scholarly journals Bowel perforation presenting with acute abdominal pain and subcutaneous emphysema in a 14-year-old girl with an abandoned distal peritoneal shunt catheter: case report

2016 ◽  
Vol 18 (3) ◽  
pp. 325-328 ◽  
Author(s):  
Gerald J. Riccardello ◽  
Luke K. Barr ◽  
Luigi Bassani
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Subcutaneous Emphysema ◽  
Bowel Resection ◽  
Bowel Perforation ◽  
Complete Removal ◽  
Exploratory Laparotomy ◽  
Small Bowel Resection ◽  
Retained Catheter ◽  
History Of

The authors report the case of 14-year-old girl with a history of myelomeningocele and previously shunt-treated hydrocephalus who presented with right-sided abdominal pain and subcutaneous emphysema that developed over a 1-week period. A CT scan of the patient's abdomen revealed a retained distal ventriculoperitoneal (VP) catheter with air tracking from the catheter to the upper chest wall. Given the high suspicion of the catheter being intraluminal, an exploratory laparotomy was performed and revealed multiple jejunal perforations. The patient required a partial small-bowel resection and reanastomosis for complete removal of the retained catheter. Six other similar cases of bowel perforation occurring in patients with abandoned VP and subdural-peritoneal shunts have been reported. The authors analyzed these cases with regard to age of presentation, symptomatic presentation, management, morbidity, and mortality. While there was 0% mortality associated with bowel perforation secondary to a retained distal VP catheter, the morbidity was significantly high and included peritonitis and small bowel resection.

scholarly journals Phytobezoar: A Brief Report with Surgical and Radiological Correlation

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sameer A. Hirji ◽  
Faith C. Robertson ◽  
Grace F. Chao ◽  
Bharti Khurana ◽  
Jonathan D. Gates
Keyword(s):  
Small Bowel ◽  
Alimentary Tract ◽  
Bowel Perforation ◽  
Exploratory Laparotomy ◽  
Small Bowel Resection ◽  
Diagnostic Challenge ◽  
Persistent Vomiting ◽  
Ischemic Bowel ◽  
History Of

Gastrointestinal bezoars, collections of incompletely digested material within the alimentary tract, can present as a diagnostic challenge and should be considered in the differential diagnosis and management of small bowel obstruction, ischemic bowel, or bowel perforation. We present a case of a 37-year-old man with a distant history of laparotomy for superior mesenteric artery thrombosis requiring partial small bowel resection of the jejunum who presented with worsening abdominal pain, nausea, vomiting, and hematemesis. An abdominal computed tomography revealed dilated loops of small bowel with a transition point at the ileum, distal to his prior bowel anastomosis. He was managed initially nonoperatively, but persistent vomiting and worsening distention necessitated urgent exploratory laparotomy. During the procedure, a 4 cm by 3 cm phytobezoar was discovered at the midjejunum. The patient had an unremarkable postoperative course with no further symptoms at 1-year follow-up. Timely diagnosis and treatment of bezoar is essential to minimize patient complications.

scholarly journals Sporadic Peutz–Jeghers syndrome: a rare cause of intussusception in a toddler with no medical history

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Mhmmad Nassif ◽  
Bardisan Gawrieh ◽  
Aras Abdo ◽  
Zuheir Alshehabi ◽  
Wajih Ali
Keyword(s):  
Small Bowel ◽  
Medical History ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Lead Point ◽  
Lower Lip ◽  
Pigmented Lesions ◽  
The Face ◽  
History Of ◽  
Peutz Jeghers Syndrome

AbstractPeutz–Jeghers syndrome (PJS) is an unusual hamartomatous polyposis of the gastrointestinal tract associated with melanocytic mucocutaneous hyperpigmentation. This research paper examines the case of an 18-month-old Syrian female who had been diagnosed with intussusception. The patient underwent laparotomy, and multiple small bowel polyps were found to act as the lead point. For this reason, small bowel resection (~15 cm), with end-to-end anastomosis, were performed. Although PJS diagnosis was histopathologically confirmed, the patient had no pigmented lesions on the face, the lower lip or the buccal mucosa and neither had any history of hospitalization or family history of the disease. This case was examined and is reported in the present study because PJS is rarely present at this early age when significant medical history is lacking.

scholarly journals Biofilm-sealed perforation of the gastric body: a rare sequela of gastric band erosion

