scholarly journals Strangulated intestinal obstruction with extensive necrosis of the small intestine in an elderly patient

1981 ◽  
Vol 62 (5) ◽  
pp. 69-70
Author(s):  
D. M. Krasilnikov ◽  
A. D. Dzamukov ◽  
R. V. Yunusov
Keyword(s):  
Elderly Patient ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Surgical Department ◽  
First Time ◽  
Extensive Necrosis ◽  
Severe Weakness ◽  
Over Time ◽  
Emergency Doctors

Diagnosis and treatment of acute intestinal obstruction is extremely difficult, especially in elderly and senile people. I., 90 years old, was admitted to the surgical department on 14 / ІХ 1980 at 21 hours with complaints of severe abdominal pain of a constant nature, vomiting of bile, stool retention, severe weakness. Suddenly fell ill on 13 / IX: at 9 o'clock there were severe cramping pains in the abdomen, vomiting, severe weakness. Over time, the pain became constant, vomiting did not stop. Within 36 hours before admission to the surgical department, the patient was repeatedly examined by emergency doctors. In 1970, the patient underwent surgery for gangrenous appendicitis. Such an attack marks the first time.

Intestinal Obstruction Caused by Taenia taeniaeformis Infection in a Cat

2009 ◽  
Vol 45 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Rebbecca S. Wilcox ◽  
Dwight D. Bowman ◽  
Stephen C. Barr ◽  
James M. Euclid
Keyword(s):  
Intestinal Obstruction ◽  
Medical Management ◽  
Clinical Status ◽  
Acute Intestinal Obstruction ◽  
Surgical Removal ◽  
Small Intestinal Obstruction ◽  
Small Intestinal ◽  
Taenia Taeniaeformis ◽  
First Time

An adult domestic shorthair (DSH) cat was presented with acute vomiting, anorexia, lethargy, and dyspnea. The cat’s clinical status worsened over 24 hours with conservative medical management. An exploratory celiotomy was performed. Acute intestinal obstruction resulting from infection with Taenia (T.) taeniaeformis was diagnosed. Surgical removal of the cestodes via multiple enterotomies resolved the obstruction. This paper reports, for the first time, small intestinal obstruction caused by T. taeniaeformis infection in a cat.

scholarly journals STUDY OF SURGICAL MANAGEMENT OF INTESTINAL OBSTRUCTION FROM CENTRAL INDIA: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 10 (3) ◽  
pp. 3070-3073
Author(s):  
Samadhan Patil
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Central India ◽  
Signs And Symptoms ◽  
Tertiary Hospital ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Cross Sectional ◽  
Mortality And Morbidity

Intestinal obstruction is a common surgical emergency with high mortality and morbidity rates. About 15% of all emergency room visits for acute abdominal pain are due to intestinal obstruction. Acute intestinal obstruction may manifest in a variety of ways, from a relatively normal appearance with only minor abdominal pain and distension to a condition of hypovolemic or septic shock (or both) that necessitates an emergency procedure. In present study we aimed to evaluate surgical management of intestinal obstruction at our tertiary hospital. The current research included patients aged 21 to 80 who had an acute intestinal obstruction that was surgically treated. After initial resuscitation, patients with strong signs and symptoms of acute obstruction were treated with an appropriate surgical procedure. All of the information was recorded in a preformat and analysed using descriptive statistics. 144 patients had surgery for acute intestinal obstruction during the study period. 51 to 60 years old was the most common age group (26 %), followed by 41 to 50 years old (21 %). In a ratio of 2.8:1, male patients were more frequently affected than female patients. Previous abdominal surgery (56 %), diabetes (31 %), smoking (25 %), hypertension (24 %), and bronchial asthma/ COPD (15 %) were all found to be common comorbidities in this research. Postoperative adhesions (47 %), malignancy (15 %), obstructed hernia (11 %), and Koch's abdomen were the most common causes of intestinal obstruction in this report (8 %). Adhesiolysis (47 %), resection and anastomosis (22 %), diversion colostomy (13 %), and hernioplasty were the most common surgical procedures in this study (11 %). The most common post-operative complications were fever (15%) and wound infection (11%) respectively. The post-operative mortality rate was 13%. (9 patients). Complications such as septicaemia, peritonitis, and respiratory infection account for the majority of deaths. Intestinal obstruction is often caused by postoperative adhesions. Early operative procedures, in combination with clinical diagnosis and radiological findings, may enhance the outcome of acute intestinal obstruction.

