scholarly journals Intussusception in Premature Baby: Unusual Cause of Bowel Obstruction and Perforation

2016 ◽  
Vol 6 (1) ◽  
pp. 13 ◽  
Author(s):  
Kanokkarn Tepmalai ◽  
Thanyaluk Naowapan ◽  
Jesda Singhavejsakul ◽  
Mongkol Laohapensang ◽  
Jiraporn Khorana
Keyword(s):  
Preterm Infant ◽  
Abdominal Wall ◽  
Bowel Obstruction ◽  
Intestinal Perforation ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Premature Baby

Intussusception in a premature baby is a rare condition. We report a male preterm infant, who developed abdominal distension and abdominal wall erythema. He was operated with suspicion of NEC but an ileo-ileal intussusception and intestinal perforation were encountered at operation.

scholarly journals A case of colonic gallstone ileus with a spontaneous evacuation

1970 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
A Bajracharya ◽  
OP Pathania ◽  
S Adhikary ◽  
CS Agrawal
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Abdominal Distension ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
History Of ◽  
Spontaneous Evacuation

Colonic gallstone is an uncommon entity with a high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations, especially in the elderly population, often with multiple co-morbidities. We present a case of colonic gallstone ileus with spontaneous evacuation in a 67 years female who had a threeday history of intermittent bouts of colicky abdominal pain, vomiting , constipation and progressive abdominal distension, features of large bowel obstruction treated non operatively for 72 hours and passage of the stone spontaneously. Keywords: gallstone ileus; large bowel obstruction; colonic gallstone DOI: 10.3126/hren.v9i1.4363Health Renaissance, 2011: Vol.9 No.1:47-49

scholarly journals A Preterm Infant with Abdominal Distension and Bloody Stools

2019 ◽  
Vol 205 ◽  
pp. 289-289.e1
Author(s):  
Nahed O. ElHassan ◽  
Glenn R. Gourley ◽  
Amir Pezeshkmehr ◽  
S. Bruce Greenberg ◽  
Paul S. Lewis ◽  
...  
Keyword(s):  
Preterm Infant ◽  
Abdominal Distension ◽  
Bloody Stools

scholarly journals Encapsulating Peritoneal Sclerosis in a kidney transplant recipient - Case Report

2020 ◽  
Vol 42 (3) ◽  
pp. 370-374
Author(s):  
Bruno Henrique Dantas Ribeiro ◽  
Vanessa Suemi Takenaka ◽  
Felipe Sbrolini Borges ◽  
Thales Franco de Andrade ◽  
Sibele Braga Lessa ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Kidney Transplant ◽  
Bowel Obstruction ◽  
Kidney Transplant Recipient ◽  
Fibrous Tissue ◽  
Sodium Thiosulfate ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Protein Levels ◽  
Tract Function

Abstract Encapsulating Peritoneal Sclerosis (EPS) is a severe and rare condition frequently associated with peritoneal dialysis, characterized by bowel obstruction, with lethal consequences in 20% of the patients. The disease presents as a mass of fibrous tissue encapsulating visceral organs that may potentially compromise digestive tract function. This report describes the case of a patient under peritoneal dialysis (PD) due to chronic kidney disease secondary to focal segmental glomerulosclerosis diagnosed with EPS. The patient had undergone two living-donor kidney transplant procedures. Surgical techniques and clinical measures employed to unravel bowel obstruction are described, which have been shown to ameliorate EPS secondary complications. Parenteral nutrition has significantly contributed to afford adequate nutrition, improving tissue healing as well as serum protein levels, vitamins and electrolytes. Therapy with tamoxifen and sodium thiosulfate effectively delayed the development of EPS.

