scholarly journals Mid-Gut Carcinoid Tumour Presenting as Suspected Orbital Metastasis

2019 ◽  
Vol 19 (3) ◽  
pp. 253
Author(s):  
Ayman A. Hafiz ◽  
Syed M. Ali ◽  
Salwa M. Sidahmed ◽  
Asma Al-Hassan ◽  
Nahla M. M. El-Naggar
Keyword(s):  
Small Bowel ◽  
Carcinoid Tumour ◽  
Small Bowel Resection ◽  
Metastatic Lesion ◽  
Orbital Metastasis ◽  
Metastatic Carcinoid ◽  
Acute Increase ◽  
Orbital Neoplasm ◽  
Lost To Follow Up

Although metastasis of carcinoid tumours of the intestine is rare, it has been reported in several organs, mainly in the lungs, the liver and less commonly in the orbits. We report a 50-year-old male patient who presented at Hamad General Hospital, Doha, Qatar, in 2016 with central abdominal pain, distention, nausea and vomiting for the previous four days. The patient had unilateral right- sided exophthalmos for two years prior to presentation. Following an abdominal computed tomography (CT) scan and an ultrasound guided biopsy, the patient was diagnosed with extensive multi-focal metastatic carcinoid tumour of the small bowel and mesentery; histopathology confirmed the diagnosis. Subsequently, the patient underwent a laparotomy and small bowel resection and was administered somatostatin therapy. One week postoperatively, the patient developed an acute increase in his right eye exophthalmos. CT, magnetic resonance imaging and scintigraphy scans revealed an orbital metastatic lesion, which probably originated from the previously diagnosed carcinoid tumour. The orbital metastasis was treated with somatostatin therapy and the patient was lost to follow-up when he left the country.Keywords: Carcinoid Tumor; Orbital Neoplasm; Metastasis; Exophthalmos; Scintigraphy; Case Report; Qatar.

scholarly journals A Minor Innovation in Constructing a Small Bowel Stoma in Neonates with Small Bowel Atresia to Reduce the Morbidity

2016 ◽  
Vol 5 (4) ◽  
pp. 45 ◽  
Author(s):  
Naeem Khan ◽  
Saba Bakht ◽  
Nadia Zaheer
Keyword(s):  
Small Bowel ◽  
Primary Anastomosis ◽  
Intestinal Atresia ◽  
Stoma Formation ◽  
New Type ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
A Minor ◽  
Lost To Follow Up

Background: Intestinal atresia has still significant morbidity in developing countries. Stomas are now not recommended in every case of intestinal atresia; primary anastomosis is the goal of surgery after resection of dilated adynamic gut. A new type of stoma formation along with primary anastomosis is being presented here.Materials and Methods: This report is based on our experience of many cases with this technique in last 12 years but all the details and long follow-up of each case is not available. However the method of surgical procedure, progress, complications, and advantages encountered have been highlighted.Results: Presently we have data of 7 patients; others are lost to follow up. Three had died with other associated problems, namely one with multiple atresias, two with septic shock and prematurity. Two stomas did not require formal closure because stoma shriveled and disappeared. Two other stomas had grown very long like a diverticulum when these were closed after 5 and 8 months.Conclusion: This technique is another attempt to decrease morbidity of patients of intestinal atresia especially in those cases where short bowel syndrome is feared after resection of proximal dilated gut.

scholarly journals Recurrent internal hernias after Roux-en-Y gastric bypass: An observational study in 1219 patients over 20 years

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
Y Fringeli ◽  
R Steffen ◽  
U Kessler ◽  
J Zehetner
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Small Bowel ◽  
Laparoscopic Group ◽  
Small Bowel Resection ◽  
Median Percentage ◽  
Internal Hernias ◽  
Mesenteric Defects ◽  
Time Of Operation

