scholarly journals Feasibility of primary anastomosis for right-sided colonic atresia: A case report

2021 ◽  
Vol 10 ◽  
pp. 46
Author(s):  
Muhammad Shamil Suhaimi ◽  
Mohd Yusran Othman ◽  
Khalilah Alhuda Kamilen
Keyword(s):  
Case Report ◽  
Primary Anastomosis ◽  
Distal Colon ◽  
Postoperative Recovery ◽  
Ascending Colon ◽  
Case Presentation ◽  
Male Baby ◽  
Colonic Atresia ◽  
Feasible Option

Background: Colonic atresia (CA) is a rare cause of congenital intestinal obstruction. The management of CA is challenging because of its rarity. Case Presentation: We present a case of right-sided CA in a term male baby weighing 3006 gm, without any other comorbidity. Type 1 atresia was seen at ascending colon and upon decompression, a reasonable caliber was achieved for a primary anastomosis following distal Cheatle slit and proximal tapering. Postoperative recovery was uneventful. Conclusion: Primary anastomosis is a feasible option in right-sided CA when no major comorbidity is present and a normal distal colon with reasonable caliber is certain.

scholarly journals Congenital pouch colon with colonic atresia- An unusual embryological association: A case report

2021 ◽  
Vol 10 ◽  
pp. 33
Author(s):  
Praveen Mathur ◽  
Sharanabasappa Gubbi ◽  
Aadil Farooq ◽  
Priyanka Mittal ◽  
Gunjan Sharma
Keyword(s):  
Case Report ◽  
Anorectal Malformation ◽  
English Literature ◽  
Abdominal Distension ◽  
Case Presentation ◽  
Male Baby ◽  
Colonic Atresia ◽  
Congenital Pouch Colon ◽  
Pouch Colon

Background: Congenital pouch colon (CPC) is a rare variant of high anorectal malformation. More and more varied associations of CPC with other entities are being added to the literature. Case presentation: A 1-day-old male baby presented to the emergency room with marked abdominal distension and absent anal opening. On exploration, the baby was found to have CPC (Type 2) with colonic atresia. This association has not been reported in English literature. Conclusion: This is a report of a case of type 2 CPC with colonic atresia. To the best of our knowledge, such an association has not been reported so far. The final embryological outcome is dictated both by the topography and timing of vascular insult.

scholarly journals A case report of COVID-19 virus infection in a patient with hereditary angioedema

2020 ◽  
Author(s):  
Amin S. Kanani
Keyword(s):  
Case Report ◽  
Virus Infection ◽  
Hereditary Angioedema ◽  
Clinical Course ◽  
C1 Inhibitor ◽  
Case Presentation

Abstract Background: This is the first reported case of coronavirus disease of 2019 (COVID-19) in a patient with hereditary angioedema (HAE) type 1/2. Case presentation: A female with HAE receiving C1 inhibitor prophylaxis had no angioedema attacks when contracting the COVID-19 virus and had a mild clinical course.Conclusions: In this case there was no exacerbation of angioedema with the COVID-19 virus and the mild clinical course could possibly be from receiving C1 inhibitor prophylaxis.

CONGENITAL COLONIC ATRESIA PRESENTING AS PNEUMOPERITONEUM: A RARE CLINICAL ENTITY

2021 ◽  
pp. 6-7
Author(s):  
Ravikiran Kandalgaonkar ◽  
Abhishek Shetty
Keyword(s):  
Surgical Management ◽  
Intestinal Atresia ◽  
Common Type ◽  
Abdominal Distention ◽  
Rare Clinical Entity ◽  
Ascending Colon ◽  
Ischemic Necrosis ◽  
Ileal Perforation ◽  
Male Baby ◽  
Colonic Atresia

Introduction:Colonic Atresia is the least common type of Intestinal Atresia which occurs as a result of ischemic necrosis of a segment of large intestine.It presents with abdominal distention,bilious vomiting and failure to pass meconium.Perforation leads to peritonitis and sepsis Case Report:We describe a 3 day old male baby presenting with Colonic Atresia type IIIa and pneumoperitoneum and his surgical management Conclusion:In conclusion, Colonic Atresia is managed by either by colostomy or primary anastomosis.Terminal ileostomy,as in this case is done when there is Ascending Colon atresia with distal ileal perforation.

scholarly journals A Rare Case of Gallstone Ileus: Bouveret Syndrome Presenting with Concurrent Gallstone Coleus

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Sena Park ◽  
Janaka Balasooriya ◽  
Thembi Ncube
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Clinical History ◽  
Distal Colon ◽  
Postoperative Recovery ◽  
Current Case ◽  
Her Family ◽  
Bouveret Syndrome