scholarly journals Study of clinical spectrum and management of acute intestinal obstruction

2018 ◽  
Vol 5 (4) ◽  
pp. 1310
Author(s):  
N. K. Jaiswal ◽  
Sandeep Shekhar ◽  
Pushkar Ranade
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Signs And Symptoms ◽  
Large Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Medical College ◽  
Tertiary Centre

Background: Acute intestinal obstruction is one of the major surgical emergencies. Intestinal obstruction is defined as partial or complete interference with forward flow of small or large intestinal contents. Intestinal obstruction of either small or large bowel continues to be a major cause of morbidity and mortality. Study aims to find the aetiology, diagnosis and management of acute intestinal obstruction.Methods: A total of 135 patients of acute intestinal obstruction was studied from November 2013 to October 2015 in government medical college, Nagpur. Study was done in patients in OPD of this tertiary centre. Inclusion criteria being patients coming to the hospital with features suggestive and further confirmed of acute intestinal obstruction. Patients included were in, age group of 18 years to 80 years giving written informed consent. Patient of pseudo obstruction were excluded from the study.Results: A total of 135 patients, presented with acute intestinal obstruction during the period of the study. Mean patient age was 45.87 years with peak incidence in those aged 21-30years. The foremost signs and symptoms were constipation (85.93%) and abdominal pain (91.11%). Adhesions and bands (61.9%) was the leading causes of intestinal obstruction.Conclusions: Present study concluded that small bowel obstruction is more common than large bowel obstruction. Abdominal pain, constipation and distension are the most common symptoms, while increased bowel sounds, tachycardia and tenderness is most common sign. Post-operative adhesion in small bowel and malignancy in large bowel is major cause of acute intestinal obstruction.

scholarly journals Diagnosis and surgical treatment of acute intestinal obstruction caused by extragenital form of endometriosis

2020 ◽  
Vol 12 (1) ◽  
pp. 97-101
Author(s):  
Zemlyanoy V. Р. P. Zemlyanoy ◽  
B. V. Sigua ◽  
D. S. Syomin ◽  
D. V. Gurzhiy ◽  
D. H. Qalandarova
Keyword(s):  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Clinical Laboratory ◽  
Acute Intestinal Obstruction ◽  
Intestinal Lumen ◽  
Childbearing Age ◽  
Surgical Department ◽  
Extragenital Endometriosis

Damage to the gastrointestinal tract with extragenital endometriosis is a very rare pathology. According to the literature, the frequency of damage to the gastrointestinal tract in endometriosis, after previously performed gynecological operations, is less than 1%. At the same time, involvement in the pathological process of the intestine is noted in 337% of women of childbearing age with diagnosed genital endometriosis. In most clinical cases extragenital endometriosis occurs intraoperatively due to the complexity of early diagnosis. This article presents a clinical case of successful surgical treatment of a 43-year-old patient admitted to a surgical department with signs of intestinal obstruction. According to the anamnesis the patient had been suffering from recurrent pains in the lower abdomen in the right mesogastrium and constipation. The day before hospitalization, the above mentioned symptoms become worse with additional nausea, vomiting, lack of gases and feces. Based on the clinical laboratory and instrumental data the diagnosis of acute intestinal obstruction was established; and the urgent surgical treatment was carried out. Two formations were revealed intraoperatively (in the terminal ileum and in the elongated loop of the sigmoid colon). Both formations circularly narrowed the intestinal lumen, however the ileum was the cause of obstruction. Due to the lack of histological verification and the inability to exclude the malignant nature of the formation, the surgical treatment was carried out taking into account oncological standard in the amount of ileum resection and obstructive resection of the sigmoid colon with lymphadenectomy and small intestine intubation. Pathohistological examination confirmed intestinal endometriosis. The course of the postoperative period revealed no complications. The patient was discharged on the 12th day for outpatient treatment under the supervision of a surgeon and a gynecologist at the place of residence with recommendations and subsequent planned hospitalization in order to conduct reconstructive surgery to restore intestinal patency.

scholarly journals Bowel obstruction due to the tightening of a loose bowel adhesion with uterus enlargement during pregnancy

