynecologist treat intestinal obstruction in pregnant women. Conservative treatment is carried out simultaneously with diagnostic procedures. No effect of conservative therapy for 2 hours is an indication for surgery. The main purpose of surgery is to eliminate the causes of intestinal obstruction and restore bowel function. The scope of surgery is determined in each case individually and depends on the type of AIO and the age of the disease. The chosen tactics of the preoperative period, the volume of surgery, anesthesia and adequate management of the postoperative period can cure acute surgical pathology, maintain the desired pregnancy, avoid the development of obstetric and surgical purulent-septic complications. The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: sharp bowel obstruction, pregnancy, extracorporal impregnation, large intergenic interval.

Clinical case of periostitis in pregnant women complicated by sepsis

2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova
Keyword(s):  
Pregnant Woman ◽  
Multiple Organ Failure ◽  
Pregnant Women ◽  
Organ Failure ◽  
Clinical Case ◽  
Clinical Observation ◽  
Infectious Agent ◽  
Modern Medicine ◽  
Multiple Organ ◽  
Number Of Patients

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.

scholarly journals TOURNIQUET APPENDIX: RARE ETIOLOGY OF ORGANIC ACUTE INTESTINAL OBSTRUCTION

2021 ◽  
Vol 9 (08) ◽  
pp. 834-836
Author(s):  
Bicane Ma. ◽  
◽  
Malaaynine Mf. ◽  
Rabbani K. ◽  
Louzi A. ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Paralytic Ileus ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Ileal Loop ◽  
Surgical Emergency ◽  
Mechanical Bowel Obstruction

Acute appendicitis is the most common surgical emergency. A bowel obstruction due to the appendicitis is in most cases functional with a paralytic ileus mechanical bowel obstructions are rare or exceptional. We describe a rare case of a mechanical bowel obstruction due to a strangulation of the last ileal loop by the appendix.

scholarly journals Ileosigmoid knotting: an unusual cause of acute intestinal obstruction with bowel gangrene

2019 ◽  
Vol 12 (5) ◽  
pp. e226663
Author(s):  
Raj Kumar ◽  
Pavan Kumar Shamanur Kenchappa ◽  
Kusum Meena ◽  
Brijesh Kumar Singh
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Haemodynamic Instability ◽  
Ileocolic Anastomosis ◽  
Bowel Gangrene

Ileosigmoid knotting (ISK) is a rare cause of intestinal obstruction rapidly progressing to bowel gangrene. It is characterised by the wrapping of loops of ileum and sigmoid colon around each other. The condition often remains undiagnosed preoperatively; however, it can be suspected by the triad of small bowel obstruction, radiographic features suggestive of predominately large bowel obstruction and inability to deflate the intestine by a sigmoidoscope. We are reporting a case of 56-year-old man who presented with features of acute intestinal obstruction and compensated shock within 24 hours of onset of symptoms. Exploratory laparotomy revealed ISK resulting in gangrene of ileum and sigmoid colon. In view of haemodynamic instability, end ileostomy was done after excising gangrenous segments. The patient improved and stoma closure and ileocolic anastomosis were done after 3 months in follow-up.

scholarly journals Penyuluhan Ibu Hamil dengan Tablet Fe, Nutrisi Ibu Hamil dan Tanda Bahaya Ibu Hamil di Wilayah Kelurahan Jenggot Kota Pekalongan

2020 ◽  
Vol 1 (1) ◽  
pp. 14-18
Author(s):  
Miftachul Jannah ◽  
Swasti Artanti
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Community Service ◽  
The Body ◽  
Service Program ◽  
Danger Signs ◽  
Before And After ◽  
Post Test ◽  
Nutritional Needs ◽  
Level Of Knowledge

