scholarly journals Case Report: Complicated Meckel Diverticulum Spectrum in Children

2021 ◽  
Vol 8 ◽  
Author(s):  
Gunadi ◽  
Wahyu Damayanti ◽  
Robin Perdana Saputra ◽  
Ramadhita ◽  
Ibnu Sina Ibrohim ◽  
...  
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Small Bowel Obstruction ◽  
Iron Deficiency Anemia ◽  
Bowel Obstruction ◽  
Bowel Resection ◽  
Primary Anastomosis ◽  
Small Bowel Resection ◽  
Deficiency Anemia ◽  
Meckel Diverticulum

Background: Meckel diverticulum (MD) is the most common congenital anomaly of the intestines, with an incidence of 2% of the general population. It can present as various clinical features with complications and be life threatening if diagnosis is delayed and treatment late.Case Presentation: We report three pediatric cases with complicated MD: one female presented with small-bowel obstruction, one male with peritonitis, and one female with severe iron-deficiency anemia, without gross gastrointestinal bleeding nor any ectopic gastric mucosa. All patients underwent exploratory laparotomy, segmental small-bowel resection, and primary anastomosis. They successfully recovered and were uneventfully discharged on the fourth, seventh, and 10th postoperative days, respectively.Conclusions: MD can present with various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection and primary anastomosis are effective surgical approaches and show good outcomes for MD patients.

Primary Nonspecific Ileal Ulceration as a Cause of Massive Rectal Bleeding

PEDIATRICS ◽  
1981 ◽  
Vol 68 (2) ◽  
pp. 247-250
Author(s):  
Francis P. Sunaryo ◽  
John T. Boyle ◽  
Moritz M. Ziegler ◽  
Sydney Heyman
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Small Bowel Obstruction ◽  
Iron Deficiency Anemia ◽  
Bowel Obstruction ◽  
Rectal Bleeding ◽  
Deficiency Anemia ◽  
Gastric Tissue ◽  
Partial Small Bowel Obstruction ◽  
Massive Rectal Bleeding

A case of primary ulceration of the ileum in the absence of a Meckel's diverticulum or ectopic gastric tissue is described. Although this condition is infrequently observed, it should be considered as a potential cause of massive rectal bleeding, iron deficiency anemia of unknown cause, perforation, or partial small bowel obstruction. The diagnosis is normally made at surgery. Segmental resection with end-to-end anastomosis is the treatment of choice. Recurrence following surgery is rare.

scholarly journals A rare case of idiopathic multiple small bowel strictures in Indian subcontinent: a case report

2021 ◽  
Vol 8 (12) ◽  
pp. 3710
Author(s):  
Garima Dwivedi ◽  
Sanjeev Kumar Singla ◽  
Rohit Virmani
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Small Bowel Obstruction ◽  
Iron Deficiency Anemia ◽  
Bowel Obstruction ◽  
Indian Subcontinent ◽  
Deficiency Anemia ◽  
Small Bowel Stricture ◽  
Resection And Anastomosis ◽  
Bowel Stricture

Small bowel ulcers and strictures are uncommon but when they occur they can be an important cause of morbidity. We reported a case of a multiple strictures in small bowel that was treated surgically pain for 15 years. She also had hypoalbuminemia and iron deficiency anemia. A diagnosis of small bowel stricture was made on CT and surgery was advised. Resection of the 100 cm long segment of small bowel was done. Approximately 10 smooth strictures were identified in the resected segment. Histology did not identify any specific cause. A 43 year old Indian female was diagnosed with subacute small bowel obstruction. She had a history of chronic abdominal pain for 15 years. She also had hypoalbuminemia and iron deficiency anemia. A diagnosis of small bowel stricture was made on CT and surgery was advised. Resection of the 100 cm long segment of small bowel was done. Approximately 10 smooth strictures were identified in the resected segment. Histology did not identify any specific cause. Subacute small bowel obstruction can be associated with various factors. Multiple idiopathic small bowel strictures can be considered as one of the causes. In present case no cause of ulcers and strictures could be found. Idiopathic multiple bowel strictures with fecalith is rare. Histopathology and other investigations revealed no specific cause. We recorded no postoperative complications 2 months after surgery by resection and anastomosis. 