Intrauterine Intussusception Presenting as Fetal Ascites and Meconium Peritonitis

2021 ◽  
Vol 5 (0-2) ◽  
pp. 18
Author(s):  
Khalilah Alhuda Binti Kamilen ◽  
Mohd Yusran Othman
Keyword(s):  
Primary Anastomosis ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Intestinal Atresia ◽  
Premature Baby ◽  
Abdominal Radiograph ◽  
Meconium Peritonitis ◽  
Ileal Perforation ◽  
Intraabdominal Sepsis ◽  
Intrauterine Intussusception

Intussusception is a well-known cause of intestinal obstruction in children. Its occurrence in fetus as an intrauterine incidence is extremely rare and poses a diagnostic difficulty. Intrauterine intussusception may result in intestinal atresia once the gangrenous segment resorbed. However, a very late occurrence of intussusception just prior to delivery may present as meconium peritonitis. We are reporting a case of premature baby who was born at 35 weeks gestation via emergency caesarean for breech in labour. Routine scan 4 days prior to the delivery showed evidence of fetal ascites. She was born with good Apgar Score and weighed 2.5kg. Subsequently she developed respiratory distress syndrome requiring mechanical ventilation. She passed minimal meconium once after birth then developed progressive abdominal distension and vomiting. Abdominal radiograph on day 4 of life revealed gross pneumoperitoneum and bedside percutaneous drain was inserted to ease the ventilation. Upon exploratory laparotomy, a single ileal perforation was seen 20cm from ileocecal junction with an intussusceptum was seen in the distal bowel. Gross meconium contamination and bowel edema did not favour the option of primary anastomosis, thus stoma was created. Reversal of stoma was performed a month later and she recovered well. Fetus with a complicated intrauterine intussusception may present with fetal ascites and their postnatal clinical and radiological findings need to be carefully assessed for evidence of meconium peritonitis; in which a timely surgical intervention is required to prevent the sequelae of prolonged intraabdominal sepsis in this premature baby.International Journal of Human and Health Sciences Supplementary Issue-2: 2021 Page: S18

scholarly journals Post-trauma transmesocolic hernia: a case report

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Doaa Hussin Salam ◽  
Mohannad Al-Tarakji ◽  
Abubaker Ibrahim Alaieb ◽  
Rajvir Singh ◽  
Ayman El-Menyar ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Motor Vehicle ◽  
Epigastric Pain ◽  
Abdominal Distension ◽  
Emergency Laparotomy ◽  
Trauma Patients ◽  
Male Victim ◽  
Internal Hernias ◽  
Vehicle Collision ◽  
Clinical Consequences

Abstract The prevalence of transmesocolic hernias, a subtype of internal hernias (IHs), is generally low. Its clinical consequences, including strangulation, ischemia and even death, however, necessitate awareness. IHs are classified as congenital or acquired as resulting from surgery, trauma or intraperitoneal inflammation. This is a case of a 37-year-old male victim of a motor vehicle collision 1 month prior to the index admission. The trauma-related injuries were managed conservatively and then discharged home. The patient was re-admitted with a 2-day history of epigastric pain, vomiting and abdominal distension. A diagnosis of small bowel obstruction due to a transmesocolic hernia was made on CT and emergency laparotomy performed. The post-operative course was unremarkable. It is vital to consider transmesocolic hernias in trauma patients presenting with a picture of bowel obstruction even in the absence of prior surgery.

Segmental absence of intestinal musculature in an extremely low birthweight preterm infant

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Joana Matias ◽  
Maria Cabral ◽  
Luísa Carmona ◽  
Margarida Cabral ◽  
João Franco
Keyword(s):  
Intestinal Perforation ◽  
Low Birthweight ◽  
Histopathological Examination ◽  
Muscularis Propria ◽  
Rare Condition ◽  
Emergency Laparotomy ◽  
Distended Bowel ◽  
Very Low Birthweight Infants ◽  
Intestinal Musculature ◽  
Extremely Low Birthweight

Abstract Background The segmental absence of intestinal musculature is a rare clinical entity, usually manifested in the neonatal period. It is more frequent in preterm infants, particularly in very low birthweight infants. Typically, there are intestinal perforation or intestinal obstruction symptoms. Case presentation The authors report a case of a 30-week-gestational age extremely low birthweight newborn who presented, on the fourth day of life, with a progressively acute abdomen and radiological findings suggestive of intestinal perforation. An emergency laparotomy with segmental ileal resection was performed; intestinal perforation was not confirmed. The histopathological examination of the resected distended bowel revealed an area of severe hypoplastic muscularis propria (with remaining layers intact). Conclusion Preoperative diagnosis of segmental absence of intestinal musculature is extremely difficult; its definitive diagnosis relies solely on the histopathological examination. The clinicians and pathologists should be aware of this rare condition, the treatment and prognosis of which differs from the more common necrotising enterocolitis.

