Rare Occurrence of Small-Bowel Volvulus Following Laparoscopic Appendectomy

The authors report a case of a 13-year old child who was submitted to a laparoscopic appendectomy and developed, during the postoperative period, an intestinal obstruction caused by small bowel volvulus in the absence of a congenital malrotation.

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An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

Journal of Case Reports in Medicine ◽

10.25149/jcrm.v8i2.175 ◽

2019 ◽

Vol 8 (2) ◽

Author(s):

David Muchuweti ◽

Hopewell Mungani ◽

Farai Mahomva ◽

Edwin Gamba Muguti ◽

...

Keyword(s):

Small Bowel ◽

Small Bowel Obstruction ◽

Acute Abdomen ◽

Bowel Obstruction ◽

Bowel Wall ◽

Haemodynamic Instability ◽

Small Bowel Volvulus ◽

General Surgeons ◽

Heavy Infestation ◽

Emergency Abdominal Surgery

Oftentimes general surgeons working in poorly resourced communities carry out emergency abdominal surgery in patients with acute abdomen with no definitive preoperative diagnosis. The definitive diagnosis is made at laparotomy. Perforated small bowel obstruction secondary to heavy Infestation with Ascaris Lumbricoides brings a number of intraoperative challenges requiring correct intraoperative surgical management decisions. We present a case of a 17 year-old patient who was admitted with a diagnosis of small bowel obstruction who at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of faecal peritoneal contamination and haemodynamic instability she underwent a two staged procedure with good outcome.

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B-Lymphoblastic Lymphoma of the Small Bowel: An Extremely Rare Occurrence

The American Surgeon ◽

10.1177/0003134821998679 ◽

2021 ◽

pp. 000313482199867

Author(s):

Nikolaos G Symeonidis ◽

Kalliopi E Stavrati ◽

Efstathios T Pavlidis ◽

Kyriakos K Psarras ◽

Eirini Martzivanou ◽

...

Keyword(s):

Abdominal Pain ◽

Small Bowel ◽

Soft Tissues ◽

Lymphoblastic Lymphoma ◽

Emergency Laparotomy ◽

Rare Occurrence ◽

Small Bowel Tumor ◽

Gastrointestinal Lesions ◽

Immature B Cells ◽

B Lymphoblastic Lymphoma

B-lymphoblastic lymphoma is a neoplasm of immature B cells and is characterized by aggressive behavior and disease progression. Common sites of involvement are skin, lymph nodes, bone, soft tissues, breast, and the mediastinum. Gastrointestinal lesions are rarely encountered and therefore not fully described. We herein report the case of a 28-year-old male, who presented with abdominal pain and CT scan showed a tumor involving the small bowel and its mesentery. He underwent emergency laparotomy and enterectomy. Histopathology report revealed B-lymphoblastic lymphoma affecting the small bowel and the adjacent mesentery. This is the first documented case of a small bowel tumor diagnosed as B-lymphoblastic lymphoma in published literature.

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