scholarly journals Investigating a rare cause of intestinal occlusion

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Bahjat Barakat ◽  
Raffaele Pezzilli
Keyword(s):  
Early Diagnosis ◽  
Physical Examination ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Gallstone Ileus ◽  
Rare Entity ◽  
Rare Form ◽  
Emergency Situations ◽  
Gastrointestinal Obstruction ◽  
Mechanical Intestinal Obstruction

Gallstone ileus is a rare form of mechanical intestinal obstruction caused by the passage of gallstones in the gastrointestinal lumen and is often diagnosed in elderly females. Diagnosis can be difficult due to nonspecific findings during physical examination and there are a number of options regarding surgical or endoscopic treatment. We report the rare case of a 77- year-old female patient with gastrointestinal obstruction due to a gallstone, but without a cholecystointestinal fistula. Clinicians should be aware of this rare entity especially in emergency situations, as early diagnosis and appropriate subsequent therapy in such cases is essential to reduce mortality.

scholarly journals Simultaneous Volvulus of Transverse Colon and Cecum in a Patient With Down Syndrome: A Case Report

2019 ◽  
Author(s):  
Sepideh Babaniamansour ◽  
Ehsan Aliniagerdroudbari ◽  
Ghasem Bagherpour ◽  
Forough Kheiry
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Side Effects ◽  
Early Diagnosis ◽  
Physical Examination ◽  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Rare Case ◽  
Sporadic Case

Volvulus is a rare cause of intestinal obstruction and occurs mostly in sigmoid colon and cecum. It is more common in patients with Down syndrome. In this condition, it is even more challenging to diagnose the cause of intestinal obstruction through history and physical examination alone. Early diagnosis and intervention are critical in this condition to prevent serious side effects. Simultaneous volvulus is a sporadic case in the surgical entity. We report a very rare case of simultaneous volvulus of cecum and transverse colon, its management, and outcomes in a 20-year-old known case of Down syndrome.

scholarly journals Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ibrahim Aydin ◽  
Ahmet Fikret Yucel ◽  
Ahmet Pergel ◽  
Dursun Ali Sahin
Keyword(s):  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Mortality Rates ◽  
Obturator Hernia ◽  
Morbidity And Mortality ◽  
Common Symptom ◽  
Rare Type ◽  
Mechanical Intestinal Obstruction

Obturator hernia is a rare type of pelvic hernia which generally occurs in elderly patients with accompanying diseases. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common symptom is strangulation combined with mechanical intestinal obstruction.

scholarly journals New in the problem gallstone bowel obstruction

2020 ◽  
Vol 25 (1) ◽  
pp. 62-68
Author(s):  
V. I. Mamchich ◽  
N. D. Bondarenko ◽  
M. A. Chaika
Keyword(s):  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Bile Leakage ◽  
Acute Intestinal Obstruction ◽  
Diagnostic Methods ◽  
Acute Calculous Cholecystitis ◽  
Topical Diagnosis ◽  
Mechanical Intestinal Obstruction ◽  
Complex Forms ◽  
Calculous Cholecystitis

Aim. To identify the frequency of gallstone ileus based on the surgical experience of the Kiev region in patients with acute calculous cholecystitis and acute intestinal obstruction. To evaluate the capabilities of the gallstone ileus diagnosis algorithm for correct topical diagnosis before surgery.Materials and methods. For 2004–2018, 13713 patients with acute cholecystitis and 3609 patients with acute intestinal obstruction were hospitalized. In 0.64% of cases, gallstone ileus was diagnosed in patients with acute calculous cholecystitis, in 0.41% in choledocholithiasis, and in 2.4% in its complex forms. In 0.73% gallstone ileus was detected during operations for acute intestinal obstruction and in 1.12% for its obstructive form.Results. A total of 25 patients with gallstone intestinal obstruction underwent surgery. In the topical diagnosis of gallstone intestinal obstruction, X-ray contrast methods dominate. During surgical procedure, only with pyloroduodenal variants of obstruction, cholecystectomy is performed simultaneously with the elimination of obstruction. In other situations, cholecystectomy is performed after 3–8 months. Of the 25 patients, 4 patients died due to ascending cholangitis, peritonitis due to bile leakage, and severe co-morbidities.Conclusion. The use of the algorithm of advanced diagnostic methods allows you to receive a diagnosis in most patients. The most valuable in topical diagnostics are contrast methods. New in gallstone ileus is the migration of gallstone after endoscopic papillosphincterotomy with mechanical lithotripsy for choledocholithiasis, especially with its complex forms. In our opinion, all types of gallstone ileus can be combined into Bartolin-Bouveret syndrome, which first described this variant of mechanical intestinal obstruction.

scholarly journals Recurrent abdominal liposarcoma presenting with intestinal obstruction

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Belal S Abufkhaida ◽  
Barah K Alsalameh
Keyword(s):  
Intestinal Obstruction ◽  
Local Recurrence Rate ◽  
Slow Growth ◽  
Abdominal Mass ◽  
Rare Entity ◽  
Complete Excision ◽  
Retroperitoneal Liposarcoma ◽  
Large Size ◽  
High Local Recurrence Rate ◽  
Mechanical Intestinal Obstruction

