Intestinal Obstruction by Ileosigmoid Knot: Report of Two Cases at Kara Teaching Hospital (Togo)

A prospective study of 50(100%) cases, 34(68%) males and 16(32%) females is presented. All were having abdominal TB and were presented in surgical emergency of a teaching hospital. Age ranging from 21 to 65 years. With mean of 34.5 years. 17(34%) known cases of TB and 33(66%) were histological proved. In 45(90%) abdominal pain was the symptoms and 5(10%) presented with pain RIF. In 40(80%) iliocecal regions was involved. In 30 cases (60%) intestinal obstruction and in 14(28%) perforation was seen. In 35(70%) patients iliostomy was performed that were revered three month later without any mortality. It is concluded that iliostomy in the management of abdominal TB is safer option.

Download Full-text

Intestinal obstruction in older children in Komfo Anokye Teaching Hospital

Annals of Pediatric Surgery ◽

10.1097/01.xps.0000455090.05043.54 ◽

2015 ◽

Vol 11 (1) ◽

pp. 7-12

Author(s):

Adam Gyedu ◽

Abiboye Yifieyeh ◽

Boateng Nimako ◽

Michael Amoah ◽

Francis A. Abantanga

Keyword(s):

Intestinal Obstruction ◽

Teaching Hospital ◽

Older Children

Download Full-text

SMALL BOWEL DIVERTICULAR DISEASE;

The Professional Medical Journal ◽

10.29309/tpmj/2013.20.05.1444 ◽

2013 ◽

Vol 20 (05) ◽

pp. 776-782

Author(s):

ANSAR LATIF ◽

ANILA ANSAR ◽

MUHAMMAD QASIM BUTT

Keyword(s):

Abdominal Pain ◽

Small Bowel ◽

Intestinal Obstruction ◽

Teaching Hospital ◽

Abdominal Mass ◽

Exploratory Laparotomy ◽

Study Patient ◽

Military Hospital ◽

Study Results ◽

Bleeding Per Rectum

Objectives: 1). To see the prevalence of small bowel diverticulosis in patients presenting with acute abdomen. 2). To knowpresentation and complications of diverticulosis in teaching hospital in Sialkot region of Pakistan. Introduction: Small bowel diverticulardisease may be complicated by small bowel obstruction. Multiple diverticulosis represents an uncommon pathology of the small bowel.Related complications such as diverticulitis, perforation, bleeding or intestinal obstruction, and acute pancreatitis appear in 10-30% ofthe patients, increasing the morbidity and mortality rates. This pathology which is uncommon is much higher in our study in patientsundergoing exploratory laparotomy in district level hospitals in Sialkot region of Pakistan. Study Design: Prospective and observational.Setting and duration: Combined Military Hospital, Sialkot (June 2005 to August 2010). Islam teaching hospital, Sialkot (September 2010to September 2012). Methods: 260 consecutive patients undergoing exploratory laparotomy for obstruction, peritonitis, pain and massabdomen were included in the study. Patient with established cause of obstruction were excluded. The data including demographicinformation, presentation, operative findings, complications and follow up were entered in structured proforma. Patients with less thanthree months of followup were also excluded from study. Results: Small bowel diverticuli were encountered in 24 (9%) out of 260 patientsincluding; 8 (3%) Meckel's, 9 (3.5%) jejunal, 3 (1.2%) duodenal and 4 (1.5%) Ileal diverticuli. These patients with diverticuli presented asintestinal obstruction, peritonitis, mass abdomen, vague abdominal pain and one patient with fresh bleeding per rectum. The indicationsof surgery were peritonitis 6 (25%), intestinal obstruction 13 (54.2%), abdominal mass 3(12.5%), nonspecific abdominal pain 1 (4.2%)and fresh bleeding per rectum of obscure origin 1 (4.2%). Complications encountered as Intestinal obstruction due to adhesion formationin 8; obstruction due to congenital bands attached to diverticuli in 3; diverticular perforation in 2; peritonitis due to diverticulitis in2,bleeding from arteriovenous malformation within the jejuna diverticuli in 1 and mass formation due to volvulus in 1. Three duodenaldiverticuli and 4 jejunal diverticuli were found as silent pathologies synchronous with other active pathologies.

Download Full-text

Appendicular bilharzioma: An unusual cause of acute intestinal obstruction in childhood (a case report at Charles de Gaulle Paediatric Teaching Hospital of Ouagadougou)

African Journal of Paediatric Surgery ◽

10.4103/0189-6725.194668 ◽

2016 ◽

Vol 13 (4) ◽

pp. 206

Author(s):

Albert Wandaogo ◽

Isso Ouédraogo ◽

ToussaintWendlamita Tapsoba ◽

Emile Bandré ◽

FrancisSomkieta Ouédraogo ◽

...

Keyword(s):

Case Report ◽

Intestinal Obstruction ◽

Teaching Hospital ◽

Acute Intestinal Obstruction ◽

Charles De Gaulle ◽

De Gaulle

Download Full-text

Pattern of Mechanical Intestinal Obstruction in Al-Yarmouk Teaching Hospital

Indian Journal of Public Health Research & Development ◽

10.37506/v11/i2/2020/ijphrd/195189 ◽

2020 ◽

Vol 11 (2) ◽

pp. 2358

Author(s):

Ammar Fouad Abdulrazaq ◽

Mohammad Faraj Dawod Al. Jafary ◽

Hanan Hazim Mohammed Noori

Keyword(s):

Intestinal Obstruction ◽

Teaching Hospital ◽

Mechanical Intestinal Obstruction

Download Full-text

A rare cause of intestinal obstruction: ileosigmoid knot

Pan African Medical Journal ◽

10.11604/pamj.2014.19.21.3902 ◽

2014 ◽

Vol 19 ◽

Author(s):

Issam Yazough ◽

Houssam Benhammane ◽

Oussaid Morad ◽

Pierlesky Elion Ossibi ◽

Imane Toughrai ◽

...

