scholarly journals A rare case of intestinal obstruction in pregnancy

2021 ◽  
Vol 8 (3) ◽  
pp. 397-400
Author(s):  
Karishma Sharma ◽  
Somya Saxena ◽  
Rahul Agnihotri
Keyword(s):  
Intestinal Obstruction ◽  
Uttar Pradesh ◽  
Diffuse Abdominal Pain ◽  
Delay In Diagnosis ◽  
Satisfactory Condition ◽  
Plain Films ◽  
History Of ◽  
Female Baby ◽  
Resection And Anastomosis ◽  
In Pregnancy

Intestinal obstruction (IO) in pregnancy is rare at 1 in 2500 to 1 in 16709 deliveries with an incidence of 0.001% to 0.003%. Although uncommon, IO in pregnancy carries significant maternal (6%) and fetal (26%) mortality. A 30-year-old, primigravida, at 33weeks 4 days of gestation presented to the emergency obstetrics department of Swaroop Rani Nehru Hospital, Prayagraj, Uttar Pradesh, India with a 2-day history of diffuse abdominal pain, distension and obstipation. The decision of emergency caesarean section was taken and a 2.5kg healthy female baby was delivered. Surgical opinion was sought intraoperatively. Segmental resection and anastomosis, adhesiolysis and appendicectomy was done. Patient discharged on 10 post-operative day along with her baby in satisfactory condition. Diagnosis of SBO can be difficult to make as symptoms are often attributed mistakenly to pregnancy and there can be a reluctance to request plain films owing to the risks of ionising radiation. Both of these factors can lead to a delay in diagnosis and initiating treatment. Clinical suspicion is vital and joint management between surgeons and obstetricians is crucial. In agreement with previous literature reviews regarding the need for prompt laparotomy in most cases of SBO, we recommend that patients with confirmed adhesional obstruction may be managed conservatively in the first instance but with a low threshold for progressing to laparotomy.

scholarly journals Case Report: Pediatric pharmacobezoar with subacute intestinal obstruction

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1037
Author(s):  
Mahnaz Hakeem ◽  
Heeramani Lohana ◽  
Sarwat Urooj ◽  
Sheraz Ahmed
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Acute Intestinal Obstruction ◽  
Rare Entity ◽  
Persistent Vomiting ◽  
Delay In Diagnosis ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
High Index Of Suspicion

Bezoars are an undigested mass causing an intraluminal obstruction in children.  Pharmacobezoars are formed from medicines or their vehicle, considered as a less frequent type observed in children. Our objective is to report a relatively rare entity as a potential cause of intestinal obstruction in children.  Here we report a case of 13-year-old girl with a history of herbal medicine intake who presented with persistent vomiting and abdominal distension. She was diagnosed with acute intestinal obstruction and managed conservatively without any complications. The patient became stable within two days so was discharged home. We found that ineffective history could lead to a delay in diagnosis and management. Clinicians should have a high index of suspicion for pica and psychiatric disorders, especially in adolescent children.

scholarly journals A Case of Intestinal Obstruction in Pregnancy Diagnosed by MRI and Treated by Intravenous Hyperalimentation

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Atsushi Daimon ◽  
Yoshito Terai ◽  
Yoko Nagayasu ◽  
Atsuko Okamoto ◽  
Takumi Sano ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Rare Complication ◽  
Oral Intake ◽  
Abdominal Distension ◽  
Pelvic Surgery ◽  
Intravenous Hyperalimentation ◽  
Abdominal Symptoms ◽  
Starting Point ◽  
History Of ◽  
In Pregnancy

Intestinal obstruction in pregnancy is rare and is mainly caused by prior pelvic surgery. We herein report a case of intestinal obstruction in a pregnant female with a history of laparoscopic myomectomy, who presented with hypogastric pain, abdominal distension, and vomiting at 26 weeks of gestation. A simple intestinal obstruction was diagnosed by MRI. Conservative treatments, including intravenous hyperalimentation and the placement of an ileus tube, were provided and her abdominal symptoms improved for 14 days. After restarting oral intake, she had no abdominal symptoms. She gave birth to a 2,146 g female infant by caesarean section at 37 weeks and 1 day of gestation. Although an area of cicatrization, which was thought to have been the starting point of the occlusion that caused the intestinal obstruction, was found, the excision of the small intestine was not necessary. Her postoperative course was uneventful. Intestinal obstruction requires a prompt diagnosis and aggressive intervention may be necessary to minimize the morbidity and mortality associated with this rare complication of pregnancy. MRI can be safely used during pregnancy to diagnose intestinal obstruction and intravenous hyperalimentation may improve the maternal and fetal prognoses.

scholarly journals Intestinal Obstruction in Pregnancy: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Shakina Rauff ◽  
Stephen Kin Yong Chang ◽  
Eng Kien Tan
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Fetal Mortality ◽  
Delay In Diagnosis ◽  
Appropriate Treatment ◽  
Prompt Diagnosis ◽  
In Pregnancy