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Ciaran M Hurley ◽  
Daniel Hechtl ◽  
Kin Cheung Ng ◽  
Jack McHugh ◽  
Rishabh Sehgal ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Gastric Banding ◽  
Gastric Band ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Gastric Body ◽  
Gastric Erosion ◽  
Band Erosion ◽  
History Of

Abstract Laparoscopic Adjustable Gastric Banding is one of the cardinal bariatric interventions and due to its early safety profile, became the mainstay. Major long-term complications of gastric banding include pouch-herniation-dilation and gastric erosion. A 59-year-old female presented to the emergency department with a 2-week history of progressive central abdominal pain and distention on a background history of a laparoscopic adjustable band insertion 11 years previously. Subsequent computed tomography demonstrated an intragastric band erosion. An exploratory laparotomy demonstrated a gastric band eroded through the stomach sealed by a biofilm. Secondary findings included small bowel ischemia and portal vein thrombosis. The gastric band was extracted, and the stomach was repaired. The ischemic small bowel was resected with primary anastomosis. The patient recovered uneventfully. Gastric band erosion should be considered in all patients presenting with abdominal pain and previous weight loss surgery. Prompt recognition may avoid fatal consequences.

scholarly journals Churg-Strauss Syndrome Leading to Small Bowel Infarction: An Unusual Case of Abdominal Pain in a Young Patient

1998 ◽  
Vol 12 (3) ◽  
pp. 219-222 ◽  
Author(s):  
Sunil Sookram ◽  
Camille Hancock-Friesen ◽  
JP Ferguson ◽  
Terry Sosnowski ◽  
Laurie JM Russell
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Exploratory Laparotomy ◽  
Bowel Infarction ◽  
Churg Strauss Syndrome ◽  
Entire Small Bowel ◽  
History Of ◽  
Strauss Syndrome ◽  
Small Bowel Infarction ◽  
Churg Strauss

A 33-year-old man with a history of severe asthma presented to the emergency department with a week-long history of severe unrelenting abdominal pain, nausea and decreased appetite. He was admitted to hospital, and routine gastrointestinal investigations were performed, which did not elucidate the cause of his abdominal pain. Exploratory laparotomy demonstrated patchy infarction of the entire small bowel, characteristic of Churg-Strauss syndrome. The patient subsequently underwent 12 separate laparotomies to salvage surviving small bowel. The patient is maintained on total parenteral nutrition.

scholarly journals Characteristic Radiological findings in Preterm Infants with Missed Intestinal Perforation

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Sivasankar Jayakumar ◽  
Nitin Patwardhan
Keyword(s):  
Small Bowel ◽  
Preterm Infants ◽  
Intestinal Perforation ◽  
Bowel Resection ◽  
Bowel Perforation ◽  
Small Bowel Resection ◽  
X Rays ◽  
Radiological Findings ◽  
Fixed Position ◽  
X Ray

BACKGROUND: Pneumoperitoneum on radiological imaging is typical in intestinal perforation in necrotizing enterocolitis [NEC]. However, it is not seen in all cases and intestinal perforation is missed on occasions. We present a series of preterm infants with characteristic x-ray findings that on exploration revealed missed intestinal perforation.METHODS: Retrospective review of neonates with intra-operative diagnosis of intestinal perforation which was missed on x-ray abdomen over a period of 6 months is being presented here.RESULTS: Three neonates born at 24 (24-30) weeks of gestation were identified. PDA was noted in all 3 patients and they required ventilator and inotropic support. Feeds were commenced at 5 (2-7) days of life. All three patients were treated for NEC. Surgical opinion was sought in view of localized gas shadow in a fixed position seen on repeated x-rays in all three patients. All three patients had laparotomy and small bowel resection with ileostomy formation at a mean age of 26 (24-46) days. Intra-operatively, small bowel perforation and adjacent pseudocysts filled with air and intestinal contents were noted in all 3 patients. Post-operatively full feeds were established in all patients.CONCLUSION: In premature infants with NEC, intestinal perforation can be missed on occasions. Our patients interestingly, developed characteristic abdominal x-ray findings that in our experience should prompt for surgical intervention.

