scholarly journals Malrotation and Midgut Volvulus associated with Asymptomatic Duplication Cyst of Jejunum

2016 ◽  
Vol 7 (4) ◽  
pp. 33 ◽  
Author(s):  
Sandip Kumar Rahul ◽  
Vijai Datta Upadhyaya ◽  
Basant Kumar
Keyword(s):  
Abdominal Pain ◽  
Alimentary Tract ◽  
Duplication Cyst ◽  
Midgut Volvulus ◽  
Whirlpool Sign ◽  
Mesenteric Vessels ◽  
Relationship Of ◽  
Variable Presentation

Gastrointestinal duplications can affect any part of the alimentary tract and are notorious for their variable presentation. Their association with malrotation and midgut volvulus is rare. We describe an 8-year old boy presented with episodes of abdominal pain. Radiological workup showed whirlpool sign and abnormal relationship of mesenteric vessels. At operation, malrotation with chronic volvulus were found. Incidentally, a jejunal communicating duplication cyst was also noted.

scholarly journals Intestinal malrotation with solitary jejunal diverticulum presenting as midgut volvulus in an adult: an unusual presentation

2021 ◽  
Vol 8 (7) ◽  
pp. 2231
Author(s):  
Debarghya Chatterjee ◽  
Subrat Kumar Raul ◽  
Elisheba Patras
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Intestinal Malrotation ◽  
Midgut Volvulus ◽  
Rare Entity ◽  
Intermittent Abdominal Pain ◽  
Post Operative Period ◽  
Jejunal Diverticulum ◽  
Whirlpool Sign

Intestinal malrotation with midgut volvulus presenting in adults is a rare entity, and association with jejunal diverticulum is rarer still. Herein, we report and review such a case of malrotation and volvulus, associated with intestinal band adhesions and a solitary jejunal diverticulum. This 67 years old gentleman had presented with complaints of intermittent abdominal pain for past several years. Imaging of the abdomen revealed twisting of superior mesenteric artery and vein, evidence of midgut volvulus and intestinal malrotation with “whirlpool sign”. Laparotomy revealed a midgut volvulus, extensive adhesions involving the root of the mesentery and a jejunal diverticulum. Adhesiolysis was performed, untwisting of the bowel was done and the jejunal diverticulum was resected. Post-operative period was uneventful. This case is being reported on account of its extreme rarity.

scholarly journals Infected Completely Isolated Enteric Duplication Cyst Management with Percutaneous Drainage and Surgical Excision after Retreat of Infection: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Neofytou Kyriakos ◽  
Chysochos Andreas ◽  
Sammouti Elena ◽  
Andreou Charalampos ◽  
Georgiou Chrisanthos
Keyword(s):  
Abdominal Pain ◽  
Percutaneous Drainage ◽  
Congenital Malformations ◽  
Alimentary Tract ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Enteric Duplication Cyst ◽  
Enteric Duplication ◽  
Palpable Abdominal Mass

Duplication cysts (DCs) of alimentary tract are rare congenital malformations. They are firmly attached to the wall of the gastrointestinal tract and they are supplied by surrounding mesenteric blood vessels. More than 80% of cases occur before the age of two years and only a minority of cases present in adulthood. “Completely isolated duplication” of the alimentary tract is an extremely rare variety of gastrointestinal duplications. They have gastrointestinal epithelial and wall characteristics without an anatomic association with the alimentary tract. Their main characteristic is that they have their own blood supply. A 20-year-old male was admitted to our department with symptoms persisting for a period of one week prior to admission, which included abdominal pain, fever, and a palpable abdominal mass. CT revealed an unexplained intraperitoneal abscess. This case represents a rare clinical example of infected isolated duplication cyst managed with percutaneous drainage and surgical excision of the cyst 3 weeks later. To the best of our knowledge, this is the first reported case to use this approach.

scholarly journals Relationship of obesity and social deprivation with non-specific abdominal pain in young women presenting to a surgical assessment unit

2011 ◽  
Vol 9 (7) ◽  
pp. 570
Author(s):  
Jason Appleton ◽  
Thomas Pinkney ◽  
Steve Pandey ◽  
Anant Desai ◽  
Tariq Ismail ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Young Women ◽  
Social Deprivation ◽  
Assessment Unit ◽  
Relationship Of

