scholarly journals Diagnostic dilemma of congenital segmental jejunal pseudo-dilatation associated with immature ganglion cells in the colon: A case report

2020 ◽  
Vol 9 ◽  
pp. 13
Author(s):  
Suman Bikram Adhikari ◽  
Shovita Rana ◽  
Sanat Chalise
Keyword(s):  
Intestinal Obstruction ◽  
Ganglion Cells ◽  
Abdominal Distension ◽  
Diagnostic Dilemma ◽  
Case Presentation ◽  
Male Baby ◽  
Radiological Features ◽  
Neonatal Intestinal Obstruction ◽  
Segmental Dilatation ◽  
Prompt Diagnosis

Background: Neonatal intestinal obstruction is one of the emergency conditions with many etiologies, amongst which congenital segmental dilatation of small intestine is one, which is characterized by three to four folds increase in diameter of the bowel. Immaturity of ganglion cells of large intestine is also one of the congenital intestinal neuronal malformations which may cause neonatal intestinal obstruction. Prompt diagnosis of these conditions is very difficult as clinical and radiological features are non-specific to them. Case Presentation: A 3-day-old male baby presented with failure to pass meconium, abdominal distension, and bilious vomiting. At surgery, the baby had congenital segmental pseudo-dilatation of jejunum with immature ganglion cells in colon. Since it was not typical of a congenital segmental dilatation, it was left as such. The baby needed another laparotomy for resection of segmental pseudo-dilatation along with ileostomy. Conclusion: Because of rarity and diagnostic dilemma, re-laparotomy with ileostomy, which could have been avoided, were performed in the baby. Lack of typical features of congenital segmental dilatation along with presence of immature ganglion cells in the colon were unusual findings in this case

scholarly journals Congenital hepatic hemangioma presenting with neonatal intestinal obstruction: A case report

2021 ◽  
Vol 10 ◽  
pp. 21
Author(s):  
Sumaira Noor Maham ◽  
Shabbir Ahmad ◽  
Muhammad Jawad Afzal ◽  
Nabila Talat
Keyword(s):  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Left Lobe ◽  
Jejunal Loop ◽  
Hepatic Hemangioma ◽  
Rare Presentation ◽  
Case Presentation ◽  
Hepatic Mass ◽  
Neonatal Intestinal Obstruction

Background: Congenital hepatic hemangioma usually presents with abdominal distension. Rarely it may cause intestinal obstruction. We present a case of congenital hepatic hemangioma causing neonatal intestinal obstruction. Case Presentation: A 4-day-old neonate presented with clinical and radiological features of neonatal intestinal obstruction. On exploration, a loop of jejunum was found adherent with a hepatic mass, arising from the left lobe of the liver. The hepatic mass profusely bled in an attempt of removing the adherent jejunal loop. Thus, the adherent portion was isolated and jejunojejunal end to end anastomosis was done. The hepatic mass along with an adherent small piece of jejunum was also excised. Histopathology showed hepatic hemangioma. The patient is doing fine on the 10-month follow-up. Conclusion: We report a rare presentation of congenital hepatic hemangioma with neonatal intestinal obstruction. Although the optimum therapy for hepatic hemangioma is medical management, at times, surgical resection becomes a necessary option.

scholarly journals Varied Presentation of Congenital Segmental Dilatation of the Intestine in Neonates: Report of Three Cases

2016 ◽  
Vol 5 (4) ◽  
pp. 55 ◽  
Author(s):  
Binod Kumar Rai ◽  
Bilal Mirza ◽  
Imran Hashim ◽  
Muhammad Saleem
Keyword(s):  
Intestinal Obstruction ◽  
Anorectal Malformation ◽  
Developmental Anomaly ◽  
Abdominal Radiograph ◽  
Abdominal Drain ◽  
The Third ◽  
Neonatal Intestinal Obstruction ◽  
Segmental Dilatation ◽  
Congenital Pouch Colon ◽  
Pouch Colon

Congenital segmental dilatation (CSD) of the intestine is a rare developmental anomaly characterized by sharply demarcated dilatation of a gastrointestinal segment and may present with intestinal obstruction. We report three cases of CSD of the intestine in neonates with varied presentation. First patient was mistaken as pneumoperitoneum on abdominal radiograph, which led to initial abdominal drain placement. The 2nd patient was a case of anorectal malformation associated with congenital pouch colon (CPC) and CSD of ileum; and the third case presented as neonatal intestinal obstruction and found to have CSD of ileum. All the patients were successfully managed in our department.

scholarly journals Minimally Invasive Treatment of Sporadic Burkitt’s Lymphoma Causing Ileocaecal Invagination

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paolo Panaccio ◽  
Michele Fiordaliso ◽  
Domenica Testa ◽  
Lorenzo Mazzola ◽  
Mariangela Battilana ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Intestinal Obstruction ◽  
Iliac Fossa ◽  
Abdominal Distension ◽  
Burkitt’S Lymphoma ◽  
Right Hemicolectomy ◽  
Burkitt's Lymphoma ◽  
Invasive Treatment ◽  
Diagnostic Dilemma ◽  
Non Hodgkin Lymphoma

