scholarly journals A Rare Case of Intestinal Obstruction from Internal Hernia through a Foramen Formed by Appendices Epiploicae – A Case Report and Review of Literature

2020 ◽  
Vol 8 (C) ◽  
pp. 4-6
Author(s):  
Thomas Olagboyega Olajide ◽  
Olanrewaju Balogun
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Surgical Intervention ◽  
Internal Herniation ◽  
Review Of Literature ◽  
Improve Outcome ◽  
Internal Hernias ◽  
Appendices Epiploicae ◽  
High Index Of Suspicion

BACKGROUND: Internal hernias are uncommon causes of acute abdomen and intestinal obstruction. Internal herniation due to appendices epiploicae is very rare with only six cases reported in the literature.CASE REPORT: We, herein, present the report of a 64-year-old female who presented with features of intestinal obstruction due to internal herniation of a loop of small intestine through an orifice formed by the fusion of two appendices epiploicae. The band was divided into release the entrapped loop of bowel.CONCLUSION: A high index of suspicion with prompt surgical intervention will improve outcome.

scholarly journals Acute Intestinal Obstruction: A Rare Aetiology

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Shamita Chatterjee ◽  
Souvik Chatterjee ◽  
Sanjeev Kumar ◽  
Shahana Gupta
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Paraduodenal Hernia ◽  
Rare Clinical Entity ◽  
Rare Entity ◽  
Internal Herniation ◽  
Diagnostic Challenge ◽  
High Index Of Suspicion ◽  
Bowel Strangulation

Internal herniation of small intestine is a very rare entity, and it poses a real diagnostic challenge clinically. Recurrent entrapment of the bowel may lead to partial to complete intestinal obstruction and eventually strangulation of the small bowel. Of this rare clinical entity, left paraduodenal hernia is more common. High index of suspicion with prompt management may prevent bowel strangulation and gangrene. We present a case of acute intestinal obstruction due to left paraduodenal hernia with malrotation of midgut in a 55-year-old male patient.

scholarly journals An unusual case of small bowel obstruction secondary to internal herniation of distal ileum through a rent between adhered inflamed vermiform appendix and appendices epiploicae

2021 ◽  
Vol 8 (12) ◽  
pp. 3741
Author(s):  
Rudraiah H. G. M. ◽  
Benita Davis
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Vermiform Appendix ◽  
Distal Ileum ◽  
Successful Outcome ◽  
Internal Herniation ◽  
Abdominal Tumor ◽  
Surgical Exploration ◽  
Appendices Epiploicae ◽  
High Index Of Suspicion

Intestinal obstruction secondary to an internal hernia is rare and that occurring through a rent between the adhered inflamed vermiform appendix and appendices epiploicae of the proximal caecum is so rare that this case was the first of its kind ever to be reported. Such a cause for obstruction should be suspected in a patient with a virgin abdomen with no history/clinical features of an obstructing external hernia or abdominal tumor. A 28 year old man presented to the ER with features of intestinal obstruction, in whom CECT abdomen revealed multiple dilated small bowel loops with breaking-of seen in the region of the terminal ileum. Surgical exploration revealed internal herniation of the distal ileum through a rent between the adhered inflamed vermiform appendix and the appendices epiploicae of the proximal caecum; reduction of which was sufficient to relieve the obstruction and demonstrate healthy reperfusion. Adhesiolysis, epiploicae appendectomy and appendectomy was done with no other points of obstruction along the small bowel. Due to its rarity, non-specific presentation pattern and limited usefulness of imaging for diagnosis, a high index of suspicion with prompt early surgical exploration is a must for a successful outcome in such cases intestinal obstruction; especially in a virgin abdomen.

