scholarly journals A rare case of small bowel adenocarcinoma presenting as multiple intussusceptions: an unexpected diagnosis of intestinal obstruction

2016 ◽  
pp. 2355-2357
Author(s):  
Mayank Gupta ◽  
Atanu Pal ◽  
Ramanuj Mukherjee
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Small Bowel Adenocarcinoma

scholarly journals Closed loop obstruction and adhesive intestinal obstruction in perineal hernia

2020 ◽  
Vol 13 (12) ◽  
pp. e238112
Author(s):  
Ramprasad Rajebhosale ◽  
Mohammad Miah ◽  
Fraser Currie ◽  
Pradeep Thomas
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Transition Point ◽  
Closed Loop ◽  
Abdominoperineal Excision ◽  
Perineal Hernia ◽  
Bowel Gangrene ◽  
Adhesive Intestinal Obstruction

Perineal hernia with bowel gangrene is uncommon but known complication of laparoscopic extralevator abdominoperineal excision (ELAPE). We present a rare case of closed loop small bowel obstruction with bowel gangrene secondary to an incarcerated perineal hernia that developed 7 years after an ELAPE. Intraoperatively, we found a definitive transition point due to adhesions in pelvis and a closed loop obstruction of the distal small bowel at different site with gangrenous intestine. She was managed successfully surgically with adhesiolysis and fixation of defect with biological mesh. Prevalence of perineal hernias will rise in future because of the increasing cases of ELAPE, in which no repair of pelvic floor is performed. The need of follow-up of these operations and more reporting of such cases are important in increasing awareness of these complications. Patients should be made aware of such complications and should seek urgent medical care.

scholarly journals Intestinal obstruction caused by small bowel adenocarcinoma misdiagnosed as psychogenic disorder

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227326
Author(s):  
Hirotada Nishie ◽  
Taketo Suzuki ◽  
Hiroshi Ichikawa ◽  
Hiromi Kataoka
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Psychiatric Treatment ◽  
Severe Depression ◽  
Nausea And Vomiting ◽  
University Hospital ◽  
Small Bowel Adenocarcinoma ◽  
Antidepressant Agents ◽  
Decompression Tube

We describe a case of intestinal obstruction caused by a small bowel adenocarcinoma misdiagnosed as psychogenic disorder. A woman in her 40s was admitted to Nagoya City University Hospital with fatigue, anorexia, nausea and vomiting. CT, oesophagogastroduodenoscopy and colonoscopy revealed no signs of organic abnormality in her gastrointestinal tract. As the patient had previously been diagnosed with and treated for depression, her symptoms were suspected to be due to psychogenic disorder. Therefore, she was diagnosed with severe depression and was administered antidepressant agents. Despite intense psychiatric treatment, her symptoms worsened and she was later diagnosed with ileus due to adenocarcinoma in the jejunum. After drainage by insertion of a transnasal decompression tube, a partial jejunum resection was performed. After the resection, the patient’s symptoms including fatigue and depression resolved without the use of antidepressant agents.

A case of small bowel adenocarcinoma that caused intestinal obstruction after administration of patency capsule

2020 ◽  
Vol 13 (4) ◽  
pp. 522-526
Author(s):  
Takuya Seike ◽  
Masatoshi Yamato ◽  
Tsuyoshi Suda ◽  
Shingo Soga ◽  
Masako Kobayashi ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Adenocarcinoma ◽  
Patency Capsule

scholarly journals Primary adenocarcinoma arising from ileo-cecal junction presented with a component of ileo-ileal intussusception

2019 ◽  
Vol 6 (2) ◽  
pp. 618
Author(s):  
Satyendra Ramnadh G. ◽  
Vikas Puppala ◽  
Vishnu Samrat ◽  
M. Vijaya Lakshmi ◽  
Shekar Y. Tati ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Terminal Ileum ◽  
Carcinoid Tumour ◽  
Malignant Lesion ◽  
Right Hemicolectomy ◽  
Primary Adenocarcinoma ◽  
Small Bowel Adenocarcinoma ◽  
Diagnostic Dilemma ◽  
Ileocecal Junction

