scholarly journals Intestinal Rupture Due to a Non-Perforating Foreign Body

2020 ◽  
Vol 48 ◽  
Author(s):  
Fabiana Cardoso Gomes ◽  
John Willer Carvalho Anunciação ◽  
Paula Elisa Brandão Guedes ◽  
Renata Santiago Alberto Carlos
Keyword(s):  
Alkaline Phosphatase ◽  
Foreign Body ◽  
Intestinal Obstruction ◽  
Abdominal Cavity ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Oral Solution ◽  
Vitamin Supplement ◽  
Biochemical Tests ◽  
Abdominal Drain

Background: Intestinal obstruction by a foreign body is a common occurrence in domestic animals, needing the attention of veterinarians and owners, given that a serious complication of this condition is intestinal rupture, with consequent peritonitis. Perforating objects are the ones most often associated with rupture, but any object that obstructs the intestinal tract, if not removed properly, can lead to intestinal rupture, generating a poor prognosis. This article reports a case of intestinal rupture caused by a non-perforating foreign body in a dog. Case: A 1-year-old Chow-Chow dog was taken by its owner to the Portal Pet private clinic, with a history of foreign body ingestion and emesis. The owner reported that he took the animal to veterinary care in another establishment on the day he noticed vomiting, with no other abnormality being detected. An injectable medication was administered, but the owner did not know what it was, and the dog was discharged. After 15 days, the owner sought care at the clinic initially mentioned, due to the persistence of emesis, in addition to the onset of diarrhea and apparent apathy. On physical examination, the dog was apathetic, with pale mucosa and pain on abdominal palpation. A firm structure was felt, located in the epigastric region, compatible with a foreign body. The dog was referred for hospitalization and an abdominal ultrasound was requested, in addition to blood samples for hematological and serum biochemical tests (urea, creatinine, alanine aminotransferase, and alkaline phosphatase). Serology for parvovirus was also performed. The blood count revealed leukopenia (4,800 thousand/mm3) and biochemical analysis showed an increase in alkaline phosphatase (895.5 U/l). The results for parvovirus were negative. Ultrasonography confirmed the presence of a foreign body. The animal was referred for exploratory laparotomy, in which the foreign body was found in the abdominal cavity as a result of intestinal rupture, and peritonitis was observed. The foreign body was removed, the abdominal cavity washed, intestinal raffia made, and an abdominal drain inserted. The foreign body was identified as a silicone makeup sponge. Three days later, the drain was removed. The patient had good post-surgical clinical evolution and was discharged. The prescription given was as follows: omeprazole 1 mg/kg (VO, every 24 h in the morning, for 2 weeks); dipyrone25 mg/kg (VO, TID, for 4 days); cephalexin 25 mg/kg (VO, BID, for 10 days); mineral vitamin supplement based on probiotics and prebiotics 1 tablet/10 kg (VO, every 24 h, for 10 days); vermifuge based on milbemycin oxime and praziquantel 5-25 mg (VO, in a single dose, with repetition after 15 days); enrofloxacin 50 mg 10 mg/kg (VO, every 24 h, for 7 days); immunoglobulinbased on blood plasma, vitamins and minerals 1 tablet/10 kg (VO, BID, until new recommendations); and metronidazole 40 mg/mL oral solution at a dose of 25 mg/kg (VO, BID, for 7 days). As topical treatment, an antiseptic spraybased on laurel, diethylene glycol ether, sodium sulfate, and povidine iodinewas prescribed for surgical wound cleansing, until the suture removal, and the use of a surgical collar was requested. A reassessment was scheduled after 10 days, during which the suture was removed. At this point the dog had fully recovered.Discussion: Intestinal obstruction by a foreign body is a common cause of veterinary emergencies. As observed in the reported case, rupture of the intestinal wall and peritonitis can result. Although the prognosis of the affected animals is guarded, diagnosis prior to the worsening of septicemia as well as immediate surgical intervention were essential for recovery.      

scholarly journals Amoebic liver abscess in a COVID-19 patient: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea L. Maricuto ◽  
Viledy L. Velásquez ◽  
Jacinto Pineda ◽  
David M. Flora-Noda ◽  
Isaac Rodríguez ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Abdominal Cavity ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Amoebic Liver Abscess ◽  
Stool Examination ◽  
Nasopharyngeal Swab ◽  
Suspected Case ◽  
Middle Income ◽  
Patient Reported

