scholarly journals Intussusception in Adult due to Lipomatous Polyp - An Uncommon Case Report

2021 ◽  
Vol 20 (1) ◽  
pp. 204-207
Author(s):  
Md Omar Faruk ◽  
Md Jahangir Hossain Bhuiyan ◽  
Maksuda Parvin ◽  
Md Abdul Jalil ◽  
Md Emdadul Hasan ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Medical Science ◽  
Ileocecal Valve ◽  
Acute Intestinal Obstruction ◽  
Moderate Intensity ◽  
Benign Tumors ◽  
Lead Point ◽  
Lower Quadrant ◽  
Abdominal Colic ◽  
The Right

Intussusception, invagination of a segment of the gut into an adjacent one, is a relatively common cause of the intestinal obstruction in children but a very rare and uncommon clinical entity in the adults accounting to 1% and near about 65% of these are caused by malignant lead point. The Lipomatous polyp accounts for 4% of all benign tumors of the gut. In most of the cases, these are seen particularly in large intestine, usually sub mucosal and around ileocecal valve. These are mostly and very often asymptomatic. Mrs. Rahima Begum aged 65 years, previously was a healthy Bangladeshi housewife, with the history of recurrent abdominal colic of moderate intensity for the last 6 months, associated with the appearance of mass in the right lower quadrant with features of sub-acute intestinal obstruction got admitted into the Ibn Sina Medical College Hospital, Kallyanpur, Dhaka, Bangladesh. The required and most relevant investigations revealed the Ileocolic intussusception and underwent the right hemicolectomy. Postoperative recovery of the patient was uneventful excepting the hypertension only. Histopathology investigations revealed lipomatous polyp arising from the Ileocecal junction. This study reports intussuception in the adult due to lipomatous polyp, a very rare case presenting with sub acute intestinal obstruction. Bangladesh Journal of Medical Science Vol.20(1) 2021 p.204-207

A rare encounter of obstructed direct inguinal hernia

2019 ◽  
Vol 22 (2) ◽  
pp. 41-43
Author(s):  
Amit Kumar Singh ◽  
Nripesh Rajbhandari ◽  
Balaram Malla ◽  
Gakul Bhatta
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Intestinal Resection ◽  
Posterior Wall ◽  
Acute Intestinal Obstruction ◽  
University Hospital ◽  
Direct Inguinal Hernia ◽  
Direct Hernia ◽  
The Right

The direct inguinal hernia has a wider neck and thus usually doesn’t present as strangulation or incarceration in comparison to the indirect component. When direct inguinal hernias are untreated for a longer duration, they may get strangulated and incarcerated. Hence such long-standing direct hernias with features of intestinal obstruction and /or peritonism should be promptly seen and diagnosed to prevent massive and unwanted intestinal resection. We are reporting a case of 83-year-old male presented to Surgical Emergency Department of Dhulikhel Hospital, Kathmandu University hospital with complaints of swelling in the right inguinoscrotal region for 12 years and progressed to become irreducible and painful for 12 hours. Clinically he had an acute intestinal obstruction. Intra-operatively we found a direct hernia containing congested small bowel loops and toxic fluids. The toxic fluid was suctioned and after confirming viability, modified Bassini’s repair was done with reinforcement of the posterior wall. Even direct inguinal hernia of longer duration can cause acute or sub-acute intestinal obstruction with or without features of peritonism. This complication is more common in elderly patients.

scholarly journals Intestinal obstruction caused by pericecal internal herniation

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Floris B Poelmann ◽  
Ewoud H Jutte ◽  
Jean Pierre E N Pierie
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Treatment Preference ◽  
Treatment Modalities ◽  
Internal Herniation ◽  
Lower Quadrant ◽  
Surgical History ◽  
The Right ◽  
Right Lower Quadrant

Abstract Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

scholarly journals Metastasis from cervical carcinoma presenting with acute intestinal obstruction – a case report