Abstract Liposarcoma is the most common retroperitoneal sarcoma and mesenchymal tumor in the abdomen. Usually, it presents with vague symptoms due to its large size and slow growth at the time of diagnosis. Liposarcoma is associated with a high local recurrence rate according to its histology, size and growth rate. Up till now, surgical resection is the only effective treatment for primary and recurrent abdominal liposarcoma. Secondary mesenteric liposarcoma is an extremely rare entity and so far a small number of cases have been reported in the literature. In this article, we present a rare case of a 63-year-old female patient who was diagnosed with mesenteric liposarcoma after 3 years of complete excision of retroperitoneal liposarcoma, presenting primarily as abdominal mass causing mechanical intestinal obstruction.

scholarly journals Gallstone ileus as a cause of upper intestinal obstruction

1996 ◽  
Vol 114 (4) ◽  
pp. 1239-1243 ◽  
Author(s):  
Israel Szajnbock ◽  
Fernando Lorenzi ◽  
Aldo Junqueira Rodrigues Jr. ◽  
Luis Fernando Correa Zantut ◽  
Renato Sérgio Poggetti ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Approach ◽  
Gallstone Ileus ◽  
Age Groups ◽  
Ileocecal Valve ◽  
Older Age ◽  
Intestinal Lumen ◽  
Degenerative Diseases ◽  
Two Stage ◽  
Mechanical Intestinal Obstruction

Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice.The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.

scholarly journals Gallstone ileus: dilemma in the management

2017 ◽  
Vol 7 (3) ◽  
Author(s):  
Girish D. Bakhshi ◽  
Rajesh G. Chincholkar ◽  
Jasmine R. Agarwal ◽  
Madhukar R. Gupta ◽  
Prachiti S. Gokhe ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Postoperative Recovery ◽  
Duodenal Fistula ◽  
Respiratory Complications ◽  
One Stage ◽  
Mechanical Intestinal Obstruction ◽  
To Come ◽  
Definitive Management ◽  
The Ideal

Gallstone ileus is a mechanical intestinal obstruction caused due to impaction of a large gallstone within the bowel. The ideal treatment of gallstone ileus remains controversial, with the main dilemma being between a one-stage and a two-stage surgical procedure. A 69-year old male patient presented with gallstone ileus. A one-stage procedure with enterolithotomy and primary closure of duodenal fistula was done. His immediate postoperative recovery was uneventful, but after 3 weeks of surgery, he developed respiratory complications and expired of multi-organ failure. In gallstone ileus, patient presents with symptoms of intestinal obstruction. Enterolithotomy alone remains the most common operative method, but the definitive surgical management is still under research. An intraoperative dilemma between a one-stage or twostage surgery is difficult to resolve in absence of clear guidelines. Hence, more studies are required to come to a consensus in deciding its definitive management.

scholarly journals A rare case of caesarean scar ectopic pregnancy: a case report

2020 ◽  
Vol 9 (3) ◽  
pp. 1315
Author(s):  
Hiremath P. B. ◽  
Vinothini Anandabaskar ◽  
Nivedhana Arthi ◽  
Rohini E. ◽  
Indu N. R.
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Rare Entity ◽  
Caesarean Scar ◽  
Maternal Morbidity And Mortality ◽  
Gestational Sac

Scar ectopic pregnancy is a condition where the gestational sac implants into the previous caesarean scar site. Although it is a rare entity, its incidence is increasing due to rising rates of caesarean deliveries. Here authors report a case of caesarean scar ectopic pregnancy managed by laparotomy with caesarean scar ectopic excision following failed medical management. The patient recovered without any intraoperative or postoperative complications. An early diagnosis and management are vital in preventing maternal morbidity and mortality.

scholarly journals Gallstone ileus: Rare Entity for Mechanical Small Bowel Obstruction

2021 ◽  
Vol 4 (8) ◽  
pp. 01-04
Author(s):  
Kiran R.S ◽  
Sarmukh S ◽  
Azmi H
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Exploratory Laparotomy ◽  
Bowel Sound ◽  
Rare Entity ◽  
Female Population ◽  
X Ray ◽  
Elderly Female ◽  
Intraluminal Mass

Gallstone ileus is common in elderly female population. To obtain a diagnosis of gallstone ileus is a challenge requiring clinical and radiological assistance. It’s a rare cause of intestinal obstruction, accounts approximately 1-4%. Here we report a case of 56 years old lady presented with intestinal obstruction sign and symptoms. Per abdomen examination revealed generalised tenderness with sluggish bowel sound. Abdominal X-ray revealed prominent small bowel with presence of gas till rectum. CT abdomen noted intraluminal mass over distal small bowel loops mimickering intusseption. Exploratory laparotomy with small bowel enterotomy was performed. Intra-operative finding noted impacted gallstone measuring 2x3cm, 360cm from duodenal-jejunal flexure and 50cm from terminal ileum. Post-operative patient had speedy recovery and discharged home. Here we emphasize in elderly female patient presented with sign and symptoms of intestinal obstruction, diagnosis of gallstone ileus should be one of differential diagnosis.

Sign in / Sign up

Export Citation Format

Share Document