scholarly journals Sclerosing Mesenteritis: A Rare Cause of Small Bowel Obstruction

2016 ◽  
Vol 10 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Glenn Harvin ◽  
Adam Graham
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bowel Resection ◽  
Rare Complication ◽  
Small Bowel Resection ◽  
Sclerosing Mesenteritis ◽  
Exact Etiology ◽  
Resected Tissue ◽  
Uncommon Condition

Sclerosing mesenteritis falls within a spectrum of primary idiopathic inflammatory and fibrotic processes that affect the mesentery. The exact etiology has not been determined, although the following associations have been noted: abdominal surgery, trauma, autoimmunity, paraneoplastic syndrome, ischemia and infection. Progression of sclerosing mesentritis can lead to bowel obstruction, a rare complication of this uncommon condition. We report a case of a 66-year-old female with abdominal pain who was noted to have a small bowel obstruction requiring laparotomy and a partial small bowel resection. The pathology of the resected tissue was consistent with sclerosing mesenteritis, a rare cause of a small bowel obstruction. Sclerosing mesenteritis has variable rates of progression, and there is no consensus regarding the optimal treatment. Physicians should consider sclerosing mesenteritis in the differential diagnosis of a small bowel obstruction.

scholarly journals Diagnosis and treatment of acute bowel obstruction

2013 ◽  
Vol 94 (3) ◽  
pp. 377-381
Author(s):  
A M Khadjibaev ◽  
N A Khadjimukhamedova ◽  
F A Khadjibaev
Keyword(s):  
Small Bowel ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Bowel Resection ◽  
Primary Anastomosis ◽  
Local Treatment ◽  
Small Bowel Resection ◽  
Large Bowel Obstruction ◽  
Segmental Resection ◽  
Diagnosis And Treatment

Aim. To improve treatment outcomes in patients with acute bowel obstruction. Methods. 1479 patients with bowel obstruction (75.7% - small bowel obstruction, 24.3% - large bowel obstruction) were examined. Patients were treated according to the local treatment protocol, 1003 (68%) patients underwent surgery. Results. The following procedures were performed at the stage of bowel obstruction diagnosis and treatment: conventional adhesiolysis was performed in 425 cases, laparoscopic adhesiolysis - in 425 cases, small bowel resection with further anastomosis - in 151 cases, small bowel resection with ileostomy - in 15 cases, phytobezoar fragmenting - in 56 cases, enterotomy and phytobezoar removal - in 2 cases. In patients with large bowel obstruction the following procedures were performed: large bowel segmental resection with further anastomosis - in 38 cases, large bowel segmental resection with colostomy - in 38 cases, large bowel partial resection with colostomy - in 54 cases, right hemicolectomy with primary anastomosis - in 43 cases, left hemicolectomy with primary anastomosis - in 58 cases, manual intussusception reduction - in 65 cases, side anastomosis - in 31 cases. In 69 cases of bowel obstruction primary anastomosis was performed using the metal ring frame. Conclusion. To reduce the rate of complications, the need for the surgery should be diagnosed as soon as possible, coagulopathies should be compensated, and surgery tactics should be defined, including the primary anastomosis formation.

scholarly journals 976 Traumatic Damage to The Liver Capsule: An Unusual Cause of Small Bowel Obstruction

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Aloni ◽  
H Harris ◽  
G Colucci ◽  
M McFall
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Blunt Trauma ◽  
Bowel Obstruction ◽  
Primary Anastomosis ◽  
Operative Management ◽  
Small Bowel Resection ◽  
Medical Attention ◽  
Emergency Laparotomy ◽  
Liver Capsule

Abstract A 57-year-old man presented to the emergency department with severe abdominal pain. Three months prior to presentation, he had sustained blunt trauma to his right side whilst cycling but had not sought medical attention. On admission, a CT scan showed small bowel obstruction and he underwent an emergency laparotomy. Intraoperatively, a subcapsular liver haematoma was identified, with incarcerated, necrotic small bowel within the liver capsule. The patient underwent deroofing of the haematoma with an omental patch and a small bowel resection with primary anastomosis. Small bowel obstruction is a common presentation in A&E and is responsible for half of emergency laparotomies in the UK each year. Although hepatic haematomas are also a relatively common complication of blunt trauma to the abdomen, associated bowel herniation into the liver capsule is very unusual. We believe this is the first time such a case of small bowel obstruction has been reported in the literature and we discuss details of operative management and highlight key learning points.

