scholarly journals Study of clinical presentation and management of intestinal obstruction and its evaluation with respect to morbidity and mortality

2020 ◽  
Vol 6 (3) ◽  
pp. 166-172
Author(s):  
Dr. Nutan Kumari Mahto ◽  
◽  
Dr. Kailash Charokar ◽  
Dr. Krishna Bharang ◽  
◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Morbidity And Mortality

scholarly journals Surgical outcome and clinical profile of emergency versus elective cases of colorectal cancer in College of Medical Sciences, Nepal

2014 ◽  
Vol 9 (2) ◽  
pp. 25-30 ◽  
Author(s):  
Sujit Kumar ◽  
P Kafle ◽  
BN Patowary ◽  
N Belbase ◽  
S Agrawal ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Intestinal Obstruction ◽  
Rectal Bleeding ◽  
Surgical Outcome ◽  
Clinical Presentation ◽  
Morbidity And Mortality ◽  
Colorectal Cancers ◽  
Medical Sciences ◽  
Female Ratio ◽  
Left Hemicolectomy

Background: Patients who undergo emergency colorectal cancer surgery has poor outcome compared to elective surgery, both in terms of morbidity and mortality. Approximately 15 to 30% of colorectal cancers present as an emergency, most often as obstruction or perforation. Objective: To compare surgical outcome and clinical profiles of emergency and elective cases for colorectal cancer. Methods: Retrospective analysis of 34 cases who underwent surgery for colorectal cancer between December 2011 to January 2013was carried out and their surgical outcomes, clinical presentation, demographic profile were analyzed. Results: The total numbers of patients included in this study were 34. Out of which 52.94 %( n=18) were emergency cases and 47.05 %( n=16) were elective. Male female ratio was 3:1 in emergency cases and 2.6:1 in elective cases. Per rectal bleeding (56%) and altered bowel habit (31.25%) was predominant clinical presentation in elective cases whereas intestinal obstruction (55.55%) and peritonitis (22.22%) were predominant clinical presentation in emergency cases. In emergency cases most of the tumors were located in left side (77.77%) and in elective cases rectum was common site (37.5%). Left hemicolectomy was the commonest surgery performed (72.22%) in emergency set up. In elective cases, right hemicolectomy, left hemicolectomy, APR and LAR was done in 31.25%, 31.25%, 25% and 25% cases respectively. In the emergency group 11.11% (n=2) developed enterocutaneous fistula and early mortality within 30 days was observed in 5% (n=1) of emergency cases only. Conclusion: In emergency conditions, colorectal cancer presented with intestinal obstruction where as elective cases presented with per rectal bleeding and altered bowel habits. Compared with the elective patients, the emergency patients had higher rate of morbidity and mortality. Because of higher incidence of colorectal cancer in our institution, in all emergency cases who presents with features of intestinal obstruction and peritonitis, we have to rule out colorectal cancer especially if the patients are elderly. Therefore, we should encourage screening programme for early detection of colorectal cancers for better outcome of surgery. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-2, 25-30 DOI: http://dx.doi.org/10.3126/jcmsn.v9i2.9684

scholarly journals A Review of Nail Changes in Acrokeratosis Paraneoplastica (Bazex Syndrome)

2021 ◽  
pp. 1-10
Author(s):  
Bipasha Roy ◽  
Shari R. Lipner
Keyword(s):  
Head And Neck ◽  
Squamous Cell ◽  
Clinical Presentation ◽  
Nail Plate ◽  
Squamous Cell Carcinomas ◽  
Morbidity And Mortality ◽  
Cutaneous Manifestations ◽  
Nail Changes ◽  
Paraneoplastic Dermatosis ◽  
Acrokeratosis Paraneoplastica Bazex

Acrokeratosis paraneoplastica (Bazex syndrome) is a rare paraneoplastic dermatosis associated with internal malignancies. Clinical presentation is characterized by erythematous or violaceous scaly plaques involving the digits, nose, ears, palms, and soles. Nail changes commonly present concurrently with cutaneous manifestations. In this review, we characterize nail changes associated with acrokeratosis paraneoplastica. A total of 48 cases were analyzed. Nail findings were nonspecific, with the most common being nail plate thickening, onycholysis, subungual hyperkeratosis, longitudinal ridging, discoloration, and nail plate loss. In most patients, nail changes involved the majority of fingernails and toenails and most often appeared prior to the diagnosis of malignancy. The most common associated underlying malignancies were squamous cell carcinomas of the head and neck. A diagnosis of acrokeratosis paraneoplastica should be considered in patients with onychodystrophy involving multiple nails with accompanying atypical psoriasiform dermatoses. Screening for internal malignancies may significantly decrease morbidity and mortality for these patients.

scholarly journals A Pain in the Butt: A Case Series of Gluteal Compartment Syndrome

2021 ◽  
Vol 2 (5) ◽  
pp. 144-147
Author(s):  
Jessica Jackson ◽  
Kraftin Schreyer
Keyword(s):  
Compartment Syndrome ◽  
Clinical Presentation ◽  
Case Series ◽  
Morbidity And Mortality ◽  
Emergency Physicians ◽  
Laboratory Findings ◽  
Diagnosis And Management ◽  
Gluteal Compartment Syndrome

Introduction: Gluteal compartment syndrome is a rare and difficult-to-diagnose form of compartment syndrome. Case Series: We present three patients with gluteal compartment syndrome and review the clinical presentation, imaging, and laboratory findings that assist in diagnosis. Suggestions for more readily diagnosing gluteal compartment syndrome are provided. Conclusion: Emergency physicians must be familiar with the diagnosis and management of gluteal compartment syndrome to prevent the significant associated morbidity and mortality.

