scholarly journals Typhoid fever colitis with massive lower gastrointestinal bleeding

2019 ◽  
Vol 6 (2) ◽  
pp. 601
Author(s):  
Yousif Salem ◽  
Keith Johnston ◽  
Amro Salem
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Typhoid Fever ◽  
Ct Scan ◽  
Rare Complication ◽  
Right Hemicolectomy ◽  
Lower Gastrointestinal Bleeding ◽  
High Light ◽  
Bleeding Per Rectum ◽  
Endemic Areas

Authors are presenting the case of a 34year old female, with no known comorbidities, who after recent travel to Pakistan, presented with fever for 1 month and was diagnosed with typhoid fever.During her admission she developed bleeding per rectum and abdominal pain labeled as right-side colitis, confirmed by endoscopy and CT scan, which was managed surgically by extended right hemicolectomy and ileostomy.The aim of this case is to discuss a rare complication of typhoid fever which is lower gastrointestinal bleeding, and high light the importance of considering rare infectious cases if not in endemic areas.

scholarly journals 782 A Rare Complication in A Post-Operative Bariatric Patient: COVID-19 Induced Mesenteric Venous Thrombosis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Winstanley ◽  
M Goodfellow
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Myeloproliferative Neoplasms ◽  
Rare Complication ◽  
Nasopharyngeal Swab ◽  
Thrombotic Complications ◽  
Tract Infections ◽  
Mesenteric Thrombosis

Abstract Introduction The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has provided enormous challenges in the delivery of surgical care. In addition to respiratory tract infections, coronavirus disease 2019 (COVID-19) is associated with both arterial and venous thrombotic complications. Case Details: We present a case of acute superior mesenteric venous (SMV) thrombosis in a 36-year-old female patient who underwent Roux-en-Y gastric bypass three years previously. Her presentation with acute abdominal pain occurred 6 days after a positive nasopharyngeal swab. An admission CT scan demonstrated an abrupt cut off in the proximal SMV with resultant small bowel oedema. Subsequent thrombophilia screening and mutation testing for myeloproliferative neoplasms were all negative. She had also previously carried three pregnancies to term without any thrombotic complications. Hence, the high suspicion of acute COVID-19 induced mesenteric thrombosis. Conclusions In patients who have previously undergone Rouy-en-Y gastric bypass and lost significant weight, acute abdominal pain normally raises a high suspicion of internal hernia. However, as the pandemic progresses surgeons need to be mindful of COVID-19 induced mesenteric thrombosis as a differential diagnosis during the workup of acute abdominal pain. This was well demonstrated on a CT scan with intravenous contrast.

Typhoid Fever with Acute Pancreatitis in a Five-Year-Old Child

2017 ◽  
Vol 13 (03) ◽  
pp. 240-241 ◽  
Author(s):  
Sumit Majumdar ◽  
Subroto Chakrabartty ◽  
Swati Chakravarti ◽  
Soumya Roy
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Preschool Children ◽  
Typhoid Fever ◽  
Rare Complication ◽  
Proper Management

AbstractTyphoid fever is very common in children, with abdominal pain occurring in 21% of patients. The occurrence of acute pancreatitis in typhoid is a rare complication, especially in preschool children. Knowledge of this condition is necessary for proper management, as well as to avoid unnecessary laparotomy. In this article, we describe the case of a 5-year-old girl who was diagnosed with this condition. She was managed conservatively with ceftriaxone and supportive measures, following which she had a completely recovery.

Colonoscopic findings and management of patients with outbreak typhoid fever presenting with lower gastrointestinal bleeding

2013 ◽  
Vol 32 (5) ◽  
pp. 335-340 ◽  
Author(s):  
Mohammad A. R. Shaikhani ◽  
Hiwa A. B. Husein ◽  
Taha A. Karbuli ◽  
Mohamed Abdulrahman Mohamed
Keyword(s):  
Gastrointestinal Bleeding ◽  
Typhoid Fever ◽  
Lower Gastrointestinal Bleeding

scholarly journals Colonoscopic Splenic Injury: A Simplified Radiologic Approach

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Tara Chen ◽  
Qiu Tong ◽  
Alexander Kurchin
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Large Bowel ◽  
Therapeutic Approach ◽  
Splenic Injury ◽  
Rare Complication ◽  
Diagnosis And Treatment ◽  
Bowel Diseases

Colonoscopy is a commonly performed procedure for diagnosis and treatment of large bowel diseases. Recognized complications include bleeding and perforation. Splenic injury during colonoscopy is a rare complication. We report a case of a 73-year-old woman who presented with left-sided abdominal pain after colonoscopy with finding of splenic injury on CT scan. She was managed conservatively. We discuss the diagnostic and therapeutic approach to colonoscopic splenic injury.

scholarly journals A Case Report on Life-Threatening Lower Gastrointestinal Bleeding: A Rare Presentation of Mucinous Adenocarcinoma of the Appendix

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
H. W. T. D. Wijayaratne ◽  
K. J. A. Fernando ◽  
T. Matheeshan
Keyword(s):  
Gastrointestinal Bleeding ◽  
Rectal Bleeding ◽  
Mucinous Adenocarcinoma ◽  
Right Hemicolectomy ◽  
Lower Gastrointestinal Bleeding ◽  
Haemodynamic Instability ◽  
Endoscopic Evaluation ◽  
Ct Angiogram ◽  
Contrast Enhanced Ct ◽  
Life Threatening