Right paraduodenal hernia accompanying superior mesenteric vein thrombosis: a rare case

2021 ◽  
Vol 14 (6) ◽  
pp. e241324
Author(s):  
Nail Omarov ◽  
İbrahim Halil Özata ◽  
Emre Balık
Keyword(s):  
Abdominal Pain ◽  
Mesenteric Artery ◽  
Rare Case ◽  
Superior Mesenteric Vein ◽  
Mortality Rates ◽  
Paraduodenal Hernia ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Whirlpool Sign ◽  
Right Paraduodenal Hernia

A 59-year-old man with abdominal pain was admitted to the emergency department. Investigations had revealed a right-sided paraduodenal hernia and superior mesenteric vein (SMV) twisting around the superior mesenteric artery in rotation, the ‘whirlpool sign’. Owing to the increasing severity of abdominal pain and the presence of SMV thrombosis complicated with strangulated paraduodenal herniation associated with high mortality rates, diagnostic laparoscopy was performed. Resection of the intestines was not needed and paraduodenal hernia was repaired. The patient was uneventfully discharged.

The development of the lamb with particular reference to the alimentary tract

1964 ◽  
Vol 6 (2) ◽  
pp. 169-178 ◽  
Author(s):  
R. V. Large
Keyword(s):  
Body Weight ◽  
Alimentary Tract ◽  
Live Weight ◽  
The Body ◽  
Root Transformation ◽  
Feeding Regimes ◽  
Gut Fill ◽  
Relationship Of ◽  
The Relationship

1. Thirty Suffolk × Half bred lambs were slaughtered at the following ages: two twin lambs at birth and two singles and two twins at 1, 2, 3, 4, 6, 8 and 16 weeks of age.2. The following weights were recorded: live-weight immediately before slaughter; and carcass, head, skin, feet, alimentary tract, heart, liver, kidneys, lungs and trachea, and blood immediately afterwards.3. The alimentary tract was emptied and weighed in four separate parts; reticulo-rumen, omasum-abomasum, small intestine, large intestine.4. The volumes of the reticulo-rumen and the omasum-abomasum were measured by immersing in water and filling the organs with water to 2 cm. pressure.5. The in vitro digestive efficiency of rumen liquor from lambs of 1, 2, 3 and 4 weeks of age was assessed.6. Empty body weight was considered to be valuable in comparing animals of different ages or from different feeding regimes or at different times of the year because variations in gut ‘fill’ were eliminated.7. There were no differences between singles and twins in the relationship of the fresh weights of the parts of the body to empty body weight, except that development of the liver and the blood was rather slower for singles.8. Little evidence was found of a difference in rate of development of the alimentary tract between singles an d twins, although the log an d square root transformation suggested a possible difference in reticulo-rumen size in favour of twins, significant at the 5% level.

Effects of Pollution on Swallowing: How Little We Know

1992 ◽  
Vol 106 (6) ◽  
pp. 706-712 ◽  
Author(s):  
Jeffrey B. Palmer ◽  
Kenneth H. C. Silver
Keyword(s):  
Defense Mechanisms ◽  
Alimentary Tract ◽  
Direct Effects ◽  
Future Directions ◽  
Environmental Agents ◽  
Food Particles ◽  
Essential Function ◽  
Airway Defense ◽  
Relationship Of ◽  
The Relationship

Swallowing is an essential function of the upper alimentary tract. It is highly complex, requiring precise coordination of numerous nerves and muscles of the oral cavity, pharynx, larynx, and esophagus. Swallowing is integrated with other physiologic functions, Including mastication and respiration. Impairments of swallowing may result from many different structural or physiologic disorders. Little is currently known about the direct effects of pollution on swallowing. Structures critical to swallowing, however, are vulnerable to damage by environmental hazards such as exposure to ionizing radiation or intake of toxins by ingestion or inhalation. The relationship of swallowing to environmental lung disease is an area of particular Interest because Impaired swallowing may result in aspiration of food particles into the lung, and because pollutants may hamper airway defense mechanisms. In this article, we discuss the possible impact of selected environmental agents on swallowing and suggest future directions for research.