Nivolumab for malignant peritoneal mesothelioma

2020 ◽  
Vol 13 (11) ◽  
pp. e237721
Author(s):  
Takaaki Tanaka ◽  
Yosuke Miyamoto ◽  
Atsue Sakai ◽  
Nobukazu Fujimoto
Keyword(s):  
Bowel Obstruction ◽  
Biopsy Specimen ◽  
Poor Prognosis ◽  
Malignant Neoplasm ◽  
Abdominal Distension ◽  
Peritoneal Mesothelioma ◽  
Malignant Peritoneal Mesothelioma ◽  
Massive Ascites ◽  
Shipbuilding Industry ◽  
The Third

Malignant peritoneal mesothelioma (MPeM) is a highly malignant neoplasm of the peritoneum, which carries a poor prognosis. A 70-year-old man, who was employed in the shipbuilding industry and exposed to asbestos for 50 years, was found to have a low-density lesion in the peritoneum around the liver and spleen, associated with multiple mediastinal and parasternal lymphadenopathy. Laparoscopic exploration was performed, and biopsy specimen analysis led to a diagnosis of MPeM. Initial systemic chemotherapy comprising cisplatin and pemetrexed yielded a modest cytoreductive effect. However, 4 months later, the patient presented with abdominal distension and anorexia. CT images revealed massive ascites, bowel obstruction and an enlarged intra-abdominal tumour, which was considered progression of the MPeM. The patient was treated with nivolumab. Bowel obstruction was improved after the first administration, and his sense of abdomen distension completely disappeared after the third administration. This case supports the utility of immunotherapy in MPeM.

Case 2: Unusual Cause of Abdominal Distention and Abdominal Wall Erythema in a Preterm Infant

NeoReviews ◽  
2020 ◽  
Vol 21 (9) ◽  
pp. e619-e621
Author(s):  
Jubara Alallah ◽  
Nawal Alkubaidi
Keyword(s):  
Preterm Infant ◽  
Abdominal Wall ◽  
Abdominal Distention

Abdominal Distension with Rapidly Progressing Erythema and Edema of the Left Flank in a Preterm Infant

NeoReviews ◽  
2017 ◽  
Vol 18 (8) ◽  
pp. e507-e512
Author(s):  
Bengt-Ola S. Bengtsson ◽  
John P. van Houten
Keyword(s):  
Preterm Infant ◽  
Abdominal Distension ◽  
Left Flank

scholarly journals Gallstone Ileus: An Unlikely Cause of Mechanical Small Bowel Obstruction

2017 ◽  
Vol 11 (2) ◽  
pp. 389-395 ◽  
Author(s):  
Estela Abich ◽  
Daniel Glotzer ◽  
Edward Murphy
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Gallstone Ileus ◽  
Abdominal Distension ◽  
Acute Onset ◽  
Female Population ◽  
Coffee Ground ◽  
Intestinal Obstructions ◽  
Emergent Laparotomy

Gallstone ileus is a rare disease that accounts for 1–4% of intestinal obstructions. Almost exclusively a condition in the older female population, it is a difficult diagnosis to make. We report the case of gallstone ileus in a 94-year-old Caucasian female, who presented to the emergency department with acute-onset nausea, coffee-ground emesis, lack of bowel movement, and abdominal distension. On CT scan, the diagnosis of gallstone ileus was made by the presence of a cholecystoduodenal fistula, pneumobilia, and small bowel obstruction. Emergent laparotomy with a one-stage procedure of enterolithotomy and stone removal by milking the bowel distal to the stone were performed. The postoperative course was uneventful until postoperative day 4 when the patient was found tachycardic, lethargic, and unresponsive. We reviewed the literature on the diagnosis and treatment of gallstone ileus.

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