scholarly journals Adenocarcinoma ileum: a rare cause of ileal stricture mimicking intestinal tuberculosis: a case report and literature review

2021 ◽  
Vol 8 (8) ◽  
pp. 2473
Author(s):  
Manisha Aggarwal ◽  
Dinesh Manchikanti ◽  
Janitta Kundaikar ◽  
Shaji Thomas ◽  
Ashish Arsia ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Intestinal Tuberculosis ◽  
Rare Condition ◽  
Short Segment ◽  
Small Intestinal Obstruction ◽  
Ileal Stricture ◽  
Luminal Narrowing ◽  
Small Intestinal

One of the commonest causes of small intestinal obstruction in India is tuberculosis. The terminal ileum and ileocaecal junction are the most common sites of small bowel involvement, and the most common abnormality is short-segment strictures. We report a patient who presented with small intestinal obstruction due to a solitary ileal stricture, but turned out to be a rare condition that can mimic intestinal tuberculosis. A 60-years-old man, with recurrent episodes of pain abdomen for 1 year, presented to our surgical emergency with evidence of small intestinal obstruction. A CT scan revealed a short segment stricture (2.7 cm) in mid ileal loop with luminal narrowing and marked proximal dilation of proximal ileal loops with a few sub centimetric mesenteric lymph nodes. On laparotomy with a suspected diagnosis of intestinal tuberculosis, it turned to be an adenocarcinoma of the ileum- a rare condition that can mimic intestinal tuberculosis. One of the commonest causes of small intestinal obstruction in India is abdominal tuberculosis. However, all cases of small intestinal obstruction are not tuberculosis. Adenocarcinoma of ileum is a very rare entity. This case report shows that a surgeon should have a high index of suspicion in an elderly patient presenting with small intestinal obstruction, with CT demonstrating isolated short-segment small bowel thickening, as it could be a presentation of obstructing type adenocarcinoma of the small intestine.

scholarly journals Superior Mesenteric Artery Syndrome: An Infrequent Complication of Scoliosis Surgery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Metin Keskin ◽  
Turgut Akgül ◽  
Adem Bayraktar ◽  
Fatih Dikici ◽  
Emre Balık
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Intestinal Obstruction ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Superior Mesenteric Artery Syndrome ◽  
Scoliosis Surgery ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

Superior mesenteric artery syndrome is a rare condition that causes a proximal small intestinal obstruction due to contraction of the angle between the superior mesenteric artery and the aorta. Scoliosis surgery is one of the 15 reasons for superior mesenteric artery syndrome, which can present with acute or chronic manifestations. Although conservative treatment is usually possible, surgical treatment is required in certain cases that cannot be treated using conservative methods. In this paper, we describe a patient who developed superior mesenteric artery syndrome after scoliosis surgery and was treated with duodenojejunostomy due to failure and complications of conservative treatment.

scholarly journals Diagnosis, treatment and prognosis of small bowel volvulus in adults: A monocentric summary of a rare small intestinal obstruction

PLoS ONE ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. e0175866 ◽  
Author(s):  
Xiaohang Li ◽  
Jialin Zhang ◽  
Baifeng Li ◽  
Dehui Yi ◽  
Chengshuo Zhang ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Volvulus ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

scholarly journals Small intestinal obstruction due to phytobezoar: a case report

2009 ◽  
Vol 3 (1) ◽  
Author(s):  
Rajan Fuad Ezzat ◽  
Shahzad Ali Rashid ◽  
Abbas Tahir Rashid ◽  
Khaled Musttafa Abdullah ◽  
Shyaw Mahmood Ahmed
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

scholarly journals Clinico-pathological profile and surgical management of tubercular small intestinal obstruction

2018 ◽  
Vol 5 (11) ◽  
pp. 3553
Author(s):  
Lalit Choudhary ◽  
Narendra Singh Bhat ◽  
Kedar Singh Shahi
Keyword(s):  
Intestinal Obstruction ◽  
Medical Record ◽  
Clinical Features ◽  
Tertiary Care ◽  
Abdominal Tuberculosis ◽  
Common Symptom ◽  
Tertiary Care Centre ◽  
Small Intestinal Obstruction ◽  
Ileal Stricture ◽  
Small Intestinal

Background: Small intestinal obstruction is one of the most common abdominal emergencies faced by surgery resident in emergency department. Diagnosis and management of tubercular intestinal obstruction is challenging as underlying pathology is usually obscure and disease is associated with significant morbidity and mortality. The aim of this study is to know the various clinical features; different types of treatment and prognosis of tubercular intestinal obstruction in adult patients in our setting. Our centre is the only tertiary care centre belongs to Kumauni region at present, most of our patient are from low socioeconomical strata of their region.Methods: Our study was a retrospective analytic study. Medical record of all patients who were operated between 2011 and 2016 for intestinal obstruction due to abdominal tuberculosis at Surgery Department of Dr. Sushila Tiwari Government Hospital attached to GMC Haldwani were retrospectively analysed. The patients who were above 14 years of age and operated for obstruction of small bowel and whose complete medical record was available, were included in the study.Results: There were total 59 patients operated during this time span, out of these, 19 were female and 40 were male. Patients from 3’rd decades (37.29%) of their life were most commonly affected. Abdomen pain was most common symptom found in all 59 patients. Ileal Stricture was most common gross finding. Resection anastomosis was done in 71.19%.Conclusions: Most of the cases of abdominal tuberculosis presents with non-specific clinical features, inconclusive laboratory and radiography findings.

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