scholarly journals Small Bowel Obstruction due to Meckel's Diverticulitis Presenting in pregnancy

The Physician ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Chaitra Naik Khanna ◽  
Paul Richard Harris ◽  
Gemma Faulkner
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Gravid Uterus ◽  
Second Trimester ◽  
Ileal Loop ◽  
Stapling Device ◽  
Delay In Diagnosis ◽  
Meckel’S Diverticulitis ◽  
In Pregnancy

Meckel’s diverticulitis is an extremely rare cause of acute abdomen during pregnancy. Depending on the clinical presentation it can be managed either by laparoscopy or laparotomy. We report the case of a 29-year-old pregnant female, presenting with abdominal pain and distension in the early second trimester. The abdominal ultrasound was inconclusive. Magnetic resonance imaging showed small bowel obstruction with a dilated ileal loop due to an inflamed Meckel’s diverticulum adherent to the fundus of the gravid uterus was identified during laparotomy. Diverticular resection was carried out with a stapling device. The diagnosis of Meckel’s diverticulitis can be challenging, especially in pregnancy, and a delay in diagnosis can be detrimental to the mother and foetus. Although laparoscopic management has been reported to be safe in the second trimester, in this case, the abdominal distension would have made access challenging and unsafe, and hence the decision to perform a laparotomy was taken. 

scholarly journals Small bowel obstruction in pregnancy is a complex surgical problem with a high risk of fetal loss

2015 ◽  
Vol 97 (5) ◽  
pp. 339-344 ◽  
Author(s):  
PJ Webster ◽  
MA Bailey ◽  
J Wilson ◽  
DA Burke
Keyword(s):  
Small Bowel ◽  
Maternal Mortality ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Contemporary Literature ◽  
Fetal Loss ◽  
Low Threshold ◽  
Magnetic Resonance Imaging Mri ◽  
Optimum Management ◽  
In Pregnancy

Introduction Small bowel obstruction (SBO) in pregnancy is rare and is most commonly caused by adhesions from previous abdominal surgery. Previous literature reviews have emphasised the need for prompt laparotomy in all cases of SBO because of the significant risks of fetal loss and maternal mortality. We undertook a review of the contemporary literature to determine the optimum management strategy for SBO in pregnancy. Methods The MEDLINE® and PubMed databases were searched for cases of SBO in pregnancy between 1992 and 2014. Two cases from our own institution were also reviewed. Results Forty-six cases of SBO in pregnancy were identified, with adhesions being the most common aetiology (50%). The overall risk of fetal loss was 17% and the maternal mortality rate was 2%. In cases of adhesional SBO, 91% of cases were managed surgically, with 14% fetal loss. Two cases (9%) were managed conservatively with no complications. Magnetic resonance imaging (MRI) was used to diagnose SBO in 11% of cases. Conclusions Based on our experience and the contemporary literature, we recommend that urgent MRI of the abdomen should be undertaken to diagnose the aetiology of SBO in pregnancy. In cases of adhesional SBO, conservative treatment may be safely commenced, with a low threshold for laparotomy. In other causes, such as volvulus or internal hernia, laparotomy remains the treatment of choice.

Small bowel obstruction in pregnancy

2006 ◽  
Vol 275 (5) ◽  
pp. 381-383 ◽  
Author(s):  
Anke Redlich ◽  
Steffen Rickes ◽  
Serban-Dan Costa ◽  
Stefanie Wolff
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
In Pregnancy

scholarly journals An uncommon case of small bowel obstruction due to phytobezoar in a known case of tubercular abdomen: a decisional dilemma

2017 ◽  
Vol 4 (8) ◽  
pp. 2868
Author(s):  
Mayank Mishra ◽  
Neeraj Sharma ◽  
Vivekanand Rai ◽  
Alok Tripathi ◽  
Anil Kumar Keshri
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Distension ◽  
Bowel Loop ◽  
Delay In Diagnosis ◽  
History Of ◽  
To Come ◽  
Mango Seed ◽  
Upper Abdomen

