Case Report: Pediatric Malignant Atrophic Papulosis With Small Bowel Perforation and Positivity of Anticardiolipin Antibody

Malignant atrophic papulosis (MAP) is a life-threatening vasculopathy affecting the skin, gastrointestinal tract, central nervous system, pleural membrane, and pericardium. MAP carries a poor prognosis primarily because of its systemic involvement. It is extremely rare in children. Herein, we report a pediatric case of MAP with small bowel perforation and anticardiolipin antibody positivity.

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Small-bowel perforation after preoperative high-dose-rate intraluminal brachytherapy for rectal carcinoma.

American Journal of Roentgenology ◽

10.2214/ajr.159.1.1609709 ◽

1992 ◽

Vol 159 (1) ◽

pp. 224-224

Author(s):

H Yanagi ◽

M Kusunoki ◽

N Kamikonya

Keyword(s):

Small Bowel ◽

Dose Rate ◽

Rectal Carcinoma ◽

Bowel Perforation ◽

High Dose Rate ◽

High Dose ◽

Small Bowel Perforation ◽

Intraluminal Brachytherapy

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Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review

Surgical Case Reports ◽

10.1186/s40792-021-01249-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Liming Wang ◽

Taku Maejima ◽

Susumu Fukahori ◽

Shoji Nishihara ◽

Daitaro Yoshikawa ◽

...

Keyword(s):

Small Intestine ◽

Inguinal Hernia ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Bowel Perforation ◽

Barbed Suture ◽

Small Bowel Perforation ◽

Peritoneal Closure ◽

Pubmed Database

Abstract Background Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP. Cases Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47 days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP. Conclusions Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.

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Parasitic leiomyoma causing small bowel perforation: A case report

Case Reports in Women s Health ◽

10.1016/j.crwh.2021.e00349 ◽

2021 ◽

pp. e00349

Author(s):

Anya Laibangyang ◽

Cassandra Law ◽

Gunjan Gupta ◽

Xiang Da Dong ◽

Linus Chuang

Keyword(s):

Case Report ◽

Small Bowel ◽

Bowel Perforation ◽

Small Bowel Perforation

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A very persistent chicken bone: two separate perforations from the same foreign object 2 months apart

BMJ Case Reports ◽

10.1136/bcr-2018-228050 ◽

2019 ◽

Vol 12 (5) ◽

pp. e228050

Author(s):

Andrew James Brown ◽

Thomas Whitehead-Clarke ◽

Vera Tudyka

Keyword(s):

Small Bowel ◽

Bowel Perforation ◽

Linear Structure ◽

Small Bowel Resection ◽

Emergency Laparotomy ◽

Small Bowel Perforation ◽

Chicken Bone ◽

Abdomen Ct ◽

Distal Migration ◽

The Right

A 56-year-old man presented acutely with abdominal pain and raised inflammatory markers. Initial CT images demonstrated acute inflammation in the right upper quadrant surrounding a high-density linear structure. The appearance was of a chicken bone causing a contained small bowel perforation. This was managed conservatively with intravenous antibiotics and the patient was discharged 10 days later. The same patient returned to the hospital 2 months later, once again with an acute abdomen. CT imaging on this occasion showed distal migration of the chicken bone as well as free gas and fluid indicative of a new small bowel perforation. The patient underwent an emergency laparotomy, washout and small bowel resection. No foreign body was found at laparotomy or in the histopathology specimen. The postoperative course was complicated by an anastomotic leak. A further CT on that admission demonstrated that the chicken bone had migrated to the rectum!

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