Primary adenocarcinoma arising from small bowel is a rare entity account 1-2% of all GIT malignancies. Adenocarcinoma is the second most malignant lesion of the small bowel after carcinoid tumour followed by lymphoma and GISTs. Duodenum is the common site followed by jejunum and ileum within the small bowel. About 48years old male presented with symptoms and signs of intestinal obstruction i.e. pain and distension of the abdomen with bilious vomiting and absolute constipation. Case was diagnosed as intestinal obstruction provisionally. USG reported as ileocecal intussusceptions with mesenteric lymphadenopathy and was confirmed by CECT. After laparotomy, growth was found at ileocecal junction. Right hemicolectomy along with lymphadenectomy was done and specimen sent for HPE. HPE revealed well differentiated adenocarcinoma, arising from terminal ileum at ileocecal junction with ileo-ileal intussusception. Small bowel adenocarcinoma is rare, further rare in ileocecal junction, radiologically presented as ileo-cecal intussusception. However, lymph nodal enlargement put us in diagnostic dilemma. Author are interested to report this case because of its rarity (incidence of adenocarcinoma terminal ileum is extremely rare and presentation as intussusception is diagnostic challenging. 

scholarly journals Small bowel knots

2020 ◽  
Vol 102 (8) ◽  
pp. 571-576
Author(s):  
MY Beg ◽  
L Bains ◽  
P Lal ◽  
H Maranna ◽  
P Kumar N
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Full Text ◽  
Rare Case ◽  
Case Reports ◽  
Systematic Search ◽  
Abdominal Distention ◽  
The West ◽  
Resection And Anastomosis

Introduction Intertwining of bowel loops to form a knot is very rare cause of intestinal obstruction. Among intestinal knots, ileoileal knotting is the most rare, with only a handful of cases reported in literature. We present a rare case of ileoileal knotting and review of small bowel knots. The aim of this review was to summarise the existing evidence on small bowel knots and to postulate the possible mechanisms for knotting. Methods A systematic search was conducted for literature published up to December 2019 using MEDLINE, PubMed and Google Scholar databases, together with the references of the full-text articles retrieved. Papers with case reports of small bowel knots were considered to be eligible for inclusion in the review. Findings A total of 14 case reports were evaluated. There was no clear predilection for age or sex. Mostly cases were from Asia and Africa with no cases from the West. The presenting complaints were abdominal pain (93%), vomiting (64%), abdominal distention (57 %) and obstipation (43%). The bowel was gangrenous in 78% of cases. All underwent exploration, with the majority requiring resection and anastomosis of the involved segment. Conclusion Ileoileal knotting is a very rare cause of intestinal obstruction. Possible mechanisms include loaded bowel with longer mesentery, vigorous peristalsis, single bulky meal, pregnancy and intussusception. The condition is extremely difficult to diagnose preoperatively and it is usually diagnosed intraoperatively. The standard of treatment is resection of gangrenous part and anastomosis.

scholarly journals A rare case of brain metastasis from poorly differentiated small bowel adenocarcinoma

2019 ◽  
Vol 10 ◽  
pp. 256
Author(s):  
Erika Yamazawa ◽  
Yoshitaka Honma ◽  
Kaishi Satomi ◽  
Hirokazu Taniguchi ◽  
Masamichi Takahashi ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Small Bowel ◽  
Brain Metastasis ◽  
Ct Scan ◽  
Rare Case ◽  
Clinical Course ◽  
Small Bowel Adenocarcinoma ◽  
Gastrointestinal Malignancies ◽  
Abdominal Lymph Node ◽  
Poorly Differentiated