Background. Intestinal obstruction in pregnancy is uncommon. The condition is associated with significant maternal and fetal mortality. The delay in diagnosis is due to nonspecific symptoms and a disinclination to carry out radiologic investigations in pregnancy.Case. A 39-year-old lady at 32 weeks of gestation presented with abdominal pain and nausea. Her symptoms worsened during admission. A computed tomography (CT) scan showed dilated small bowel loops suggestive of intestinal obstruction. She eventually underwent a laparotomy as conservative measures failed.Conclusion. A high index of clinical suspicion is required to diagnose intestinal obstruction in pregnancy. Prompt diagnosis should be made and the appropriate treatment instituted. Surgical intervention should be performed if necessary as further delay only results in increased morbidity and mortality.

scholarly journals Pott's Disease in Pregnancy: A Case Report and Review

2009 ◽  
Vol 22 (2) ◽  
pp. 282-286
Author(s):  
N Yusuf ◽  
A Ali ◽  
Q Ahmad ◽  
L Rahman ◽  
T Nigar
Keyword(s):  
Spinal Tuberculosis ◽  
Cord Compression ◽  
Lower Limbs ◽  
Sensory Loss ◽  
Term Pregnancy ◽  
Delay In Diagnosis ◽  
Pott’S Disease ◽  
Healthy Female ◽  
Female Baby ◽  
In Pregnancy

Spinal tuberculosis (Pott's disease) during pregnancy reported to be rare & can be associated with destruction of the intervertebral disc & adjacent vertebrae that can lead to cord compression & thereby paraplegia or quadriplegia. Delay in diagnosis is common & most cases are diagnosed when paraplegia has already been occurred. This serious complication requires special attention during pregnancy & delivery. Here we reported a case of term pregnancy with Pott's paraplegia. As the patient had complete motor & sensory loss from D7 level, (above the level of umbilicus to the lower limbs) LUCS was done without anesthesia & a healthy female baby was delivered. She did not require any analgesia post operatively.TAJ 2009; 22(1): 282-286

scholarly journals Carcinoma of Tail of Pancreas: A Case Report

2021 ◽  
pp. 100-104
Author(s):  
Pratiksha Thakare ◽  
Ruchira Ankar ◽  
Ranjana Sharma ◽  
Samruddhi Gujar ◽  
Shakib Sheikh
Keyword(s):  
Intestinal Obstruction ◽  
Chief Complaint ◽  
Chemotherapy Treatment ◽  
Case Presentation ◽  
Pancreatic Tail ◽  
Delay In Diagnosis ◽  
Epigastric Region ◽  
History Of ◽  
Wbc Count ◽  
Pancreatic Origin

Background: A typical manifestation of pancreatic tail cancer is large intestinal obstruction with perforation. Clinically the cancer of pancreas is usually complicated to diagnose. Most cancer patients are not having symptoms throughout during the initial stages of the cancer, which often leads to a delay in diagnosis. Treatment choices include surgery, chemotherapy, and palliative care. It is more common in African-Americans, slightly more common in men. Case Presentation: A female patient of 40 years from Wardha was admitted to Female surgery Ward, Unit-3, AVBRH on 18th December with a chief complaint of pain in epigastric region since 2weeks. Patient was apparently all right 2 months back then she was complaining of pain in the epigastric region which was insidious in onset, gradually progressive in nature, burning type of pain with radiating to left upper back. No history of fever, nausea vomiting, clay-coloured stools. After that patient was undergone on routine investigation in that total WBC count was increased i.e., 13000/cu mm and haemoglobin level were decreased i.e., 9.7gm%, liver biopsy revealed that metastasis of Adenocarcinoma probably of pancreatic origin, Computed tomography and ultrasound and it revealed that heterogenous iso-echoic mass in the tail of pancreas based on investigation she was diagnosed as a case of Carcinoma tail of pancreas and she was undergone on treatment of antibiotic before  chemotherapy .after that chemotherapy treatment was done for management of pain. Conclusion: Pancreatic adenocarcinoma presents differently from large intestinal cancer and should be explored in the differential diagnosis of large intestinal obstruction.

scholarly journals Small Bowel Ischemia due to Jejunum Volvulus in Pregnancy: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Ioannis Vassiliou ◽  
Aliki Tympa ◽  
Michalis Derpapas ◽  
Georgios Kottis ◽  
Nikolaos Vlahos
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Mortality Rate ◽  
Intestinal Obstruction ◽  
Open Repair ◽  
Bowel Ischemia ◽  
Midgut Volvulus ◽  
History Of ◽  
In Pregnancy

The diagnosis of intestinal obstruction in pregnancy is difficult, as the symptoms may mimic pregnancy-associated complaints. The surgical management is challenging, as the mortality rate of midgut volvulus in pregnancy is high. We report the case of a 35-year-old woman at 21 weeks and 5 days of gestation with small bowel obstruction who presented to our institution with a 24 h history of colicky abdominal pain and nausea and who finally had a successful open repair.