Background. Bouveret syndrome and gallstone coleus are two rare subsets of gallstone ileus. Bouveret syndrome involves a gastric outlet obstruction, whereas gallstone coleus involves an obstruction of the large intestine. Both of the conditions are caused by gallstones, which migrated from the gallbladder via the fistulae. Due to its rarity, only few cases were reported for each condition. The current case describes an even rarer case of Bouveret syndrome and gallstone coleus presenting together. The case report will hopefully provide better understanding of the disease presentation and hence, lead to early diagnosis and management. Case. Ms. B is an 86-year-old woman of Italian background who presented to our emergency department with worsening symptoms of bowel obstruction. Her past clinical history included Kaposi sarcoma, hypertension, osteoarthritis, and vitamin D deficiency with surgical history including caesarean section and tonsillectomy. On her imaging, she had two large gallstones, one in the proximal duodenum and one in the distal colon. It also showed gastric dilatation and gas in the gall bladder. She was subsequently diagnosed with Bouveret syndrome with concurrent gallstone coleus. The laparotomy revealed two points of gallstone obstruction at the first part of the duodenum and at the distal sigmoid colon. Her postoperative recovery was uncomplicated. She was discharged to the care of her family and followed up in the general surgery clinic. Conclusion. The current case report describes a unique presentation of Bouveret syndrome where an additional gallstone was found simultaneously in the sigmoid colon causing the obstruction. By introducing this novel case of having two different subsets of gallstone ileus simultaneously, there will be a better understanding of both conditions and hopefully improve our scope of practice.

scholarly journals A case report of Amyand hernia—radiological diagnosis and literature review

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Mohamed rafi Kathar hussain ◽  
Kulasekeran N
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Malignant Melanoma ◽  
Connective Tissue ◽  
Inguinal Canal ◽  
Common Type ◽  
Melanoma Metastasis ◽  
Case Presentation ◽  
Amyand Hernia

Abstract Background The hernia is defined as the protrusion of any organ or a part of it through the wall or fascia or any connective tissue which normally encloses that organ. Among the hernias, an inguinal hernia is the most common type. In the inguinal hernia, Amyand hernia is one of the rare types, in which the appendix will herniate through the inguinal canal. The incidence of Amyand hernia is less than 1% (Namdev et al., Int Surg J 7:2072, 2020). Case presentation We are reporting a case of Amyand hernia, which was diagnosed incidentally in the patient who had been referred to computerized tomography (CT) for a malignant melanoma metastasis screening. Our case is unique in that pre-operative diagnosis of the Amyand hernia is rarely reported in the literature. We can diagnose the type 1 Amyand hernia with utmost confidence. Conclusion Pre-operative diagnosis of type 1 Amyand hernia can be made with utmost certainty by CT.

scholarly journals Atresia of the Colon: Etiological Aberrations, Clinical Observations, and Challenges in Management

2018 ◽  
Vol 7 (2) ◽  
pp. 22 ◽  
Author(s):  
Nitin Pant ◽  
Sudhir Singh ◽  
Jiledar Rawat ◽  
Shiv Narayan Kureel ◽  
Ashish Wakhlu
Keyword(s):  
Sigmoid Colon ◽  
Primary Anastomosis ◽  
Care Center ◽  
Hepatic Flexure ◽  
Type I ◽  
Type Ii ◽  
Ascending Colon ◽  
Health Care Center ◽  
Colonic Atresia ◽  
Type Iiia

Objective: The objective of this study is to review the clinicoradiological profile, scheme of management and the outcome in cases of colonic atresia (CA), and ascertain an optimal approach for the treatment of CA to minimize morbidity and mortality. Design and Setting: This was a retrospective observational study carried out at a tertiary health‑care center. Duration: Total of 6 years duration (January 2011–December 2016).Materials and Methods: A retrospective analysis of 10 patients of CA managed over a 6- year period. Data related to demographics, clinical presentation, associated anomalies, radiologic, intraoperative findings, postoperative stay, complications, and outcome were analyzed.Results: There were three cases of Type II atresia involving terminal ileum, cecum, and adjacent colon. Three cases had proximal ascending colon atresia (Type IIIa [n = 2]; Type I [n = 1]) Type I [n=1], and two cases of type IIIa atresia of the hepatic flexure. Two babies had atresia involving the sigmoid colon; one had Type II atresia, while we were unable to assign a type to the other within the prevailing classification. Seven babies were initially treated with a stoma either in the ileum (n = 3), hepatic flexure (n = 2), and sigmoid colon (n = 2), whereas three were treated with a primary anastomoses. Cases treated with a primary anastomoses had lesser morbidity and a better outcome than those with an ileal or ascending colon stoma.Conclusion: Contrary to the theory of an acute antenatal vascular accident, CA may rarely result from a gradual, sequential obliteration of mesenteric vasculature. Primary anastomosis should be contemplated in proximal CA wherever possible as stomal complications, especially high stoma output can result in considerable morbidity.

scholarly journals Colonic and type IV jejunal atresias with apple-peel bowel segment as the content of right inguinal hernia: A case report