Background: Small bowel adenocarcinoma (SBA) accounts for <2% of all gastrointestinal malignancies. The most common organs of SBA metastases are the abdominal lymph node, liver, and peritoneum. There have been almost no reports of brain metastases of SBA. Dabaja et al. reported 1 case of brain metastasis out of 217 SBA cases, but details of the clinical course of the case were unclear. Our case might be the first report covering the full clinical course, pathological findings, and genetic data. Here, we report a very rare case of brain metastasis from poorly differentiated SBA. Case Description: A 54-year-old man who suffered from abdominal pain and melena visited a nearby hospital. This patient had no risk factors for SBA. He underwent partial resection of the jejunum with regional lymphadenectomy and combined resection of the transverse colon. Pathological diagnosis was poorly differentiated adenocarcinoma, pT4N2M0 Stage IIIB (UICC-TNM: 8th edition). One month after curative surgery, liver metastasis was detected by a computed tomography (CT) scan, and then, palliative chemotherapy was started. During the third-line chemotherapy, a brain tumor on the left cerebellum was detected by the CT scan. Tumor resection was performed, and the histopathological features coincided with the primary jejunum tumor. Based on surgical, radiological, pathological, and genetic findings, this brain tumor was comprehensively diagnosed as a metastasis from poorly differentiated SBA. Conclusion: Here, we experienced a very rare case of brain metastasis from poorly differentiated SBA.

scholarly journals Acute intestinal obstruction due to appendicular tie syndrome: a rare case report

2019 ◽  
Vol 6 (9) ◽  
pp. 3446
Author(s):  
Akash Agrawal ◽  
Palak Vora
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Surgical Emergencies ◽  
Common Causes ◽  
Rare Case Report

Acute intestinal obstruction is one of the most common surgical emergencies encountered by surgeons on daily bases. Most common causes for small bowel obstruction includes postoperative adhesions and hernia. One of the rarest cause of intestinal obstruction is appendicular band syndrome. Here we report a case of small bowel obstruction due to appendicular tie syndrome in a 70 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.

scholarly journals A Rare Case of Large Jejunal Diverticulum Presenting as Intestinal Obstruction Due to Small Bowel Volvulus

2014 ◽  
Vol 77 (S1) ◽  
pp. 77-78
Author(s):  
Ashish Shrivastava ◽  
Yogeshwar Prasad Shukla ◽  
Achal Gupta ◽  
Jyoti Shrivastava
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Small Bowel Volvulus ◽  
Jejunal Diverticulum

A Rare Case of Primary Small Bowel Adenocarcinoma with Intussusception

2010 ◽  
Vol 96 (2) ◽  
pp. 355-357 ◽  
Author(s):  
Stefano Caruso ◽  
Daniele Marrelli ◽  
Corrado Pedrazzani ◽  
Alessandro Neri ◽  
Maria Antonietta Mazzei ◽  
...  
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Small Bowel Adenocarcinoma ◽  
Primary Small Bowel

scholarly journals A rare case of intestinal obstruction caused by internal hernia through post hysterectomy peritoneal defect

2021 ◽  
Vol 8 (4) ◽  
pp. 1347
Author(s):  
Ravi Kumar Sabu Murugesan ◽  
Kannan Ross ◽  
Joyce Prabakar
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Internal Hernia ◽  
Rare Case ◽  
Emergency Laparotomy ◽  
Female Status ◽  
Internal Hernias ◽  
Bowel Movements ◽  
Operative Findings ◽  
Increasing Trends

Internal hernia is a rare cause of intestinal obstruction. Nowadays acquired internal hernias are in increasing trends due to increased surgical procedures thus iatrogenic causes surpassing congenital internal hernias. Internal hernias after hysterectomy due to peritoneal defect is extremely rare. Here we present a case of 67 years old female status post hysterectomy ten years back, also a known type 2 diabetic presented to the emergency department with features suggestive of intestinal obstruction. Patient was taken up for emergency laparotomy and intra operative findings revealed small bowel loops herniating in a cavity that is formed by bladder anteriorly, caecum and sigmoid colon laterally and rectum posteriorly. Bowel loops were released. The bowel was found to be viable and the defect was closed. Bowel movements resumed on the third post-operative day. This case is presented here as it is an extremely rare case of internal hernia causing small bowel obstruction.

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