Abstract Background Amoebiasis is a parasitic disease caused by Entamoeba histolytica, which affects people living in low- and middle-income countries and has intestinal and extraintestinal manifestations. To date, knowledge on coronavirus disease 2019 (COVID-19) coinfection with enteric parasites is limited, and E. histolytica coinfection has not been previously described. Here we present the case of a patient with COVID-19 who, during hospitalisation, presented a clinical picture consistent with an amoebic liver abscess (ALA). Case presentation A 54-year-old man, admitted as a suspected case of COVID-19, presented to our hospital with dyspnoea, malaise, fever and hypoxaemia. A nasopharyngeal swab was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse-transcription polymerase chain reaction. After 7 days, he developed diarrhoea, choluria and dysentery. An abdominal ultrasound showed a lesion compatible with a liver abscess; stool examination revealed E. histolytica trophozoites, and additional serology for E. histolytica was positive. After 12 days of treatment with metronidazole, ceftazidime and nitazoxanide, the patient reported acute abdominal pain, and an ultrasound examination revealed free liquid in the abdominal cavity. An emergency exploratory laparotomy was performed, finding 3000 mL of a thick fluid described as “anchovy paste”. Computed tomography scan revealed a second abscess. He ended up receiving 21 days of antibiotic treatment and was discharged with satisfactory improvement. Conclusion Here we present, to the best of our knowledge, the first report of ALA and COVID-19 co-presenting. Based on their pathophysiological similarities, coinfection with SARS-CoV-2 and E. histolytica could change the patient’s clinical course; however, larger studies are needed to fully understand the interaction between these pathogens.

scholarly journals GALL STONE ILEUS

2007 ◽  
Vol 14 (04) ◽  
pp. 697-700
Author(s):  
MUHAMMAD ZUBAIR ◽  
MUHAMMAD AMIR
Keyword(s):  
Computed Tomography ◽  
Gall Bladder ◽  
Intestinal Obstruction ◽  
Bowel Wall ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Diagnostic Evaluation ◽  
Gall Stone Ileus

Gallstone ileus (GSI) is an uncommon cause of intestinal obstruction. Theformation of a fistula between the gall bladder and the bowel wall may allow a gallstone to enter the intestinal tract.Plain abdominal films, abdominal ultrasound and abdominal computed tomography aid in the diagnosis. Surgery is thetreatment of choice in cases of gallstone ileus rate. We describe the case of a 68-year-old man who presented withsymptoms and signs of intestinal obstruction. Diagnostic evaluation revealed a large gallstone impacted in the ileum.The patient was scheduled for exploratory laparotomy. At the time of surgery stone was found in the sigmoid colon.It was milked down and brought out through the rectum.

scholarly journals Giant Fibrothecoma of the Ovary in a Young Patient a Case Report

2021 ◽  
pp. 1-3
Author(s):  
Martínez Rodas O ◽  
Keyword(s):  
Clinical Presentation ◽  
Abdominal Cavity ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Free Fluid ◽  
Stromal Tumors ◽  
Menopausal Women ◽  
Space Compression ◽  
Post Menopausal

Fibrothecomas are benign ovarian stromal tumors, they are rare tumors of gonadal stromal cell origin that represent 3-4% of all ovarian tumors. It commonly occurs in post-menopausal women. The clinical presentation is often nonspecific, whereas patients more frequently present with a pelvic mass, metrorrhagia, and pelvic pain. We present a 35-year-old patient, nulli-pregnant, with no personal or family pathological history, who attended a medical consultation for presenting progressive abdominal distention of 6 months of evolution in addition to abdominal pain in the last 2 months type colic which increased during her menstrual periods concomitantly alteration in your defecatory habits. Abdominal ultrasound was performed, finding a solid intrapelvic mass of approximately 14x10x10 cm in diameter of probable left ovarian origin, free fluid in the Douglas space, compression and displacement of intestinal loops and bladder. The patient underwent surgery and an exploratory laparotomy was performed, finding a pelvic tumor adhered to the tube and left ovary, in addition to ascites fluid in the abdominal cavity, complete resection of the tumor, ovary and left salpingue was performed.