Abstract Objective Internal hernia (IH) represents a well-known complication and the major cause of bowel obstruction after Roux-en-Y gastric bypass (RYGB) for morbid obesity. With the worldwide rise of performed RYGB, IH will become more frequent in the coming years. Lots of studies already addressed this issue to prevent its occurrence and improve its management. The aim of this study is to assess incidence and patterns of recurrence of IH. Methods A retrospective single-centre analysis was performed of prospectively collected follow-up data from patients who underwent a RYGB between January 2000 and December 2017 and who developed IH thereafter. Follow-up data were reviewed until December 2020. Both open (51) and laparoscopic procedures (1168) were included. All RYGB were performed using the antecolic technique with routine closure of the Petersen’s space (PS) and the mesenteric defect beneath the jejunojejunostomy (JJ). Only open mesenteric defects with incarcerated small bowel at the time of operation were considered as IH. Results One hundred thirty four patients presented with IH and all events occurred in the laparoscopic group (11.5%). Among the 134 patients with IH, a recurrence was observed in 35 patients (26.1%) after a median time of 13 months (range, 0-124) since the first IH. Seven patients presented more than 2 episodes of IH, among them one patient with 7 episodes. The median weight loss between the first and the second episode of IH was 0.0kg (range, -11.5-19.0) and the median percentage of excess weight loss achieved since the RYGB at the occurrence of the second IH was 97.2% (range, 55.3-111.2). Location of IH was PS in 70 patients (52.2%) at the time of the first IH and in 23 patients (65.7%) at the time of the second IH. Recurrence of IH at the same location was more frequent at the PS (22.9%) than at the JJ (10.9%). Overall, 185 operations for IH were performed, among them 132 (71.4%) laparoscopically. Only once, a small bowel resection was mandatory (0.5%). Conclusion For patients with laparoscopic RYGB, internal hernias represent a potential complication over a lifetime and have to be suspected even years after the index operation. One quarter of patients will develop a recurrence of IH and Petersen’s space is mostly involved.

scholarly journals Hypomagnesemia in short bowel syndrome patients

2000 ◽  
Vol 118 (6) ◽  
pp. 169-172 ◽  
Author(s):  
Simone Chaves Miranda ◽  
Michelle Lizzy Bandeira Ribeiro ◽  
Eduardo Ferriolli ◽  
Júlio Sérgio Marchini
Keyword(s):  
Small Bowel ◽  
Short Bowel Syndrome ◽  
Bowel Resection ◽  
Serum Magnesium ◽  
Small Bowel Resection ◽  
University Hospital ◽  
Short Bowel ◽  
Metabolic Unit ◽  
The University

CONTEXT: Magnesium support to small bowel resection patients. OBJECTIVE: Incidence and treatment of hypomagnesemia in patients with extensive small bowel resection. DESIGN: Retrospective study. SETTING: Metabolic Unit of the University Hospital Medical School of Ribeirão Preto, University of São Paulo, Brazil. PATIENTS: Fifteen patients with extensive small bowel resection who developed short bowel syndrome. MAIN MEASUREMENTS: Serum magnesium control of patients with bowel resection. Replacement of magnesium when low values were found. RESULTS: Initial serum magnesium values were obtained 21 to 180 days after surgery. Hypomagnesemia [serum magnesium below 1.5 mEq/l (SD 0.43)] was detected in 40% of the patients [1,19 mEq/l (SD 0.22)]. During the follow-up period, 66% of the patients presented at least two values below reference (1.50 mEq/l). 40% increased their serum values after magnesium therapy. CONCLUSION: Metabolic control of serum magnesium should be followed up after extensive small bowel resection. Hypomagnesemia may be found and should be controlled.

scholarly journals Metastatic Carcinoid Tumour in Association with Small Bowel Ischaemia and Infarction

1990 ◽  
Vol 83 (1) ◽  
pp. 54-54 ◽  
Author(s):  
J J Payne-James ◽  
C J de Gara ◽  
D Lovell ◽  
J J Misiewicz ◽  
N Menzies Gow
Keyword(s):  
Small Bowel ◽  
Carcinoid Tumour ◽  
Bowel Ischaemia ◽  
Metastatic Carcinoid

Clinical, Biological, and Histological Follow-up during Intestinal Adaptation after Small-Bowel Resection in the Dog

1991 ◽  
Vol 23 (5-6) ◽  
pp. 333-340 ◽  
Author(s):  
M.C. Gouttebel ◽  
C. Astre ◽  
P.M. Girardot ◽  
B. Saint-Aubert ◽  
H. Joyeux
Keyword(s):  
Small Bowel ◽  
Bowel Resection ◽  
Intestinal Adaptation ◽  
Small Bowel Resection

scholarly journals İnce Barsakta İnvajinasyona Neden Olan Leiomyosarkom: Olgu Sunumu

2021 ◽  
pp. 36-38
Author(s):  
Merter GÜLEN ◽  
Bahadır EGE
Keyword(s):  
Small Bowel ◽  
Rare Condition ◽  
Small Bowel Resection ◽  
Mass Lesion ◽  
Upper Gastrointestinal Endoscopy ◽  
Abdominal Ultrasonography ◽  
Gastrointestinal Malignancies ◽  
Staining Methods ◽  
Histological Stage