scholarly journals Emphysematous Gastritis Associated with Sarcina ventriculi

2019 ◽  
Vol 13 (1) ◽  
pp. 207-213 ◽  
Author(s):  
Kevin Singh
Keyword(s):  
Gastric Emptying ◽  
Delayed Gastric Emptying ◽  
Clinical Presentation ◽  
Morbidity And Mortality ◽  
Significant Morbidity ◽  
Sarcina Ventriculi ◽  
Emphysematous Gastritis ◽  
Gastrointestinal Emergency

Emphysematous gastritis is a rare and lethal gastrointestinal emergency if not promptly identified and managed. In rare cases, emphysematous gastritis is associated with Sarcina ventriculi infection, usually in patients with delayed gastric emptying. Here we report a lethal case of S. ventriculi-associated emphysematous gastritis in the absence of delayed gastric emptying in which the diagnosis was confirmed postmortem. This case provides an opportunity to review the clinical presentation, pathophysiology, and management of emphysematous gastritis so that the condition can be promptly diagnosed and managed to prevent significant morbidity and mortality.

Internal Hernia: Postoperative Complication of Roux-en-Y Gastric Bypass Surgery

2006 ◽  
Vol 72 (7) ◽  
pp. 581-585 ◽  
Author(s):  
Aaron Eckhauser ◽  
Alfonso Torquati ◽  
Yassar Youssef ◽  
Joan L. Kaiser ◽  
William O. Richards
Keyword(s):  
Gastric Bypass ◽  
Length Of Stay ◽  
Intestinal Obstruction ◽  
Internal Hernia ◽  
The United States ◽  
Morbidity And Mortality ◽  
Transverse Mesocolon ◽  
Surgical Morbidity ◽  
Internal Hernias ◽  
Clinical Awareness

Obesity surgery is becoming one of the most common general surgery procedures done in the United States. Internal hernias are a known and increasingly more common occurrence after laparoscopic roux-en-Y gastric bypass (LRYGB). Increased clinical awareness of this complication will lead to decreased surgical morbidity and mortality. We retrospectively reviewed our database of 529 patients who had undergone LRYGB from 2000 to 2005 and identified those presenting with intestinal obstruction from an internal hernia. The type of internal hernia (jejunojejunostomy, transverse mesocolon, roux limb mesentery [Peterson's hernia]), length of time from presentation to operative intervention, and length of stay were obtained for all patients. Of 529 laparoscopic retrocolic retrogastric LRYGBs, 13 internal hernias (2.5%) were identified in 13 different patients. Eight of the hernias were at the mesenteric defect created by the jejunojejunostomy (62%), 3 originated from the transverse mesocolon defect (23%), and 2 were a Peterson's hernia (15%). The median time from initial operation to repair was 150 days. The average time from presentation to operative repair was 29.2 hours (range, 5–67.5 hours). The median length of stay was 3 days (range, 1.5–45 days). Eleven hernias were repaired laparoscopically (85%). There were no mortalities associated with obstruction from the internal hernia. Intestinal obstruction from an internal hernia after LRYGB is becoming increasingly more common. General awareness of this condition and high clinical suspicion allow for prompt surgical intervention with decreased morbidity and mortality.

scholarly journals Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ibrahim Aydin ◽  
Ahmet Fikret Yucel ◽  
Ahmet Pergel ◽  
Dursun Ali Sahin
Keyword(s):  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Mortality Rates ◽  
Obturator Hernia ◽  
Morbidity And Mortality ◽  
Common Symptom ◽  
Rare Type ◽  
Mechanical Intestinal Obstruction

Obturator hernia is a rare type of pelvic hernia which generally occurs in elderly patients with accompanying diseases. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common symptom is strangulation combined with mechanical intestinal obstruction.

scholarly journals Mixed Adenoneuroendocrine Carcinoma Causing Colonic Intussusception

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Marina Morais ◽  
André Costa Pinho ◽  
Ana Marques ◽  
Joanne Lopes ◽  
Alexandre Duarte ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Male Patient ◽  
Malignant Tumor ◽  
Clinical Presentation ◽  
Primary Anastomosis ◽  
Malignant Lesion ◽  
Mixed Adenoneuroendocrine Carcinoma ◽  
Pedunculated Polyp

Colonic intussusception is a rare cause of intestinal obstruction in adults and is caused by a malignant lesion in about 70% of cases. Early diagnosis and treatment are essential. We present a 64-year-old male patient with right colonic intussusception caused by a mixed adenoneuroendocrine carcinoma (MANEC), presenting as a giant pedunculated polyp (54 mm of largest diameter). The patient underwent right colectomy with primary anastomosis and adjuvant chemotherapy. The diagnosis of intussusception of the colon in adults is difficult because of its rarity and nonspecific clinical presentation. In this case, the cause was a rare histological type malignant tumor (MANEC).

scholarly journals Duodenal Hematoma following Endoscopic Duodenal Biopsy: A Case Report and Review of the Literature

2006 ◽  
Vol 20 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Daniel R Diniz-Santos ◽  
Romilda C de Andrade Cairo ◽  
Hélio Braga ◽  
Cesar Araújo-Neto ◽  
Igelmar B Paes ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Duodenal Biopsy ◽  
Review Of The Literature ◽  
Duodenal Hematoma

Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction. A case of a six-year-old girl who presented with a duodenal hematoma and acute pancreatitis after having an endoscopic duodenal biopsy is reported. A review of the literature and data from all similar cases reported so far are briefly presented and discussed.

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