scholarly journals Acute Small Bowel Obstruction and Small Bowel Perforation as a Clinical Debut of Intestinal Endometriosis: A Report of Four Cases and Review of the Literature

2016 ◽  
Vol 55 (18) ◽  
pp. 2595-2599 ◽  
Author(s):  
Angel Torralba-Morón ◽  
Maria Urbanowicz ◽  
Carolina Ibarrola-De Andres ◽  
Guadalupe Lopez-Alonso ◽  
Francisco Colina-Ruizdelgado ◽  
...  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Liming Wang ◽  
Taku Maejima ◽  
Susumu Fukahori ◽  
Shoji Nishihara ◽  
Daitaro Yoshikawa ◽  
...  

Abstract Background Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP. Cases Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47 days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP. Conclusions Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.


2008 ◽  
Vol 14 (21) ◽  
pp. 3430 ◽  
Author(s):  
Antonella De Ceglie ◽  
Claudio Bilardi ◽  
Sabrina Blanchi ◽  
Massimo Picasso ◽  
Marcello Di Muzio ◽  
...  

2012 ◽  
Vol 140 (3-4) ◽  
pp. 225-228 ◽  
Author(s):  
Pavle Gregoric ◽  
Krstina Doklestic ◽  
Milena Pandurovic ◽  
Dejan Radenkovic ◽  
Borivoje Karadzic ◽  
...  

Introduction. Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common, it is rarely manifested as an acute bowel obstruction secondary to ileal endometriosis. Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. Case Outline. A 41-year-old woman presented with symptoms and signs of an acute small bowel obstruction requiring emergency surgery. A small bowel resection was performed with end-to-end anastomosis. Histological examination demonstrated endometriosis with fibrosis and stricture of the ileal segment. This case is important to report as it highlights the diagnostic difficulty this particular condition presents to an emergency surgeon. Conclusion. In the differential diagnosis, endometriosis should be taken into consideration when assessing females of reproductive age who present with abdominal pain and small bowel obstruction.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Angela J. Stephens ◽  
Stephen M. Wagner ◽  
Beth L. Pineles ◽  
Eleazar E. Soto

Small bowel obstruction during pregnancy is rare and can be detrimental to both mother and fetus. In most cases, management eventually involves surgical intervention. Little is known regarding optimal mode of delivery in those with bowel obstruction during pregnancy. We present a case of vaginal delivery during acute small bowel obstruction as well as a review of recent literature regarding mode of delivery in the setting of bowel obstruction. Our case and literature review demonstrates that in pregnancies complicated by small bowel obstruction, successful vaginal delivery can be achieved in those with stable maternal-fetal status.


2012 ◽  
Vol 72 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Kevin N. Johnson ◽  
Alyssa B. Chapital ◽  
Kristi L. Harold ◽  
Marianne V. Merritt ◽  
Daniel J. Johnson

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