2020 ◽  
Vol 5 (2) ◽  
pp. 109-112
Author(s):  
Ghazi Laamiri ◽  
◽  
Montassar Ghalleb ◽  
Nouha Ben Ammar ◽  
Slim Zribi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Fetal Mortality ◽  
Past Medical History ◽  
Etiological Diagnosis ◽  
Postoperative Course ◽  
History Of

Introduction. Acute intestinal obstruction during pregnancy is a rare digestive surgical emergency. Generally, it is associated with significant maternal and fetal mortality. The diagnosis is difficult, often delaying the therapeutic management. It is reported an exceptional association of acute intestinal obstruction due to a band adhesion that is put into tension as the uterus enlarges. Case Report. A 35 years old Caucasian pregnant woman with a past medical history of appendectomy was examined and found with abdominal pain, severe vomiting, and bowel obstruction. The patient underwent surgery. Per operatively, the obstruction was caused by an adhesion put into tension by the enlargement of the uterus. The postoperative course was uneventful and the patient was discharged on day 2. Conclusions. The etiological diagnosis of acute intestinal obstruction during pregnancy is difficult. Surgery is the cornerstone of the treatment and the management varies depending on the intraoperative findings and the condition of the patient.

Eosinophilic Gastroenteritis Presenting as Acute Intestinal Obstruction

1983 ◽  
Vol 28 (2) ◽  
pp. 183-184 ◽  
Author(s):  
R. J. C. Steele ◽  
R. G. Wright ◽  
H. M. Gilmore
Keyword(s):  
Small Intestine ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Large Intestine ◽  
Eosinophilic Gastroenteritis ◽  
Acute Intestinal Obstruction ◽  
Clinical Feature ◽  
Distal Small Intestine ◽  
Uncommon Condition ◽  
Small Intestinal

Eosinophilic gastroenteritis is an uncommon condition which usually affects the antrum of the stomach and may occasionally involve the small or large intestine (1). The main clinical feature is usually that of chronic colicky abdominal pain. We report a case presenting as acute small intestinal obstruction due to isolated involvement of the distal small intestine.

scholarly journals Acute small bowel obstruction caused by phytobezoar Meckel diverticula

2019 ◽  
pp. 118-121
Author(s):  
S. V. Tarasenko ◽  
A. A. Natal`skij ◽  
O. D. Peskov ◽  
A. Yu. Bogomolov ◽  
P. V. Tarakanov
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Adult Population ◽  
Rare Condition ◽  
Acute Intestinal Obstruction ◽  
Meckel Diverticulum ◽  
Surgical Department ◽  
Acute Small Bowel Obstruction

Introduction. Meckel diverticulum-is a residue of not completely reduced yolk duct. Among the occurring complications of Meckel’s cuticle in the adult population, acute intestinal obstruction prevails. In this case, the most common intussusception and inversion of the intestines. The occurrence of small bowel obstruction due to phytobesoar in the Meckel diverticulum is a rare condition and has been described in the literature in isolated cases. Materials and methods. The patient of 29 years entered the surgical Department with complaints of abdominal pain of a permanent nature, violation of the discharge of stool and gases, vomiting up to 4 times. Sick for about 2 days. Fluoroscopy of the abdomen showed multiple arches with small bowel fluid levels, single bowl kloybera. The man was operated on urgently with a diagnosis of acute mechanical small bowel obstruction. Results. During the operation, Meckel’s phytobezoar diverticula was detected, which caused acute small bowel obstruction, for which the fragmentation of the bezoar was performed with its relegation to the cecum. The postoperative period proceeded without complications, the patient was discharged on the 10th day after surgery. After 6 weeks, the patient underwent laparoscopic diverticulectomy as planned. Discharged for 5 days. Conclusion. A clinical case of treatment of a patient with phytobezoar Meckel diverticulum complicated by acute mechanical small bowel obstruction is presented. The use of delayed diverticulectomy can reduce the risk of anastomosis failure in acute intestinal obstruction, and if proper diet is observed, it reduces the risk of recurrent intestinal obstruction before re-planned hospitalization.

scholarly journals Cancer of the descending colon, complicated by intestinal obstruction and left post-traumatic hernia of the diaphragm

2020 ◽  
Vol 24 (3) ◽  
pp. 409-412
Author(s):  
V. V. Kernychnyi ◽  
A. I. Sukhodolya
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Successful Treatment ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
Post Traumatic ◽  
Descending Colon