Aspergillus Spondylodiscitis After Spinal Stenosis Surgery: A Case Report

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 155-160
Author(s):  
Mohsen Aghapoor ◽  
◽  
Babak Alijani Alijani ◽  
Mahsa Pakseresht-Mogharab ◽  
◽  
...  
Keyword(s):  
Antifungal Drugs ◽  
The Body ◽  
Lower Limbs ◽  
Lumbar Pain ◽  
Case Presentation ◽  
Delay In Diagnosis ◽  
Death Case ◽  
Therapeutic Results ◽  
History Of ◽  
Probable Diagnosis

Background and Importance: Spondylodiscitis is an inflammatory disease of the body of one or more vertebrae and intervertebral disc. The fungal etiology of this disease is rare, particularly in patients without immunodeficiency. Delay in diagnosis and treatment of this disease can lead to complications and even death. Case Presentation: A 63-year-old diabetic female patient, who had a history of spinal surgery and complaining radicular lumbar pain in both lower limbs with a probable diagnosis of spondylodiscitis, underwent partial L2 and complete L3 and L4 corpectomy and fusion. As a result of pathology from tissue biopsy specimen, Aspergillus fungi were observed. There was no evidence of immunodeficiency in the patient. The patient was treated with Itraconazole 100 mg twice a day for two months. Pain, neurological symptom, and laboratory tests improved. Conclusion: The debridement surgery coupled with antifungal drugs can lead to the best therapeutic results.

Ischemic Complications of Pregnancy: Who is at Risk?

2016 ◽  
Vol 10 (1) ◽  
pp. 14
Author(s):  
Sara C Martinez ◽  
◽  
Sharonne N Hayes ◽  
Keyword(s):  
Artery Dissection ◽  
Cardiac Events ◽  
Coronary Artery Dissection ◽  
Reduction Strategies ◽  
Ischemic Complications ◽  
Substantial Risk ◽  
History Of ◽  
Invasive Management ◽  
In Pregnancy

The physiologic demands of pregnancy may either trigger or uncover ischemic heart disease (IHD) via largely unknown mechanisms, leading to an increased mortality compared with nonpregnant individuals. Risk factors for IHD in pregnancy are age, smoking, multiparity, and prior cardiac events. A multidisciplinary team at a referral center is key to coordinating medical or invasive management and inpatient observation. Etiologies may be revealed by experienced angiographers, and are predominantly spontaneous coronary artery dissection, followed by atherosclerotic disease and thrombus, while a significant percentage of women are found to have normal coronary arteries by angiogram. The management of these conditions is varied and, in general, conservative management is preferred with adequate coronary flow and stable hemodynamics. A woman with a history of IHD in pregnancy is at a substantial risk for further complications in future pregnancies and beyond; therefore, aggressive risk factor-reduction strategies and regular cardiology follow-up are imperative to decrease adverse events.

scholarly journals Endometriosis Mimicking a Cecum Mass with Complete Bowel Obstruction: An Infrequent Cause of Acute Abdomen

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Gabriel A. Molina ◽  
Darwin R. Ramos ◽  
Alberto Yu ◽  
Patricio A. Paute ◽  
Paul S. Llerena ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Preoperative Diagnosis ◽  
Malignant Tumors ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Intestinal Involvement ◽  
History Of ◽  
Ovarian Abscess ◽  
Fertile Women

Endometriosis is a common entity among fertile women which unfortunately manifests through variable symptomatology. Intestinal involvement in endometriosis is quite common and can simulate several diseases such as Crohn’s disease, appendicitis, tubo-ovarian abscess, or malignant tumors. Intestinal obstruction due to endometriosis is rare, and preoperative diagnosis is difficult because the signs and symptoms are nonspecific and can be easily confused. In the case of patients without a history of endometriosis, diagnosis is further complicated. We present a case of a 41-year-old female patient. She presented to the emergency room with complete bowel obstruction and a mass in the cecum. Surgery was decided, and the patient underwent full recovery. Endometriosis was the final diagnosis for the observed condition.

scholarly journals Some Risk Factors for Low Birthweight Infants at Manado Hospital

2018 ◽  
Vol 35 (3-4) ◽  
pp. 94-100
Author(s):  
S. M. Salendu W. ◽  
Sutomo Raharjo ◽  
Immanuel Mustadjab ◽  
Nan Warouw
Keyword(s):  
Risk Factors ◽  
Maternal Age ◽  
Intrauterine Growth Retardation ◽  
Maternal Education ◽  
Low Birthweight ◽  
Term Infants ◽  
Intrauterine Growth ◽  
Hypertension In Pregnancy ◽  
History Of ◽  
In Pregnancy

The risk factors of low birthweight infants were assessed in a retrospective study covering 3607 singleton livebirth infants at Manado Hospital from January until December 1993. The analysis confirmed that patterns of risk birthweight hypertension in pregnancy (P<0.01), maternal education (P<0.01), maternal age (P<0.05), and parity (P<0.01), marital status (P<0.01), history of abortion (P<0.05), and parity (P<0.01). Anemia in pregnancy was also associated with birthweight in low birth weight (P<0.05). Asymetric intrauterine growth retardation (Ponderal Index below 2.32) was found both in premature and term infants.

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