scholarly journals Ovarian and Uterine Horn Agenesis Accompanied by Ectopic Fetal Mummifcation in Canine

2016 ◽  
Vol 44 (1) ◽  
pp. 5
Author(s):  
Thalita Priscila Peres Seabra Da Cruz ◽  
Samara Rosolem Lima ◽  
David Ronald Parra Travagin ◽  
Caroline Argenta Pescador ◽  
Roberto Lopes De Souza
Keyword(s):  
Complete Blood Count ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Uterine Cavity ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Uterine Horn ◽  
Mato Grosso ◽  
Mating History ◽  
Veterinary Hospital

Background: The uterine horn agenesis or aplasia is a rare anomaly consisting of absence or incomplete development of the paramesonephric ducts that origin the uterine horns. This change occurs during fetal formation and may occur concomitantly to agenesis of the ovary and/or ipsilateral kidney. The extra-uterine pregnancy consists of fetal growth outside the uterine cavity and can occur as a tubal or abdominal pregnancy. We report here the case of a 7-years-old mix breed dog, attended at the Veterinary Hospital of the Federal University of Mato Grosso, with accidental diagnosis of agenesis of uterine horn and ovaries and ectopic fetal mummifcation.Case: A 7-years-old mix breed dog, not spayed, was attended at the Veterinary Hospital of the Federal University of Mato Grosso (HOVET-UFMT), complaining of mucous bloody vaginal discharge. The patient had regular estrus and was multiparous. There was no mating history in the last estrus neither trauma over the past months. In previous pregnancies the patientpresented eutocic labors. On physical examination the dog showed apathy although it was alert, pale mucous membranes, presence of perivulvar blackish secretion and discreet abdominal enlargement. As preoperative exams, a complete blood count, liver and renal function (serum creatinine and alanine aminotransferase) were performed. It has also performedthe abdominal ultrasound examination, which revealed the presence of uterus flled with hypoechoic luminal content and a thickened and irregular wall. The patient was referred to therapeutic ovariohysterectomy (OHE). After anesthesia and antisepsis, the access to the abdominal cavity was made, where there was a mummifed fetus with approximately 15.5 cmfrom neck to tail set, equivalent to 57 days of gestation. After removal of the papyraceus fetus, the uterus was found and then, when exposed, there was only the left uterine horn flled by content and ovarie, both were removed. After inspection, the synthesis of the abdominal cavity was carried out as the routine. During the postoperative period, the patient had no complications or other clinical signs similar to those observed in the initial presentation. Antibiotic (enrofloxacin 5 mg/kg every 12h), analgesic (dipyrone 20 mg/kg every 8 h) and non-steroidal anti-inflammatory (meloxicam 0.2 mg/kg every 24 h) were prescribed. The fetus and uterus were sent to the Veterinary Pathology UFMT Laboratory (PVL-HOVET).The fetus was covered by omentum and fat. After the initial incision, there was a hard fbrous capsule surrounding the mummifed fetus. There were no recent signs of rupture or scarring resulting from previous trauma in the uterus. Its size was 15x4.8x2.8 cm and it was flled out with mucus bloody brownish secretion (pyometra). Microscopically, had purulent inflammatory infltrate, diffuse and severe in mucosa and submucosa associated with cell debris and moderate hyperplasia glands containing microabscesses inside.Discussion: Reports of extra-uterine fetal mummifcation in dogs and cats are scarce. Even being reported infrequently in dogs if congenital uterine and ovarian abnormalities are found during surgery, a detailed inspection of the abdominal cavity should be performed in order to rule out the possible presence of the ipsilateral ovary. Even with the lack of specifc clinical signs, fetal ectopy can be diagnosed through a detailed clinical examination and image exams. Exploratory laparotomy can be used as a diagnostic and therapeutic tool, since the treatment is the excision of ectopic tissue and OHE in cases of uterine rupture.Keywords: aplasia, fetus, mummifcation, unicornuate uterus.

scholarly journals HAZARDS OF MULTIPLE MAGNET INGESTION IN CHILDREN;