A RARE CASE OF HETEROTOPIC PANCREATIC TISSUE CAUSING SMALL BOWEL OBSTRUCTION

2021 ◽  
pp. 4-5
Author(s):  
B. Santhi ◽  
M. Annapoorani ◽  
Sharada bhavana
Keyword(s):  
Intestinal Obstruction ◽  
Rare Case ◽  
Histopathological Examination ◽  
Pancreatic Tissue ◽  
Acute Intestinal Obstruction ◽  
Emergency Laparotomy ◽  
Review Of Literature ◽  
Heterotopic Pancreatic Tissue ◽  
Small Growth ◽  
Upper Gastrointestinal

A Rare case of heterotopic pancreatic tissue of ileum causing acute intestinal obstruction has been described with a brief review of literature. A 42 yr old male patient presented to the emergency department with features of acute intestinal obstruction. After evaluation patient was taken up for emergency laparotomy which revealed a band to be arising from ileum. Furthermore, there was a small growth in the ileal wall at the site of origin of the band. Hence resection of the growth was done and followed by ileoileal anastomosis. Later on, histopathological examination of the growth revealed it to be heterotopic pancreatic tissue. Heterotopic pancreatic tissue is often an incidental nding encountered in upper gastrointestinal tract during endoscopy and surgeries. But Symptomatic ectopic pancreas of ileum is relatively rare and they very rarely present with acute symptoms as in this case

scholarly journals Aggressive Monophasic Sarcomatoid Carcinoma of Small Intestine - A Rare Case Report With Review of Literature

2012 ◽  
Vol 02 (01) ◽  
pp. 45-47
Author(s):  
Shetty K. Padma ◽  
Harish S. Permi ◽  
C.N. Patil ◽  
Michelle Mathias
Keyword(s):  
Small Intestine ◽  
Rare Case ◽  
Spindle Cell ◽  
Correct Diagnosis ◽  
Sarcomatoid Carcinoma ◽  
Intestinal Wall ◽  
Cell Tumor ◽  
Review Of Literature ◽  
Spindle Cells ◽  
Rare Case Report

AbstractSarcomatoid carcinoma occurring in the small intestine is very rare. They can be monophasic or biphasic. We report a rare case of monophasic Sarcomatoid carcinoma of the small intestine in a 60 year old male patient. The tumor was an ulceronodular mass involving the ileum circumferentially. The tumor infiltrated the full thickness of the intestinal wall and the serosa of an adjacent loop of ileum. Microscopically, the tumor was composed of sheets of malignant spindle cells. The carcinomatous nature of the tumor was evident only after Immunohistochemistry. The diagnosis of sarcomatoid carcinoma should be considered in the differential diagnosis of malignant spindle cell tumor of small intestine and immunohistochemical stains are required for the correct diagnosis.

ACUTE INTESTINAL OBSTRUCTION DUE TO MIGRATED INGUINAL HERNIOPLASTY MESH-A CASE REPORT

2021 ◽  
pp. 60-61
Author(s):  
Parth Manek ◽  
Parth Patel ◽  
Kishor Jain ◽  
Sharvari Pujari ◽  
Ramkrishna Prabhu ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Gold Standard ◽  
Rare Case ◽  
Surgical Intervention ◽  
Acute Intestinal Obstruction ◽  
Inguinal Hernioplasty ◽  
Elderly Male ◽  
Mesh Migration ◽  
Mechanical Bowel Obstruction ◽  
Mesh Hernioplasty

Mesh Hernioplasty is the gold standard for Inguinal hernia.However, it is not free of complications. Mesh migration causing intestinal obstruction, albeit rare, is a serious and complications. Timely surgical intervention is very important in the management of this condition. We report a rare case of an elderly male patient with mechanical bowel obstruction due to mesh migration 9 years after a right inguinal hernia meshplasty.

scholarly journals Diagnostic difficulties in obturator hernia: a rare case presentation and review of literature

2020 ◽  
Vol 13 (9) ◽  
pp. e235644
Author(s):  
Tharun Ganapathy Chitrambalam ◽  
Pradeep Joshua Christopher ◽  
Jeyakumar Sundaraj ◽  
Sundeep Selvamuthukumaran
Keyword(s):  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Obturator Hernia ◽  
High Morbidity ◽  
Radiological Imaging ◽  
Review Of Literature ◽  
Case Presentation ◽  
Diagnostic Difficulties