Community service program with the topic "Counseling Pregnant Women with Fe Tablets, Nutrition for Pregnant Women and Dangerous Signs of Pregnant Women in Jenggot, Pekalongan City" is aimed at Trimester II and III pregnant women to provide about pregnant women's knowledge about the benefits of Fe tablets , nutritional needs during pregnancy and pregnancy danger signs in the area of Jenggot, Pekalongan city. It is important to educate pregnant women about the benefits of Fe tablets during pregnancy because hemoglobin is needed for the body of pregnant women. During pregnancy, a pregnant woman needs to have high nutritious food and is sufficient for herself and her fetus. If a pregnant woman lacks nutrition and iron during pregnancy, it will cause problems, both for the mother and the fetus. Family and environmental factors will greatly affect pregnant women. Hopefully, pregnant women will have no abstinence to eat. This activity can be sustainable and encourage pregnant women to care during pregnancy whether to take Fe tablets, eat nutritious foods and understand the danger signs during pregnancy. In addition, a Pre Test and Post Test were conducted to determine the level of knowledge before and after counseling. The results obtained are that there is a significant increase in pregnant women in Jenggot, Pekalongan after counseling about Fe tablets, nutrition of pregnant women and pregnancy danger signs.

scholarly journals Pyelonephritis of Pregnant Women: Clinical Case

2020 ◽  
Vol 8 (1) ◽  
pp. 55-58 ◽  
Author(s):  
S. V. Shkodkin ◽  
Yu. B. Idashkin
Keyword(s):  
Clinical Practice ◽  
Pregnant Woman ◽  
Urinary Tract ◽  
Pregnant Women ◽  
Clinical Case ◽  
Upper Urinary Tract ◽  
Negative Side ◽  
Urinary Drainage ◽  
Clinical Observations ◽  
Inflammatory Changes

Pyelonephritis during pregnancy is a threat to the fetus and the pregnant woman. There are no studies showing the benefits of drainage management for pregnant women with pyelonephritis. Despite this, the drainage of the upper urinary tract is a tradition of a fairly large number of clinics. Guidelines for the duration of drainage in this category of patients are also not defined. Frequently, drainage is removed after delivery. And this is the «standard» in clinical practice. The negative side of this approach is persistent drainage infection, obstruction, and the need for frequent drainage changes. The article presents the clinical observations of patients with early removal of urinary drainage, which made it possible to stop bacteriuria and inflammatory changes in the urine.

Acute intestinal obstruction caused by small bowel intussusception (clinical case)

2020 ◽  
pp. 53-59
Author(s):  
Z. Zaipula ◽  
Magomed Imanaliev ◽  
Abdukamal Huseynov
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
Small Bowel Intussusception

One of the most difficult to diagnose and rare forms of acute intestinal obstruction is intussusception. This article presents an analysis of a clinical case of acute intestinal obstruction caused by small bowel intussusception in a patient suffering from small-bowel polyposis.

The experience of studying chlorides in sweat in pregnant women in connection with their water-salt metabolism

1930 ◽  
Vol 26 (11) ◽  
pp. 1123-1128
Author(s):  
B. S. Tarlo ◽  
N. N. Olerskaya
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Sharp Decrease ◽  
The Body ◽  
Excretory Function ◽  
Water Salt ◽  
Important System ◽  
Excretory Organs ◽  
In Pregnancy

It is known that the skin, in addition to other functions, has an important excretory function, which is of particular importance during pregnancy, when, due to the "restructuring" of the body, increased requirements are imposed on the excretory organs. Meanwhile, our knowledge of this important system in pregnant women is still very scanty. Studies of Scaglioni in our clinic of Dr. Sidorov showed a decrease in the part of the excretory function of the skin, which is commonly called perspiratio insensibilis, in a pregnant woman. A particularly sharp decrease in this function was found in pregnancy toxicosis.

scholarly journals P53 First Reported Case of Successful Non-Surgical Management for Acute Small Intestinal Obstruction Caused by Enterolith as A Rare Complication of Jejunal Diverticulosis

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Fang Fang Quek ◽  
Andrew Tanase ◽  
Fang Fang Quek
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
Acute Intestinal Obstruction ◽  
Jejunal Diverticulosis ◽  
Jejunal Diverticulum ◽  
Life Threatening