Study report the case of middle aged male who was presented with abdomen pain and diagnosed of small bowel obstruction caused by bezoar in a case of tubercular abdomen and review the literature. The initial presentation was generalised pain with nausea and vomiting and abdominal distension. Plain abdomen film showed diffuse dilated bowel loop in upper abdomen. Patient had similar recurrent episode 12 months back when he was managed conservatively and diagnosed as tubercular abdomen and he had taken ATT for 3 months. At this time patient managed conservatively, but did not respond. Later a CECT whole abdomen was done and patient diagnosed as cocoon abdomen with mass or a foreign body impacted at distal jejunal region with proximal bowel dilatation. Later patient revealed ingestion of a large mango seed 4 months back. Later patient was explored, adhesionolysis and enterotomy was done and phytobezoar was removed. Early history of recurrent tubercular obstruction with non- specific symptoms. Later recognition of condition by typical imaging and leading questions induced history image play an important role in to come to a diagnosis, with significant delay in diagnosis; and increase the morbidity and mortality. 

Intestinal Barotrauma in a SCUBA Diver - Mechanical Small Bowel Obstruction after Strangulation of the Last Ileal Loop Between a Mobile Caecum and a Long Sigmoid Loop

Swiss Surgery ◽  
2003 ◽  
Vol 9 (4) ◽  
pp. 181-183 ◽  
Author(s):  
Haller ◽  
Guenot ◽  
Azagury ◽  
Rosso
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Scuba Diver ◽  
Traitement Conservateur ◽  
Ileal Loop ◽  
Douleurs Abdominales

Quelques heures après une plongée sous-marine à 30 mètres de profondeur, un homme de 49 ans a présenté des douleurs abdominales diffuses avec des nausées et des vomissements. Une laparotomie a été pratiquée à 36 heures d'évolution d'un traitement conservateur en raison d'un iléus mécanique du grêle persistant. Elle a montré une incarcération du grêle distal entre un caecum mobile et une longue boucle sigmoïdienne chez ce patient sans antécédents chirurgicaux. Compte tenu de l'absence de souffrance intestinale, seule une caecopexie a été pratiquée et l'évolution post-opératoire a été simple. La distension des gaz intestinaux pendant la remontée suivant la loi de Boyle-Mariotte et leur répartition a provoqué chez ce patient avec une anatomie particulière un iléus mécanique du grêle. Le traitement du caecum mobile et la littérature des barotraumatismes abdominaux en plongée sous-marine ont été revus.

scholarly journals Perforated Meckel's diverticulitis with small bowel obstruction and ischaemia

2020 ◽  
Vol 61 ◽  
pp. 101612
Author(s):  
Lydia Pearson ◽  
Anantha Narayanan ◽  
Chris Kim ◽  
Paul Jackson
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meckel’S Diverticulitis

SMALL BOWEL OBSTRUCTION IN PREGNANCY

1977 ◽  
Vol 32 (10) ◽  
pp. 661-662
Author(s):  
LYNDON M. HILL ◽  
RICHARD E. SYMMONDS
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
In Pregnancy

Small Bowel Obstruction in Pregnancy

2018 ◽  
Vol 131 ◽  
pp. 72S ◽  
Author(s):  
Yair Sagi ◽  
Sophie Bussiere-Cote ◽  
Kennedy Meier ◽  
Danielle Bischoff ◽  
Rohan DʼSouza
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
In Pregnancy

scholarly journals Meckel’s diverticulitis causing small bowel obstruction by a novel mechanism

2011 ◽  
Vol 1 (3) ◽  
pp. 51
Author(s):  
Vishalkumar G. Shelat ◽  
Kaiwen Kelvin Li ◽  
Anil Rao ◽  
Tay Sze Guan
Keyword(s):  
Small Bowel ◽  
General Population ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meckel’S Diverticulum ◽  
Symptomatic Patient ◽  
Paediatric Population ◽  
Meckel's Diverticulum ◽  
Common Presentation ◽  
Meckel’S Diverticulitis

Meckel’s diverticulum occurs in 2% of the general population and majority of patients remain asymptomatic. Gastrointestinal bleeding is the most common presentation in the paediatric population. While asymptomatic and incidentally found Meckel’s diverticulum may be left alone, surgery is essential for treating a symptomatic patient. Despite advances in imaging and technology, pre-operative diagnosis is often difficult. We present a first report of an unusual mechanism of small bowel obstruction due to Meckel’s diverticulitis in a paediatric patient. The diagnosis was only apparent at laparotomy.

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