2021 ◽  
Vol 10 ◽  
pp. 35
Author(s):  
Deepa P Makhija ◽  
Abhijit Kumar ◽  
Rahul K Gupta ◽  
Beejal V Sanghvi ◽  
Kedar P Mudkhedkar ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Case Presentation ◽  
Jejunal Atresia ◽  
Colonic Atresia ◽  
Type Iv ◽  
Bowel Segment ◽  
Apple Peel

Background: Colonic atresia is an uncommon entity. It may be associated with multiple anomalies. Case Presentation: We present a case, which was initially suspected to be jejunal atresia, but was found to have colonic atresia as well intra-operatively. The associated jejunal atresia with apple-peel configuration was present as the content of inguinal hernia. Conclusion: This case report highlights the rarity of the condition and the postoperative issues in the management of such patients.

scholarly journals Colonic Atresia: A Case Report

2016 ◽  
Vol 12 (1) ◽  
pp. 116-119
Author(s):  
Meherun Nessa ◽  
Shams ud Din Elias Khan ◽  
Md Shakhawat Hossain
Keyword(s):  
Case Report ◽  
Armed Forces ◽  
Middle Part ◽  
Type I ◽  
Ascending Colon ◽  
Medical College ◽  
Colonic Atresia ◽  
Descending Colon ◽  
Female Baby ◽  
Distal Intestinal Obstruction

Atresia of the colon is among the rare types of all gastrointestinal atresias. Descending colon is the rarest site of all the colonic atresias. A case report of 3 days old female baby was presented with the features of distal intestinal obstruction. At laparotomy type I atresia of the middle part of asending colon, with proximal dilatation of caecum and ilum. Microcolon was noticed in ascending colon, transverse colon, descending colon and sigmoid colon when newborn underwent exploration. Primary ileostomy and distal mucus stoma of ascending colon was done. After four weeks, closure of ostomy was done. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 116-119

scholarly journals A case report of COVID-19 virus infection in a patient with hereditary angioedema

2020 ◽  
Author(s):  
Amin Kanani
Keyword(s):  
Case Report ◽  
Virus Infection ◽  
Hereditary Angioedema ◽  
Clinical Course ◽  
C1 Inhibitor ◽  
Case Presentation

Abstract Background: This is the first reported case of coronavirus disease of 2019 (COVID-19) in a patient with hereditary angioedema (HAE) type 1/2. Case presentation: A female with HAE receiving C1 inhibitor prophylaxis had no angioedema attacks when contracting the COVID-19 virus and had a mild clinical course.Conclusions: In this case there was no exacerbation of angioedema with the COVID-19 virus and the mild clinical course could possibly be from receiving C1 inhibitor prophylaxis.

Nitisinone treatment during two pregnancies and breastfeeding in a woman with tyrosinemia type 1 – a case report

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Thomas Zöggeler ◽  
Gabriele Ramoser ◽  
Alexander Höller ◽  
Monika Jörg-Streller ◽  
Nils Janzen ◽  
...  
Keyword(s):  
Case Report ◽  
Initial Increase ◽  
Blood Concentrations ◽  
Tyrosinaemia Type ◽  
Case Presentation ◽  
Tyrosine Metabolism ◽  
Age Appropriate ◽  
Tyrosinaemia Type 1 ◽  
Tyrosinemia Type 1

Abstract Objectives Tyrosinaemia type 1, an inherited disorder of tyrosine metabolism, is usually treated with a tyrosine-defined diet and since 2000 with nitisinone. So far, data about effects of nitisone during pregnancy and breastfeeding are rare. This is the first report of two pregnancies in a patient with tyrosinaemia type 1 while under treatment with nitisinone. Case presentation We here present a 20-year-old female patient with tyrisonemia type 1 receiving treatment with nitisinone and a tyrosine-defined diet since she was diagnosed with tyrosinaemia type 1 at the age of 18 months. During two pregnancies blood concentrations of tyrosine, succinylacetone and nitisinone were measured regularly. Neither infant has tyrosinaemia type 1 and both showed an initial increase in concentrations of tyrosine, succinylacetone and nitisinone. All three metabolites dropped within two weeks after birth. Both were exclusively breastfed for about two weeks. Both children show age-appropriate physical and mental development. Conclusions Nitisinone therapy during pregnancy and the short breastfeeding period did not result in adverse events in our patient or her children. Regular assessments of tyrosine, succinylacetone and nitisinone should be made during pregnancy and the breastfeeding period in both the mother and the infant. For better understanding, in principle, all cases of pregnancy and breastfeeding with tyrosinemia type 1 should be assessed and followed to further evaluate the implications of tyrosinaemia type 1 and its treatment during pregnancy. Additionally, even though experience with breastfeeding is limited, medication with nitisinone is safe and there is no reason to consider breastfeeding unsafe or to not recommend it.

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