Introduction: Small bowel leiomyosarcoma is an extremely rare condition among gastrointestinal malignancies. They are often asymptomatic in the early stages and are difficult to diagnose by lower and upper gastrointestinal endoscopy. Case Report: A 30-year-old male patient with a diagnosis of hemophilia presented to us with complaints of abdominal pain, nausea and vomiting. Abdominal ultrasonography and computer tomography was done; a mass lesion, approximately 5×5 cm in size, causing invagination at the ileal level was observed. After preoperative preparations, the patient was operated on; laparotomy and the existing mass lesion was removed by segmenter small bowel resection and end-to-end anastomosis. He was discharged on the postoperative 3rd day without any complications. The patient, whose histopathologically presented leiomyosarcoma, was under oncological follow-up. Discussion: Small bowel leiomyosarcomas that differentiate from gastrointestinal stromal tumors can be distinguished by various immunohistochemical staining methods. Magnetic resonance enterography, computed tomography/colonography and capsule endoscopy may be needed in the differential diagnosis. Surgical resection still maintains its importance in the approach to such tumors, and the prognosis depends on tumor size and histological stage. Keywords: gastrointestinal stromal tumor, intestinal obstruction, leiomyosarcoma

scholarly journals Case of small bowel perforation secondary to nivolumab and ipilimumab related tumour regression

2020 ◽  
Vol 13 (2) ◽  
pp. e232304 ◽  
Author(s):  
Kishen Rajan Patel ◽  
Lennard YW Lee ◽  
Arvind Tripathy ◽  
David McKean
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Resection ◽  
Metastatic Lesion ◽  
Sudden Onset ◽  
Tumour Regression ◽  
Small Bowel Perforation ◽  
Potential Side Effect ◽  
Inflammatory Bowel ◽  
Rapid Tumour

A 56-year-old man undergoing immunotherapy treatment for metastatic melanoma presented with sudden onset testicular pain radiating into his abdomen. On examination, the abdomen was generally tender with associated guarding. Imaging revealed a perforation of the small bowel at the site of a metastatic lesion. Histology revealed that this process was non-inflammatory in nature. A diagnosis of small bowel perforation secondary to immunotherapy driven rapid tumour regression was made. The patient was treated with a small bowel resection plus anastomosis and made a full recovery. This case highlights the rare potential side effect of immunotherapy in causing non-inflammatory bowel perforations secondary to rapid tumour regression.

scholarly journals Phytobezoar: A Brief Report with Surgical and Radiological Correlation

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sameer A. Hirji ◽  
Faith C. Robertson ◽  
Grace F. Chao ◽  
Bharti Khurana ◽  
Jonathan D. Gates
Keyword(s):  
Small Bowel ◽  
Alimentary Tract ◽  
Bowel Perforation ◽  
Exploratory Laparotomy ◽  
Small Bowel Resection ◽  
Diagnostic Challenge ◽  
Persistent Vomiting ◽  
Ischemic Bowel ◽  
History Of

Gastrointestinal bezoars, collections of incompletely digested material within the alimentary tract, can present as a diagnostic challenge and should be considered in the differential diagnosis and management of small bowel obstruction, ischemic bowel, or bowel perforation. We present a case of a 37-year-old man with a distant history of laparotomy for superior mesenteric artery thrombosis requiring partial small bowel resection of the jejunum who presented with worsening abdominal pain, nausea, vomiting, and hematemesis. An abdominal computed tomography revealed dilated loops of small bowel with a transition point at the ileum, distal to his prior bowel anastomosis. He was managed initially nonoperatively, but persistent vomiting and worsening distention necessitated urgent exploratory laparotomy. During the procedure, a 4 cm by 3 cm phytobezoar was discovered at the midjejunum. The patient had an unremarkable postoperative course with no further symptoms at 1-year follow-up. Timely diagnosis and treatment of bezoar is essential to minimize patient complications.

scholarly journals Intermittent Bowel Obstruction Due to a Retained Wireless Capsule Endoscope in a Patient with a Small Bowel Carcinoid Tumour

2007 ◽  
Vol 21 (2) ◽  
pp. 113-115 ◽  
Author(s):  
Jonathan R Strosberg ◽  
David Shibata ◽  
Larry K Kvols
Keyword(s):  
Small Bowel ◽  
Bowel Obstruction ◽  
Carcinoid Tumour ◽  
Exploratory Laparotomy ◽  
Capsule Endoscope ◽  
Metastatic Carcinoid ◽  
First Case ◽  
Partial Small Bowel Obstruction ◽  
History Of ◽  
Wireless Capsule

A 43-year-old man with a history of metastatic carcinoid disease is presented. The patient had symptoms of chronic intermittent abdominal pain two years after undergoing a wireless capsule endoscopy procedure. Radiological examinations revealed a retained capsule endoscope, and the patient underwent exploratory laparotomy with capsule retrieval. To the authors’ knowledge, this is the first case presentation of chronic, partial small bowel obstruction caused by unrecognized retention of a capsule endoscope.

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