Introduction. A life-threatening lower gastrointestinal bleeding from mucinous adenocarcinoma of the appendix is a rare occurrence. Diagnosing and management of such a condition are challenging. Case Presentation. A 73-year-old male with a history of type 2 diabetes mellitus and hypertension presented with intermittent per rectal bleeding for two weeks, which progressed to the passage of a large number of blood clots and fresh blood. He had features of class III shock on admission. An endoscopic evaluation followed initial resuscitation to locate the source of bleeding. Colonoscopy revealed a large blood clot at the opening of the appendicular orifice with no active bleeding. Oesophagoduodenoscopy, contrast-enhanced CT abdomen, and CT angiogram findings were unremarkable. Due to repeated episodes of rebleeding leading to haemodynamic instability, an exploratory laparotomy was performed. A retrocaecal appendix was noticed with a macroscopically suspicious-looking dilated tip adhered to the posterior caecal wall. Right hemicolectomy was performed as the lesion was suspicious and to stop bleeding from the site. Ileocolic side-to-side hand-sewn anastomosis was performed using 3/0 polyglactin. Postoperatively, per rectal bleeding was settled. Microscopy revealed appendiceal mucinous adenocarcinoma with AJCC staging of pT3NoMx. The patient was discharged on postoperative day seven and referred to oncological management. He was offered six cycles of chemotherapy with capecitabine and oxaliplatin. At the six-month follow-up visit, the patient had no features of recurrence clinically. Conclusion. Mucinous adenocarcinoma of the appendix can rarely present as life-threatening lower GI bleeding. Prompt resuscitation, endoscopic evaluation, and operative management with right hemicolectomy and chemotherapy provided a good outcome.

Stenting of stenotic mesenteric arteries for symptomatic chronic mesenteric ischemia

VASA ◽  
2012 ◽  
Vol 41 (6) ◽  
pp. 425-431 ◽  
Author(s):  
Aschenbach ◽  
Bergert ◽  
Kerl ◽  
Zangos ◽  
Neumeister ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Celiac Artery ◽  
Lower Gastrointestinal Bleeding ◽  
Mesenteric Arteries ◽  
Chronic Mesenteric Ischemia ◽  
Technical Failure

Background: We report the results of our single center series of patients with chronic mesenteric ischemia (CMI) to determine the role of stenting in the management of patients. Patients and methods: We retrospectively reviewed all patients with CMI treated endovascularly with stent revascularisation from January 2008 to January 2011.CMI diagnosis was made according to clinical symptoms, including postprandial abdominal pain, food fear, and weight loss. Additionally, the diagnosis was confirmed by duplex ultrasonography and/or computed tomography angiography and/or contrast-enhanced magnetic resonance angiography. Results: All 45 patients presented with typical CMI symptoms: 45/45 (100 %) had postprandial pain, 31/45 (68.8 %) had a weight loss of more than 10 kilograms, and 11/45 (24.4 %) suffered from ischemic colitis combined with lower gastrointestinal bleeding. In three patients occlusion could not be crossed, therefore considered as technical failure. A total of 55 arteries were stented in the remaining 42 patients. Nineteen patients underwent SMA stenting alone, eight underwent celiac stenting, alone and three patients underwent stenting of inferior mesenteric artery (IMA) alone. We performed combined stenting of the celiac artery and superior mesenteric artery in ten patients, and one patient underwent a combined stenting of the celiac artery and the IMA. All three mesenteric arteries were stented in only one patient. Primary technical success was achieved in 42/45 (94.8 %) patients. Clinical symptom relief was achieved in 39/45 (86.6 %) patients with abdominal pain. Increased body weight was observed in 28/31 (90.3 %) patients with an average weight gain of 8.8 kilograms (5 - 12 kilograms), and 10/11 (90.9 %) patients recovered from ischaemic colitis/lower gastrointestinal bleeding. Conclusions: Stent revascularisation can be considered as the first-line therapy for patients with chronic mesenteric ischemia.

Abdominal Pain Following Lower Gastrointestinal Bleeding

JAMA Surgery ◽  
2016 ◽  
Vol 151 (11) ◽  
pp. 1079
Author(s):  
Sunu Philip ◽  
Ernesto Drelichman
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Bleeding

Colonoscopic manifestations of typhoid fever with lower gastrointestinal bleeding

2004 ◽  
Vol 36 (2) ◽  
pp. 141-146 ◽  
Author(s):  
J.H Lee ◽  
J.J Kim ◽  
J.H Jung ◽  
S.-Y Lee ◽  
M.H Bae ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Typhoid Fever ◽  
Lower Gastrointestinal Bleeding

scholarly journals Acute Appendicitis Associated With Typhoid Fever: A Case Report and Review of Literature

2020 ◽  
Vol 8 (4) ◽  
pp. 255-260
Author(s):  
Sanaz Mehrabani ◽  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Typhoid Fever ◽  
Rare Complication ◽  
Relevant Literature ◽  
Salmonella Typhi ◽  
Review Of Literature ◽  
Case Presentation ◽  
Important Complication ◽  
Chief Complaints

Introduction: Appendicitis could be a rare complication of Salmonella Typhi infection.  Case Presentation: we present a 13-year-old girl with typhoid fever with histology-proven acute appendicitis as a rare complication of Salmonella Typhi infection. The patient was admitted to the hospital with the chief complaints of fever, abdominal pain, diarrhea, and vomiting for more than one week. A brief review of relevant literature was also performed to explore more this rare cause of a common emergency surgical procedure.  Conclusions: In all cases with typhoid fever with persistent diarrhea and vomiting, localized abdominal pain, probable acute appendicitis should be considered as an important complication.

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