Traumatic damage to the liver capsule: an unusual cause of small bowel obstruction

2021 ◽  
Vol 14 (4) ◽  
pp. e241632
Author(s):  
Kymberlie Aloni ◽  
Holly Harris ◽  
Gianluca Colucci ◽  
Malcolm McFall
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Primary Anastomosis ◽  
Small Bowel Resection ◽  
Medical Attention ◽  
Omental Patch ◽  
Liver Capsule ◽  
Open Laparotomy ◽  
Liver Haematoma

A 61-year-old man presented to the emergency department with severe abdominal pain. Three months prior to presentation, he had sustained blunt trauma to his right side while cycling, but had not sought medical attention. On admission, a CT scan showed small bowel obstruction (SBO) and he underwent an emergency open laparotomy. Intraoperatively, a subcapsular liver haematoma was identified, with incarcerated, necrotic small bowel within the liver capsule. The patient underwent deroofing of the haematoma with an omental patch and a small bowel resection with primary anastomosis. We believe this is the first reported case of SBO secondary to small bowel herniation into the liver capsule following trauma.

scholarly journals Two cases of small bowel obstruction due to a shiitake mushroom

2017 ◽  
Vol 7 (4) ◽  
pp. 298-300
Author(s):  
Jinfu Tan ◽  
Kaitao Yuan ◽  
Jidong Zuo ◽  
Weigang Dai ◽  
Yujie Yuan ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Lentinula Edodes ◽  
Surgical Intervention ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Emergency Laparotomy ◽  
Shiitake Mushroom ◽  
Shiitake Mushrooms

Abstract The shiitake mushroom (Lentinula edodes), known as Xiang-gu in China, has been an important component of Asian cuisine for hundreds of years. Although not easily digestible, there are few reports of them causing bowel obstruction. We present two cases of small bowel obstruction due to a shiitake mushroom requiring surgical intervention. Two patients who did not have any teeth and did not use dentures presented with intestinal bowel obstruction and were referred to the Emergency Department of our hospital after eating a meal including shiitake mushrooms without cutting. The first patient underwent an emergency laparotomy and a semental small bowel resection and the other underwent laparoscopic small bowel incision for removal of a foreign body. The causes of the small bowel obstruction for the two patients were uncut shiitake mushrooms in the small bowel. The two patients recovered uneventfully post-operatively.

scholarly journals Generalised peritonitis from strangulated small bowel obstruction secondary to mesh erosion: a rare long-term complication of laparoscopic mesh sacrohysteropexy

2019 ◽  
Vol 12 (5) ◽  
pp. e226309 ◽  
Author(s):  
Constantinos Simillis ◽  
Olivia James ◽  
Kiranpreet Gill ◽  
Yimeng Zhang
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Primary Anastomosis ◽  
Surgical Techniques ◽  
Small Bowel Resection ◽  
Pelvic Organ ◽  
Synthetic Mesh ◽  
Postoperative Recovery ◽  
Uterovaginal Prolapse

A 77-year-old woman who underwent an uncomplicated laparoscopic mesh sacrohysteropexy (LMH) in 2009 for uterovaginal prolapse, presented with features of small bowel obstruction (SBO) 9 years later. She underwent laparotomy which revealed that the sacrohysteropexy mesh had eroded into the small bowel causing complete obstruction, complicated by ischaemia and perforation. Small bowel resection and primary anastomosis was performed, and the patient had an uneventful postoperative recovery. Although rare, cases of SBO occurring secondary to the use of a synthetic mesh in LMH have been reported. This is the first reported case of SBO directly attributable to erosion of mesh into the small bowel itself. Given the increasing frequency of women undergoing surgical management of pelvic organ prolapse which involves techniques using synthetic mesh, it is important to consent patients appropriately for such life-threatening risks and to focus on the development of surgical techniques and mesh materials to minimise such complications.

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.

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