Abstract Introduction Enterolith ileus is a rare complication of jejunal diverticulosis, which in itself is a rare entity. Here we report a rare case of enterolith ileus as a complication of jejunal diverticulosis which is successfully managed conservatively. Case Report A 75-year-old female presented with a 7- day history of “gripey” abdominal pain with intermittent vomiting. She was able to pass flatus and had open bowel with small amount of loose stool. Patient was previously fit and well with no significant past medical history and had not undergone previous abdominal surgery. On admission, patient was in no acute distress and was afebrile. On examination, she had a very distended tympanic abdomen with left-sided tenderness but no palpable mass. Bowel sounds were present. Laboratory investigations revealed a white cell count of 22.6 x109/L, C-reactive protein of 26 mg/L and haemoglobin of 144 g/L. Abdominal X-rays revealed distended loops of small bowel indicating small bowel obstruction. CT images did not reveal pneumobilia which would be suggestive of gallstone ileus but showed intraluminal small bowel obstruction secondary to an enterolith in the terminal ileum. The scan also showed an inflamed jejunal diverticulum with fat stranding around but no perforation nor abscess was seen. The working diagnosis was acute intestinal obstruction caused by jejunal enterolith expulsed from jejunal diverticulum. Since no perforation nor abscess was noted, this patient was treated conservatively. Patient recovered uneventfully and was discharged with an MRI scheduled in 4-6 weeks for follow-up. The follow-up MRI was completely normal and patient has recovered uneventfully with conservative management. Discussion Acute intestinal obstruction caused by jejunal enterolith expulsed from jejunal diverticulum is rare. However, it is important to diagnose jejunoileal diverticulosis timely as they may lead to acute complications which can be life- threatening and may even cause death. Conclusion Many cases have reported jejunoileal diverticulosis being overlooked or misdiagnosed for other acute abdominal conditions. It is important to have a clinical awareness of this condition as although rare, it can lead to life-threatening complications.

scholarly journals THE COMPLEXITY OF THE TREATMENT OF CARDIAC ARRHYTHMIAS IN PREGNANT WOMEN. CASE OF RADIOFREQUENCY ABLATION OF ATRIAL TACHYCARDIA IN A PREGNANT WOMAN USING A THREE-DIMENSIONAL NONFLUOROSCOPIC NAVIGATION SYSTEM

2019 ◽  
Vol 34 (2) ◽  
pp. 106-112
Author(s):  
M. A. Kirgizova ◽  
A. A. Dedkova ◽  
I. V. Kisteneva ◽  
S. N. Krivolapov
Keyword(s):  
Radiofrequency Ablation ◽  
Pregnant Women ◽  
Radiation Exposure ◽  
Cardiac Arrhythmias ◽  
Atrial Tachycardia ◽  
Clinical Case ◽  
Three Dimensional ◽  
The Body ◽  
Paroxysmal Supraventricular Tachycardia ◽  
Navigation Systems

Purpose. Pregnant women, due to physiological changes in the body, are more prone to cardiac arrhythmias, the frequency of which ranges from 5 to 18%. Paroxysmal supraventricular tachycardia (SVT) occurs in 14% of pregnant women with cardiac arrhythmias. In the treatment of cardiac arrhythmias, radiofrequency ablation (RFA) is currently preferred over antiarrhythmic drugs. However, RFA is associated with radiation exposure to the mother and fetus. The current level of development of arrhythmology provides a unique opportunity to eliminate cardiac arrhythmias without the use of fluoroscopic technologies, which completely excludes radiation exposure.Clinical case. The article presents a clinical case of a 17-year-old patient diagnosed with idiopathic paroxysmal atrial tachycardia successfully treated in Cardiology Research Institute, Tomsk NRMC. When admitted to the hospital, the patient was at 31 weeks of pregnancy.Conclusion. The described case shows the possibility and necessity of using non-fluoroscopic navigation systems when performing RFA in pregnant women. RFA using electroanatomic mapping allows to remove the burden of receiving antiarrhythmic therapy in pregnant women without the use of X-ray.

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