2013 ◽  
Vol 20 (04) ◽  
pp. 634-637
Author(s):  
MUHAMMAD ALI SHEIKH ◽  
TARIQ LATIF ◽  
MASOOM ALI SHAH ◽  
Jamil AKHTAR ◽  
Abdul Qayuum
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Clinical Features ◽  
Exploratory Laparotomy ◽  
Paediatric Population ◽  
Foreign Body Ingestion ◽  
Magnet Ingestion ◽  
Pass Through ◽  
Subacute Intestinal Obstruction

Foreign body ingestion is relatively common in the paediatric population and most object pass through the gastrointestinaltract spontaneously. With the popularity of small magnetic toys, there have been numerous reports of magnet ingestion with morbidityand even mortality. We report a case of 3-years old boy who presented with clinical features of subacute intestinal obstruction with nohistory of foreign body ingestion. On exploratory laparotomy, he was found to have multiple small bowel perforations due to two smallmagnets. Magnets were removed and perforations repaired. The aim of this report is to awarepaediatricians of the importance of earlysurgical referral in case of magnet ingestion, to prevent severe complications.

scholarly journals RETAINED FOREIGN BODIES

2010 ◽  
Vol 17 (02) ◽  
pp. 218-222
Author(s):  
SHEHZAD AHMAD QAMAR ◽  
TAHIR IDREES ◽  
MUNAWAR JAMIL ◽  
Humaira Sobia
Keyword(s):  
Foreign Body ◽  
Intestinal Obstruction ◽  
Foreign Bodies ◽  
Surgical Complication ◽  
Tertiary Care ◽  
Case Series ◽  
Exploratory Laparotomy ◽  
Tertiary Care Centre ◽  
Adequate Treatment ◽  
Clinical Presentations

Objectives: (1) To look into clinical presentations of intra-abdominal foreign bodies; (2) To document surgical procedure performed. (3) To see measures for prevention. Design: Observational case series. Setting: Bahawal Victoria Hospital Bahawalpur. Period: From 1.06.07 to 31.5.08. Patient & Methods: Eleven patients with retained having intra-abdominal foreign body were treated. Relevant history, clinical examination and necessary investigations were done. Exploratory laparotomy was done in 10 cases to remove the foreign body and in one case foreign body passed from the rectum without laparotomy. Results: Out of 11 cases, 54.54% are males and 45.45% were females. Operated in emergency 81.81% and elective 18.18%. 90.91% were operated in periphery and 9.09% in the tertiary care centre. Clinical presentations were intestinal obstruction (27.27%), intraabdominal abscess (13.18%), Discharging sinus (18.18%), mass abdomen (18.18%),entero cutaneous fistula (9.09%), peritonitis (9.09%). Exploratory laparotomy was done in 90.91%, to remove the foreign body and in 1 case passed per rectum. Conclusions: Retained foreign bodies presented as intestinal obstruction, abscess, sinus fistula mass, or peritonitis. It is avoidable iatrogenic surgical complication, mostly found in operations done in emergency and at peripheral hospitals. Exploratory laparotomy remains the mainstay of treatment to remove the intra-abdominal foreign body. Surgeon should be vigilant to avoid mishap by check on counting, tucking sponge, blackboard counting, examining abdomen, screening in suspicious case and claim for radio-opaque sponges.Referral system needs improvements for in time adequate treatment. 

scholarly journals Intestinal obstruction by Toxocara vitulorum in a calf

2014 ◽  
Vol 83 (6) ◽  
pp. 299-305 ◽  
Author(s):  
L. Van Der Steen ◽  
B. Pardon ◽  
C. Sarre ◽  
B. Valgaeren ◽  
D. Van Hende ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Sudden Onset ◽  
Complete Obstruction ◽  
Bull Calf ◽  
Toxocara Vitulorum ◽  
Punctum Maximum ◽  
The Right

A one-month-old Belgian blue bull calf was referred to the animal hospital of the Faculty of Veterinary Medicine (UGhent) because of the sudden onset of severe colic. The animal showed intermittent recumbency, kicking to the abdomen, abdominal distension of the right quadrants, absence of feces and fluid-splashing and the presence of ping sounds on auscultation of the right side. Abdominal ultrasound showed distended, but still contractile small intestines with thickened walls. On exploratory laparotomy, a complete obstruction with adult Toxocara vitulorum extending from duodenum to mid-jejunum was diagnosed. On the punctum maximum of the obstruction, the ascarides were partially removed through an enterotomy. After vermifugation with doramectin, ascarides were found in the animal’s feces in the next days. In contrast to ascaride infections in puppies, piglets and foals, to the author’s knowledge, intestinal obstruction caused by T. vitulorum has not been described previously in calves.