2013 ◽  
Vol 12 (4) ◽  
pp. 439-441 ◽  
Author(s):  
S Datta ◽  
U Banerjee ◽  
S Khatua ◽  
M Nigam
Keyword(s):  
Squamous Cell Carcinoma ◽  
Intestinal Obstruction ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Medical Science ◽  
Intestinal Resection ◽  
Acute Intestinal Obstruction ◽  
Mesenteric Lymph Nodes ◽  
Ileal Stricture ◽  
Carcinoma Of Cervix

A 55 yr. old woman attended emergency with acute intestinal obstruction. The patient underwent emergency surgical procedure of intestinal resection after straight X-ray,few haematological and biochemical investigations. On gross examination ileal stricture due to mass in ileocaecal region with mesenteric lymph nodes found which on histological examination came out to be a squamous cell carcinoma with metastatic deposit in lymph node. The patient had a hysterectomy done 3&1/2 years back for Stage IIB squamous cell carcinoma of cervix for which she received chemoradiation.The intestinal obstruction very likely to be a metastatic presentation. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16666 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 439-441

scholarly journals Spontaneous Transmural Migration of a Retained Surgical Mop into the Small Intestinal Lumen Causing Sub-Acute Intestinal Obstruction: A Case Report

2011 ◽  
Vol 19 (1) ◽  
pp. 34-37
Author(s):  
Md Moniruzzaman Sarker ◽  
AKM Golam Kibria ◽  
Md Manzurul Haque ◽  
Kali Prosad Sarker ◽  
Md Khalilur Rahman
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Intestinal Lumen ◽  
College Hospital ◽  
Medical College ◽  
Transmural Migration ◽  
History Of ◽  
Small Intestinal ◽  
The Right ◽  
Surgery Department

A case of sub-acute intestinal obstruction due to spontaneous complete transmural migration of a retained surgical mop into the small intestinal lumen has been treated surgically in surgery department of Rajshahi Medical College Hospital. The patient presented with colicky abdominal pain, nausea, occasional abdominal distention and vomiting. She had history of abdominal operation twice previously. Abdominal examination revealed a mobile lump in the right side of abdomen. Diagnosis could be made only at laparotomy.   doi: 10.3329/taj.v19i1.3167 TAJ 2006; 19(1): 34-37

scholarly journals A Rare Cause of Acute Abdomen: Perforation of Double Meckel’s Diverticulum

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
İlhan Tas ◽  
Serdar Culcu ◽  
Yigit Duzkoylu ◽  
Sadik Eryilmaz ◽  
Mehmet Mehdi Deniz ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Rare Condition ◽  
Meckel's Diverticulum ◽  
Rare Entity ◽  
Lower Quadrant ◽  
X Ray ◽  
The Right ◽  
Right Lower Quadrant

Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract. In this report, we aimed to represent a case of intestinal perforation, caused by double Meckel’s diverticulum, which is a very rare entity in surgical practice. The patient was a 20-year-old Caucasian man, admitted to hospital with complaints of abdominal pain, nausea, and vomitting during the last 3 days. Physical examination indicated tenderness, rebound, and guarding in the right lower quadrant of abdomen. Abdominal X-ray revealed a few air-liquid levels in the left upper quadrant. In the operation, 2 Meckel’s diverticula were observed, one at the antimesenteric side, at 70 cm distance to the ileocecal valve, approximately in 3 cm size, and the other between the mesenteric and antimesenteric sides, approximately in 5 cm size. The first one had been perforated at the tip and wrapped with omentum. A 30 cm ileal resection, including both diverticula with end-to-end anastomosis, was performed. The diagnosis of symptomatic Meckel’s diverticulum is considerably hard, especially when it is complicated. Diverticulectomy or segmentary resections are therapeutic options. In patients with acute abdomen clinic, Meckel’s diverticulum and its complications should be kept in mind, and the intestines should be observed for an extra diverticulum for caution although it is a very rare condition.

scholarly journals Small Bowel Strangulation due to Right Para-Duodenal Hernia - A Case Report

2018 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
R Rajkumar ◽  
◽  
p Beulah ◽  
R Sundarapandiyan ◽  
S Dash ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Primary Anastomosis ◽  
Signs And Symptoms ◽  
Acute Intestinal Obstruction ◽  
Hernia Sac ◽  
Small Bowel Strangulation ◽  
The Right ◽  
Bowel Strangulation ◽  
Rare Diagnosis

