Diagnostic usefulness of laparoscopy versus exploratory laparotomy for dogs with suspected gastrointestinal obstruction

Body packing was first described in 1973 and refers to the intracorporeal concealment of illegal drugs, which are swallowed or placed in anatomical cavities and/or body orifices. The body packer can be asymptomatic or can have signs of systemic drug toxicity (neurological, cardiac, abdominal, renal and cutaneous) due to rupture of the packet(s) or symptoms of gastrointestinal obstruction or perforation. The diagnosis is established based on a suggestive history, findings on physical examination and laboratory findings and/or imaging. The vast majority of patients are asymptomatic and are treated conservatively. However, complex situations may require surgical intervention. We present a case of a 50-year-old man who was admitted in the emergency department with a generalized tonic-clonic seizure and vomiting with plastic film, which raised the suspicion of foreign body ingestion, confirmed by imaging and laboratory tests. He underwent exploratory laparotomy to remove the packages.

Download Full-text

Management of a linear foreign body gastrointestinal obstruction in a miniature pig

Veterinary Record Case Reports ◽

10.1136/vetreccr-2018-000791 ◽

2019 ◽

Vol 7 (3) ◽

pp. e000791

Author(s):

Anna Ehrle ◽

Amy Gillespie ◽

Luis M Rubio-Martinez

Keyword(s):

Foreign Body ◽

Hospital Care ◽

Intestinal Resection ◽

Exploratory Laparotomy ◽

Uneventful Recovery ◽

Proximal Jejunum ◽

Miniature Pig ◽

Foreign Material ◽

Gastrointestinal Obstruction ◽

Small Intestinal

A four-year-old miniature pot-bellied pig was presented for treatment of suspected foreign body ingestion. Exploratory laparotomy identified a linear foreign body obstructing the pylorus, duodenum and proximal jejunum. In order to avoid small intestinal resection, combined gastrotomy and enterotomy of the proximal jejunum was performed to evacuate the foreign body. Necrotic areas at the enteromesenteric junction were oversewn. The foreign material was found to be part of a duvet the owners had provided as bedding for the pig. The pig made an uneventful recovery and was discharged from hospital care four days after surgery.

Download Full-text

Evaluation of the figure drawing technique: Reliability, factorial structure, and diagnostic usefulness.

Journal of Consulting and Clinical Psychology ◽

10.1037/h0029645 ◽

1970 ◽

Vol 35 (1, Pt.1) ◽

pp. 52-57 ◽

Cited By ~ 23

Author(s):

Peter T. Adler

Keyword(s):

Factorial Structure ◽

Diagnostic Usefulness ◽

Drawing Technique ◽

Figure Drawing

Download Full-text

Malignant Gastrointestinal Obstruction: Options for Decompression and Nutrition

Digestive Disease Interventions ◽

10.1055/s-0040-1718390 ◽

2020 ◽

Vol 04 (03) ◽

pp. 311-322

Author(s):

Robert J. Litwin ◽

Johanna L. Chan ◽

Steven Y. Huang

Keyword(s):

Clinical Presentation ◽

Practice Patterns ◽

Patient Care Team ◽

Therapeutic Interventions ◽

Collaborative Approach ◽

Malignant Bowel Obstruction ◽

Advanced Malignancy ◽

Gastrointestinal Obstruction ◽

Malignant Gastrointestinal Obstruction

AbstractMalignant bowel obstruction (MBO) is a relatively common condition affecting patients with advanced malignancy. Therapeutic interventions should be aimed at maintaining quality of life. Given the lack of prospective controlled studies in this patient population, patient management is often based on local practice patterns and anecdotal experience. To foster a collaborative approach among the members of the patient care team involving internal medicine, oncology, palliative care, clinical nutrition, surgery, gastroenterology, and interventional radiology physicians, it is important to improve our understanding of MBO. The purpose of this article is to describe the clinical presentation, pathophysiology, as well as medical, surgical, and nonsurgical palliative options available to patients with MBO for purposes of decompression and nutrition.

Download Full-text

BLUNT ABDOMINAL TRAUMA WITH HAEMOPERITONEUM TREATED BY EXPLORATORY LAPAROTOMY VERSUS ONLY ABDOMINAL DRAINAGE: A PROSPECTIVE AND COMPARATIVE STUDY.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i1.842 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Dhawal Panchal ◽

Firdaus Dekhaiya ◽

Harin Tailor

Keyword(s):

Hospital Stay ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Exploratory Laparotomy ◽

Blunt Injury ◽

Abdominal Drainage ◽

Duration Of Hospital Stay ◽

Considerable Morbidity ◽

Injured Patients

In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords: Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.

Download Full-text