scholarly journals Gastric antral duplication cyst: A case report

2021 ◽  
Vol 61 (5) ◽  
pp. 287-90
Author(s):  
Kaniz Fathema ◽  
MD. Benzamin ◽  
Fahmida Begum ◽  
Fahmina Khanam ◽  
Md Mahamudul Hasan ◽  
...  
Keyword(s):  
Weight Loss ◽  
Alimentary Tract ◽  
Pancreatic Cyst ◽  
Clinical Course ◽  
Duplication Cyst ◽  
Ectopic Gastric Mucosa ◽  
Gi Tract ◽  
Gastric Duplication ◽  
Gastric Duplication Cyst ◽  
Matters Of Concern

Alimentary tract duplications may be symptomatic or may be discovered incidentally. They are named for the organ with which they are associated.1 Congenital gastrointestinal (GI) tract duplication cysts are commonly located in the ileum (53%), mediastinum (18%), colon (13%), stomach (7%), duodenum (6%), rectum (4%), or oesophagus (2%)2. A single theory is insufficient to explain all types of duplications.3 Children may present with symptoms like vomiting, abdominal pain, lumps, or weight loss.4 The presence of ectopic gastric mucosa and the potential for malignancy remain matters of concern.2 Surgical management is essential for these rare cysts.5 We encountered a Bangladeshi boy with a gastric duplication cyst (GDC) that was pre-operatively diagnosed as a pancreatic cyst. A variety of imaging modalities failed to indicate GDC before the operation. Here we present the clinical course of the case and discuss the difficulties and problems in diagnosing GDC.

Pediatric Abdominal Emergencies

2019 ◽  
Author(s):  
Jeffrey Bullard-Berent ◽  
Aaron Kornblith
Keyword(s):  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Correct Diagnosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Emergency Department Visits ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Midgut Volvulus ◽  
Meckel Diverticulum ◽  
Incarcerated Inguinal Hernia ◽  
Abdominal Emergencies

Pediatric abdominal emergencies represent a diverse group of conditions affecting children of all ages and are a common cause of emergency department visits. The challenge for emergency physicians is discerning which child presenting with the common complaints of abdominal pain, nausea, vomiting, and diarrhea has an abdominal emergency. The emergency physician must use a thorough history, developmentally appropriate examination skills, and integration of his or her knowledge base to arrive at the correct diagnosis. This review evaluates the most common pediatric abdominal emergencies organized by chronicity from birth to adolescents: midgut volvulus, infantile hypertrophic pyloric stenosis, incarcerated inguinal hernia, ileocecal intussusception, Meckel diverticulum, and appendicitis. Readers will understand common presentations as well as the evaluation and treatment options for each diagnosis.   This review contains 7 figures, 9 tables and 64 references Key words: abdominal pain, appendicitis, hernia, hypertrophic pyloric stenosis, intussusception, Meckel diverticulum, midgut volvulus

Duplication cyst with midgut volvulus in a neonate: an unusual presentation

2020 ◽  
Vol 13 (8) ◽  
pp. e235526
Author(s):  
Nitin G Pai ◽  
Santosh Prabhu ◽  
Pavithra Prabhakar ◽  
Vijay Kumar
Keyword(s):  
Surgical Intervention ◽  
Case Reports ◽  
Anorectal Malformations ◽  
Duplication Cyst ◽  
Midgut Volvulus ◽  
Rare Association ◽  
Internal Hernias ◽  
Gastrointestinal Duplication Cyst ◽  
Resection And Anastomosis ◽  
Gastrointestinal Duplication

Incomplete intestinal fixation or malrotation of gut with midgut volvulus is one of the important causes of bilious vomiting in neonates. The incidence of malrotation of gut in population is 4% and that of duplication cyst is 1:4500. Patients with malrotation are prone to develop midgut volvulus due to their narrow mesenteric base demanding urgent surgical intervention. Common associated anomalies are intrinsic duodenal obstruction, internal hernias, caecal volvulus, anorectal malformations and Hirschsprung’s disease. The present case refers to a 4-day-old neonate who presented with malrotation of gut with reverse volvulus and an associated gastrointestinal duplication cyst, which is a rare association with only few reported case reports. After imaging with ultrasound and contrast radiograph, the baby underwent prompt surgical intervention in the form of Ladd’s procedure with resection and anastomosis of jejunal duplication cyst.

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