Annotation. The article presented a rare clinical case of a successful treatment of cancer of the descending colon, that is complicated by acute obstructive intestinal obstruction on the background of post-traumatic left diaphragmatic hernia in a 68-year-old patient. The result of surgical treatment indicates some possible unexpected intraoperative difficulties that the surgeon might be facing with during the process of a surgery. It is noticed that in surgery for a cancer of the descending colon, had been complicated by an acute intestinal obstruction, it is still necessary to find the cause of abdominal pain, had been accompanied by bloating, lack of stool and gas, vomiting “feils”, one of which may be postpartum of left hernia of the diaphragm.

scholarly journals AN AUDIT OF LAPAROTOMIES;

2013 ◽  
Vol 20 (02) ◽  
pp. 279-283
Author(s):  
TAHIR AHMAD KHAN ◽  
SAFDAR HUSSAIN AWAN ◽  
SAFDAR ALI KHAN ◽  
Shahbaz Amin
Keyword(s):  
Retrospective Study ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Intestinal Perforation ◽  
Acute Intestinal Obstruction ◽  
Military Hospital ◽  
Cross Sectional ◽  
Penetrating Abdominal Trauma ◽  
Surgical Department ◽  
Accident And Emergency

Objective: To make an audit of laparotomies carried out at Combined Military Hospital Pano Aqil over a three year period.Study design: Cross sectional, retrospective study. Place and duration of study: Study was carried out at surgical department ofcombined military hospital Panno Aqil over a period of three years from Jan 2009 to Dec 2011. Patients and methods: Patients withsignificant intra-abdominal pathology presenting as acute abdomen and who underwent laparotomy were included in study. Patientswere either electively admitted via outpatient department or through Accident and Emergency (A&E) department. Patient charts andrecords were used to collect data. Results: All 174 patients underwent laparotomy. In (27.6%) cases, intestinal perforation was theunderlying cause; gynaecological pathology was found in (21.2%) patients. In 19.5% cases blunt and penetrating abdominal trauma wasthe cause of acute abdomen. Acute intestinal obstruction was found in (21.3%), tumors were found in (7.9%) and miscellaneous causeswere identified in (2.3%) cases. Conclusions: Laparotomies carried out at Combined Military Hospital Pano Aqil fulfilled the evidencebased medicine criteria.

scholarly journals ASSESSMENT AND MANAGEMENT OF INTESTINAL OBSTRUCTION IN PATIENTS ATTENDING TERTIARY CARE INSTITUTE

2021 ◽  
Vol 5 (11) ◽  
Author(s):  
Manish R. Malani ◽  
Sangita Santosh Nimbalkar
Keyword(s):  
Abdominal Pain ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Tertiary Care ◽  
Diagnostic Techniques ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Operative Findings ◽  
Adhesive Obstruction

Background and Aim: Bowel obstruction is the most common intra-abdominal problem faced by general surgeons in their practice. Therefore better understanding of pathophysiology, improvement in diagnostic techniques, fluid and electrolyte correction, much potent antibiotics and knowledge of intensive care is required. present study was undertaken to study the management and post-operative complications of intestinal obstruction. Material and Methods: This is a prospective study of 97 cases presenting with symptoms and signs suggestive of acute intestinal obstruction. All patients are subjected to required preoperative biochemical investigations. Patients who showed reduction in abdominal distention and improvement in general condition especially in individuals with postoperative adhesions, a chance of conservative management was taken (by extending the supportive treatment) for further 12 to 24 hours; those who showed improvement by moving bowels, reduction in pain and tenderness was decided for conservative treatment, such individuals were excluded in this study. Results: The occurrence of acute intestinal obstruction was common in male in comparison with female. The commonest presenting symptom was abdominal pain (100%) followed by vomiting (92.7%), distention of abdomen (87.6%) and absolute constipation (53.6%). In this study, Adhesive obstruction (56.7%) was the commonest cause of acute intestinal obstruction. Release of adhesions and bands was done in 43 cases. Resection and end-to-end anastomosis was done in 25 cases, which included cases of intussusceptions, adhesions, stricture, ileocaecal growth, colonic growth. Conclusion: Most common etiological factor for intestinal obstruction is postoperative adhesions. Obstructed Inguinal Hernia is second most common cause of intestinal obstruction. Clinic radiological and operative findings put together can bring about the best and accurate diagnosis of intestinal obstruction. Key Words: Abdominal pain, Adhesions, Bands, Bowel obstruction, Inguinal Hernia,

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