Keyword(s):

Intestinal Obstruction ◽

Ileosigmoid Knot

Download Full-text

Intestinal stomas: A clinical study in a Teaching Hospital, our experience

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v9i1.33543 ◽

2020 ◽

Vol 9 (1) ◽

pp. 37-42

Author(s):

Om Bahadur Karki

Keyword(s):

Intestinal Obstruction ◽

Wound Infection ◽

Teaching Hospital ◽

Loop Ileostomy ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Local Skin ◽

Stoma Formation ◽

Enteric Perforation

Background: An intestinal stoma is an opening of the intestine on anterior abdominal wall made with an intention of either decompression of an obstructed colon or diversion of stool. Intestinal stomas may be temporary or permanent, depending on their role. Objectives: The objective of this study was to determine the common indications and types of intestinal stomas, and outcomes of patients operated at Manipal Teaching Hospital, Pokhara, Nepal. Methodology: A retrospective cross-sectional study was conducted in 105 patients of intestinal stomas from February 2017 to March 2020 in a teaching hospital after approval from institutional review committee. Data were derived from medical records of patients and operation logbooks with the consecutive sampling method. Data were analyzed with the help of the Statistical Package for Social Sciences (SPSS) version20 and p value < 0.05 was considered significant. Results: Total of 105 patients with intestinal stomas was included for the study of which 82.9% (n=63) were emergency operations and 17.1% (n=13) were elective. There were 46 (43.80%) cases of ileostomy, 9(8.5%) jejunostomy and 50(47.6%) colostomy patients. Major indications of stoma formation were trauma 33.3% (n=35) and intestinal obstruction 22.8% (n=24). Complications were observed in 39 (37.14%) of the patients, with wound infection 11.8% (n=9) and peristomal dermatitis 11.8% (n=9) for ostomates being the commonest. Higher complications were seen with ileostomy as compared to colostomy (p=0.02) and loop ileostomy still higher than end ileostomy (p=0.00). Conclusion: Common indications for intestinal stomas were abdominal trauma, enteric perforation, intestinal obstruction and colorectal carcinoma. Main complications included local skin problems, wound infection and retraction.

Download Full-text

PREVALENCE, DISTRIBUTION AND DETERMINANTS OF INTESTINAL TUBERCULOSIS IN ADULT INDOOR PATIENTS WITH ACUTE SMALL INTESTINAL OBSTRUCTION IN POPULATION OF PESHAWAR DIVISION, PAKISTAN

Gomal Journal of Medical Sciences ◽

10.46903/gjms/18.03.832 ◽

2020 ◽

Vol 18 (3) ◽

pp. 107-115

Author(s):

Aftab Hussain ◽

Sheikh Muhammad Ibqar Azeem ◽

Imran Ullah ◽

Shahidullah Ahmad ◽

Muhammad Faisal Khan ◽

...

Keyword(s):

Intestinal Obstruction ◽

Teaching Hospital ◽

Goodness Of Fit ◽

Intestinal Tuberculosis ◽

Age Groups ◽

Morbidity And Mortality ◽

Age Group ◽

Chi Square ◽

Small Intestinal Obstruction ◽

Small Intestinal

Background: Acute small intestinal obstruction (ASIO) is one of the commonest causes of emergency hospital admissions, morbidity and mortality. Intestinal tuberculosis (ITB) is common cause of ASIO in developing countries leading to significant morbidity and mortality. Our objectives were to determine prevalence, distribution and determinants of ITB in adult indoor patients with ASIO in population of Peshawar Division, Pakistan.Materials Methods: This cross-sectional study was conducted at Department of Surgery Peshawar Medical College, Peshawar, Pakistan from January 2019 to June 2020. The data was collected from its three affiliated hospitals; Mercy Teaching Hospital, Kuwait Teaching Hospital Prime Teaching Hospital, Peshawar. 207 ASIO subjects were selected from population at risk consecutively. Sex, age groups and presence of ITB were variables. Prevalence and distribution were described by count, percentage and confidence intervals for proportion for population. Hypotheses for distribution were tested by chi-square goodness of fit and of association by chi-square test of association.Results: Out of 207 patients with ASIO, 128 (61.84%) were men and 79 (38.16%) women, 87 (42.03%) were in age group 18-40 and 120 (57.97%) in 41-60 years. Out of 207 patients with ASIO, 41 (19.81%) had ITB, while 166 (80.19%) had no ITB. Out of 41 ITB patients, 25 (12.08%) were men and 16 (7.73%) women, 17 (8.21%) in age group 18-40 and 24 (11.60%) in 41-60 years. The prevalence of ITB was similar to expected (p=.5695). The distribution across sex (p=.00001) was different and across age groups (p=.12501) was similar to expected. Presence of ITB was not associated to sex (p=.8992) and age groups (p=.9347).Conclusion: Prevalence of intestinal TB in adult indoor acute small intestinal obstruction (ASIO) population of Peshawar Division, Pakistan was 19.81%. Prevalence was higher in men than women and higher in 41-60 years than 18-40 years age group population. Overall prevalence of intestinal TB was similar to expected. Observed distribution across sex was different and across age groups was similar to expected. Presence of intestinal TB was not associated to sex and age groups respectively.

Download Full-text