scholarly journals Intraluminal Meigration of Gossypiboma without Intestinal Obstruction for Fourteen years

2008 ◽  
Vol 47 (171) ◽  
Author(s):  
Romeo Kansakar ◽  
P Thapa ◽  
S Adhikari
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Intestinal Obstruction ◽  
Fistulous Tract ◽  
Exploratory Laparotomy ◽  
Surgical Sponge ◽  
External Communication ◽  
Upper Abdominal ◽  
Intraluminal Migration

A 55 years lady presented with dull aching right upper abdominal pain with intermittent episodes of diarrhea following cholecystectomy which she underwent fourteen years back. Ultrasound and computed tomography findings were suggestive of foreign body in right subhepatic space. Exploratory laparotomy revealed circumvented loop of ileum with intra luminal mass sized 5x10 cm, resection anastomosis of the segment of ileum was performed. When opened it contained a surgical sponge with no external communication but an internal fistulous tract was present between the proximal and distal loops beyond the mass. Though intraluminal migration of retained surgical sponge has often been reported, complete intraluminal migration without features of obstruction or external opening is rarely seen.JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):136-138.

scholarly journals Choledochal Cyst Coexisting with Gallbladder Carcinoma - An Uncommon Case Report

2017 ◽  
Vol 16 (4) ◽  
pp. 602-605
Author(s):  
Jahangir Hossain Bhuiyan ◽  
Mohibul Aziz ◽  
Omar Faruk ◽  
Mahbub Hasan
Keyword(s):  
Choledochal Cyst ◽  
Gallbladder Carcinoma ◽  
Medical Science ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Low Grade ◽  
College Hospital ◽  
Medical College ◽  
Operative Recovery

Choledochal Cyst is a relatively rare condition. Even rarer is a choledochal cyst in association with a gallbladder carcinoma. This study reports a rare case of choledochal cyst coexisting with gallbladder carcinoma in a Bangladeshi patient. A 35 year old lady presented at IBN Sina Medical College Hospital, Kallyanpur, Dhaka with the history of recurrent right upper quadrant abdominal pain from childhood, which became severe for last 4 days before admission. The pain was colicky in nature and radiated to the back. Episodes were associated with low-grade fever, anorexia as well as vomiting. The preoperative diagnosis was made by abdominal ultrasound and MRCP. Exploratory laparotomy, enbloc cholecystectomy with excision of the choledochal cyst and roux-en-Y hepaticojejunostomy was also done. Post operative recovery was uneventful. Patient was followed up for six months and no obvious complication was noticed. Early suspicion of this rare pancreato-billiary disease is important because surgical treatment is the only way to avoid the complications of the disease.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.602-605

A Rare Cause of Mechanical Intestinal Obstruction: A Neoplastic Intra-Abdominal Testis

2016 ◽  
Vol 101 (3-4) ◽  
pp. 167-170
Author(s):  
Fatih Ciftci ◽  
Suat Benek ◽  
Cem Kezer
Keyword(s):  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Undescended Testis ◽  
Abdominal Mass ◽  
Relevant Literature ◽  
Large Diameter ◽  
Exploratory Laparotomy ◽  
Clinical Findings ◽  
Surgical Units ◽  
Mechanical Intestinal Obstruction

The acute abdomen has many etiologies frequently encountered in emergency surgical units. Approximately 20% of surgical admissions for acute abdominal conditions are for intestinal obstruction. Clinicians often overlook rarer causes. A 43-year-old man presented to the emergency ward with the clinical findings of ileus. Computed tomography revealed a heterogeneous necrotic 168 × 100-mm mass between the sigmoid colon and urinary bladder. Physical examination revealed a palpable intra-abdominal mass that was removed via exploratory laparotomy. On histopathologic examination, the mass was identified as a seminoma. The literature contains few reports of seminoma as a cause of acute abdomen and ileus, mostly seen between the ages of 30 and 40 years. We report a patient with seminoma arising in an undescended testis that presented as a palpable painful lower abdominal mass and mechanical intestinal obstruction, despite the large diameter of the mass, as well as review relevant literature.

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