Hernia arising from obturator canal is rare and it contributes to about less than 1% of incidence of all hernias. Diagnosing an obturator hernia clinically is a challenging one and nearly impossible. These hernias usually present as an intestinal obstruction as more than 50% of obturator hernias goes in for strangulation. Here, we report an unusual presentation of an obturator hernia in a 70-year-old woman who presented to emergency room with acute abdomen and uncomplicated reducible inguinal hernia. Radiological imaging showed obstructed inguinal hernia while on diagnostic laparoscopy, a strangulated and perforated obturator hernia of Richter’s type was seen in addition to an uncomplicated inguinal hernia. Obturator hernia, although very rare, is associated with high morbidity and mortality as it is often underdiagnosed as in our case. Laparoscopy bailed us out from missing out a perforation from an occult obturator hernia.

scholarly journals A Case Report of a Cecal Bascule with Internal Herniation through the Foramen of Winslow

2021 ◽  
Author(s):  
Eric Mulkey ◽  
Gregory Stewart ◽  
Ernesto Enrique ◽  
Rafik El-Sabrout
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Internal Herniation ◽  
Foramen Of Winslow ◽  
Internal Hernias ◽  
Abdominal Symptoms ◽  
Rare Phenomenon

Internal hernias are a rare phenomenon, and even rarer is a herniation through the foramen of Winslow. We report a rare case of an 81 year old female presenting with vague abdominal symptoms who was found to have a cecal bascule herniating through the foramen of Winslow treated with surgery.

scholarly journals LEFT PARA-DUODENAL HERNIA

2016 ◽  
Vol 23 (02) ◽  
pp. 238-240
Author(s):  
Asrar Ahmad ◽  
Irum Saleem ◽  
Nisar Ahmed ◽  
Farrukh Ayub
Keyword(s):  
Intestinal Obstruction ◽  
Internal Hernia ◽  
High Index ◽  
Paraduodenal Hernia ◽  
Internal Hernias ◽  
High Index Of Suspicion

Internal hernia is defined as herniation of viscera through a defect in themesentery or peritoneum. Internal hernias can cause intestinal obstruction. Paraduodenalhernias though a rare cause of intestinal obstruction, are more common on the left side. Thesehernias may cause strangulation and gangrene of the intestines so a high index of suspicion isrequired for diagnosis. Treatment is always surgical. We hereby report a case of acute intestinalobstruction due to left paraduodenal hernia.

scholarly journals Plasmablastic Lymphoma of Small Intestine: A Rare Case Report with Review of Literature

2015 ◽  
Vol 32 (S1) ◽  
pp. 130-134 ◽  
Author(s):  
Rachna Khera ◽  
Faiq Ahmed ◽  
Sudha S. Murthy ◽  
Krishna Mohan Mallavarapu
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Rare Case ◽  
Plasmablastic Lymphoma ◽  
Review Of Literature ◽  
Rare Case Report

scholarly journals Unusual presentation of eosinophilic enteritis as multiple strictures of small intestine

2012 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Sunil V. Jagtap ◽  
Dhiraj B. Nikumbh ◽  
Ashok Y. Kshirsagar ◽  
Neha Ahuja
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Bowel Wall ◽  
Unusual Presentation ◽  
Unknown Etiology ◽  
Peripheral Eosinophilia ◽  
Variable Depth ◽  
High Index Of Suspicion

Eosinophilic enteritis is a rare disease of unknown etiology. It is characterized by eosinophilic infiltration of the bowel wall to a variable depth and symptoms associated with gastrointestinal tract depending upon the predominant layer involved. Diagnosis of eosinophilic enteritis requires a high index of suspicion and exclusion of various disorders that are associated with peripheral eosinophilia. We report a case of unusual presentation of eosinophilic enteritis clinically presenting as intestinal obstruction due to multiple strictures of the small bowel in an adult male.

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