A case report of primary osteosarcoma of the ovary

2006 ◽  
Vol 16 (Suppl 1) ◽  
pp. 349-352 ◽  
Author(s):  
V. Vyas ◽  
A. M.A. Rammah ◽  
S. D. Ashebu ◽  
G. M. Sharaan ◽  
M. El-Sayed ◽  
...  
Keyword(s):  
Small Bowel ◽  
Progressive Disease ◽  
Bowel Resection ◽  
Exploratory Laparotomy ◽  
Small Bowel Resection ◽  
Ovarian Mass ◽  
Review Of The Literature ◽  
Primary Osteosarcoma ◽  
Subacute Intestinal Obstruction ◽  
Epirubicin Combination

Primary osteosarcoma is one of the rare tumors affecting ovaries. This case is being reported for its rarity, along with a review of the literature. In this study, the patient, a 43-year-old woman, presented with an abdominopelvic mass. Exploratory laparotomy was performed, which revealed an extensive left ovarian mass infiltrating the uterus, small bowel, and urinary bladder. Subtotal hysterectomy and small bowel resection followed by end-to-end anastomosis and bilateral salpingo-ophorectomy were performed. Histopathology showed primary osteosarcoma of the ovary. Eighteen days after surgery, she started presenting with progressive abdominal distention and ultimately developed subacute intestinal obstruction. She was started on carboplatin and epirubicin combination but failed to respond and died of fast progressive disease. It is concluded that primary osteosarcoma of the ovary is a rare disease with poor prognosis.

scholarly journals Intermittent small bowel obstruction caused by Meckel’s enterolith

2010 ◽  
Vol 92 (5) ◽  
pp. e16-e17 ◽  
Author(s):  
RP Jones ◽  
D McWhirter
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bowel Resection ◽  
Meckel’S Diverticulum ◽  
Small Bowel Resection ◽  
Meckel's Diverticulum ◽  
Proximal Small Bowel ◽  
History Of

A 56-year-old man presented with small bowel obstruction after a 6-week history of intermittent resolving subacute small bowel obstruction. After investigations, he underwent laparotomy. A mobile, narrow-necked Meckel’s diverticulum packed with enteroliths pressing against proximal small bowel was discovered. A small bowel resection was performed.

scholarly journals A Case of Chronic Calcium Oxalate Nephropathy due to Short Bowel Syndrome and Cholecystectomy

2018 ◽  
Vol 8 (2) ◽  
pp. 147-154
Author(s):  
Seiji Hashimoto ◽  
Rie Yamamoto ◽  
Tomochika Maoka ◽  
Yuichiro Fukasawa ◽  
Takao Koike ◽  
...  
Keyword(s):  
Small Bowel ◽  
Calcium Oxalate ◽  
Short Bowel Syndrome ◽  
Bowel Resection ◽  
Case Reports ◽  
Small Bowel Resection ◽  
Renal Ultrasound ◽  
Short Bowel ◽  
History Of ◽  
Oxalate Nephropathy

Background: Oxalate nephropathy is a rare disease. Especially chronic oxalate nephropathy still has many unknown aspects as compared to acute oxalate nephropathy with relatively well-known causality. Case Presentation: The patient was a 70-year-old woman who had a history of small bowel resection 25 years before, cholecystectomy 10 years before, and renal stones (calcium oxalate stones) 7 years before. She had been suffering from chronic diarrhea and had been treated by a local physician. The patient was found to have renal dysfunction (creatinine 3.09 mg/dL, eGFR 12.3 mL/min/1.73 m2, hemoglobin 7.8 g/dL) and was referred to our department. The patient was admitted to our hospital for further investigation. Renal ultrasound showed hepatorenal echo contrast in an opposite manner and clear contrast between the renal cortex and medullary pyramid. Renal biopsy was performed, and histological examination showed tubulointerstitial disorder due to deposition of calcium oxalate. Daily urinary excretion of calcium oxalate was significantly increased. The patient was encouraged to drink water and administered vitamin B6, citric acid, K and Na hydrate. Thereafter, her symptoms improved. Conclusion: Case reports of chronic oxalate neuropathy are rare in the literature, and its underlying mechanism has not been understood. Our patient had a history of small bowel resection and cholecystectomy. We considered that her short bowel syndrome had influenced the development of calcium oxalate nephropathy.

Relation of Small Bowel Resection to Nutrition in Man

1960 ◽  
Vol 38 (4) ◽  
pp. 605-615 ◽  
Author(s):  
M.H. Kalser ◽  
J.L.A. Roth ◽  
H. Tumen ◽  
T.A. Johnson
Keyword(s):  
Small Bowel ◽  
Bowel Resection ◽  
Small Bowel Resection
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