Para-duodenal hernias are rare causes of intestinal obstruction and strangulation, are difficult to diagnose preoperatively. It is a rare congenital anomaly which occurs due to defect in the rotation of gut. It is usually discovered incidentally at radiological study or at laparotomy. Here we report of right para-duodenal hernia presented in emergency with signs and symptoms of acute intestinal obstruction. Pre-operative Computer Tomography cuts show hernia sac, filled with loops of small bowel crowded in the right hypochondrium suggesting the rare diagnosis of Waldeyer’s hernia. He required resection of the gangrenous segment and primary anastomosis. The mouth of the sac was obliterated with suturing to the posterior abdominal wall. The patient was discharged uneventfully on 7th post-operative day.

scholarly journals Pedunculated obstructive lipoma of the ileocecal valve: A case report

2014 ◽  
Vol 142 (11-12) ◽  
pp. 721-723
Author(s):  
Berislav Vekic ◽  
Rastko Zivic
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Ileocecal Valve ◽  
Right Hemicolectomy ◽  
Acute Intestinal Obstruction ◽  
Definitive Diagnosis ◽  
Benign Tumors ◽  
Acute Obstruction ◽  
Postoperative Course

Introduction. Colonic lipomas are relatively common but they rarely progress to complete acute obstruction. Case Outline. We report a case of a 67-year-old woman with acute intestinal obstruction caused by a large pedunculated lipoma of the ileocecal valve. Preoperatively, the patient presented acutely with clinical and radiographic signs of small intestine ileus. A right hemicolectomy with subsequent terminolateral ileocolostomy was performed. The histopathological examination revealed a benign lipoma of the ileocecal valve which telescoped into the cecum and caused ileocolonic intussusception. The postoperative course was uneventful and the patient was free of symptoms during a 12-month follow-up period. Conclusion. Since these benign tumors are frequently revealed by laparotomy and the definitive diagnosis is made on the basis of histopathological examination, we can conclude that extensive resections of the large intestine are justified in cases with acute clinical presentation.

scholarly journals “Right place at the right time” impacts outcomes for acute intestinal obstruction

Surgery ◽  
2015 ◽  
Vol 158 (4) ◽  
pp. 1116-1127 ◽  
Author(s):  
Anai N. Kothari ◽  
Jordan L. Liles ◽  
Casey J. Holmes ◽  
Matthew A.C. Zapf ◽  
Robert H. Blackwell ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
The Right

scholarly journals Intestinal Malrotation: A Rare Cause of Small Intestinal Obstruction

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Mesut Sipahi ◽  
Kasim Caglayan ◽  
Ergin Arslan ◽  
Mustafa Fatih Erkoc ◽  
Faruk Onder Aytekin
Keyword(s):  
Intestinal Obstruction ◽  
Abdominal Cavity ◽  
Acute Intestinal Obstruction ◽  
Intestinal Malrotation ◽  
Normal Position ◽  
Transverse Mesocolon ◽  
Appropriate Treatment ◽  
Small Intestinal ◽  
The Right ◽  
Intestinal Obstructions

Background. The diagnosis of intestinal malrotation is established by the age of 1 year in most cases, and the condition is seldom seen in adults. In this paper, a patient with small intestinal malrotation-type intraperitoneal hernia who underwent surgery at an older age because of intestinal obstruction is presented.Case. A 73-year-old patient who presented with acute intestinal obstruction underwent surgery as treatment. Distended jejunum and ileum loops surrounded by a peritoneal sac and located between the stomach and transverse colon were determined. The terminal ileum had entered into the transverse mesocolon from the right lower part, resulting in kinking and subsequent segmentary obstruction. The obstruction was relieved, and the small intestines were placed into their normal position in the abdominal cavity.Conclusion. Small intestinal malrotations are rare causes of intestinal obstructions in adults. The appropriate treatment in these patients is placement of the intestines in their normal positions.

Sign in / Sign up

Export Citation Format

Share Document