Introduction. Primary NHL (non-Hodgkin lymphoma) of the colon represents only 0.2% to 1.2% of all colonic malignancies. Burkitt’s lymphoma (BL) is usually a disease reported in children and young people, most of them associated with EBV or HIV infection. We describe a rare case of intestinal obstruction due to sporadic Burkitt’s lymphoma causing ileocaecal invagination explaining our experienceMethods. A 31-year-old man presented with diffuse colic pain and weight loss. Clinical examination revealed an abdominal distension with pain in the right iliac fossa. Colonoscopy documented a caecal large lesion with ulcerated mucosa. Computed tomography (CT) have shown a 60 × 50 mm right colic parietal lesion with signs of ileocolic intussusception.Results. Laparoscopic right hemicolectomy was performed. Postoperative period was uneventful. CD20+ high-grade B-cell Burkitt’s lymphoma was confirmed by immunohistochemistry (CD20+, CD79+, and CD10+) and FISH test (t (8;14) (q24; q32). The patient was subsequently treated with adjuvant combination chemotherapy (Hyper-CVAD) and is alive and disease-free at 8 months follow-up.Discussion. Adult sporadic Burkitt’s lymphoma (BL) causing intestinal obstruction due to ileocaecal intussusception is an extremely rare occurrence and a diagnostic dilemma. Despite the surgical approach is selected based on patient’s conditions and surgeon’s expertise, minimally invasive method could be preferred.

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 Congenital Middle Mesocolic Hernia: A Rare Cause of Neonatal Intestinal Obstruction

2016 ◽  
Vol 5 (4) ◽  
pp. 58 ◽  
Author(s):  
Elias Chamely ◽  
Brice Antao
Keyword(s):  
Literature Review ◽  
Intestinal Obstruction ◽  
Rare Variant ◽  
Rare Condition ◽  
Diagnosis And Management ◽  
Radiological Features ◽  
Neonatal Intestinal Obstruction ◽  
Left And Right ◽  
Congenital Mesocolic Hernia ◽  
Delays In Diagnosis

Congenital mesocolic hernia is an extremely rare, but serious cause of intestinal obstruction in children. Given the rarity of this condition, delays in diagnosis and management can have catastrophic consequences. Congenital mesocolic hernias are usually caused by an abnormal rotation of primitive mid-gut and are divided into left and right congenital mesocolic hernias. We report and discuss the clinical and radiological features and management of a neonate with an extremely rare variant, congenital middle mesocolic hernia along with a literature review of this rare condition.

scholarly journals Retroperitoneal Lymphangioma in an Adult: A Case Report of a Rare Clinical Entity

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mayank Tripathi ◽  
Sanjeev Parshad ◽  
Rajender Kumar Karwasra ◽  
Ashish Gupta ◽  
Saket Srivastva ◽  
...  
Keyword(s):  
Abdominal Distension ◽  
Final Diagnosis ◽  
Definitive Diagnosis ◽  
Rare Entity ◽  
Imaging Studies ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Case Presentation ◽  
Cystic Lymphangiomas ◽  
Retroperitoneal Lymphangioma

Background. Retroperitoneal lymphangioma is a rare, benign mesodermal tumor arising from the retroperitoneal lymphatics which usually presents in infancy and it is worthy to report a case when it has presented in an adult. After a thorough literature search in English we concluded that less than 200 cases of adult retroperitoneal lymphangioma have been reported so far. Apart from being a rare entity it also presents as a diagnostic dilemma and final diagnosis is often made on surgical exploration.Case Presentation. We report a case of retroperitoneal lymphangioma in a 55-year-old male who presented with abdominal distension and dull aching abdominal pain.Conclusion. Retroperitoneal lymphangiomas are rare tumors of infancy but may also present in adults where they are a diagnostic challenge. Differentiating cystic lymphangiomas from other cystic growths by imaging studies alone are often inconclusive and surgery is frequently required for definitive diagnosis and to ameliorate the symptoms.

scholarly journals Phytobezoar causing intestinal obstruction in a neonate: A case report

2020 ◽  
Vol 10 ◽  
pp. 3
Author(s):  
Ravi Patcharu ◽  
Karunesh Chand ◽  
Badal Parikh
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Skill ◽  
Exploratory Laparotomy ◽  
History Taking ◽  
Case Presentation ◽  
Detailed History ◽  
Radiological Features ◽  
Common Etiology ◽  
History Of ◽  
Vegetative Matter

Background: Phytobezoars are concretions of non-digestible vegetative matter in the gastroin­testinal tract and are a rare cause of intestinal obstruction in children. Case presentation: We report a case of intestinal obstruction in a 2-day-old neonate with no specific radiological features pointing to any common etiology. On exploratory laparotomy, a swollen raisin was found impacted in the ileum causing intestinal obstruction. The history taken in retrospect revealed that the elder sibling had witnessed her father perform a traditional ritual of putting a drop of honey into the mouth of the newborn and she imitated the same with a raisin, which led to the obstruction. Conclusion: A careful detailed history of local traditional rituals is at times, the most important pointer towards the etiology of a clinical condition. The basic clinical skill of history taking is still very important, despite the availability of advanced radiological investigations.

scholarly journals Congenital segmental dilatation of intestine with different morphology: A case report

2021 ◽  
Vol 10 ◽  
pp. 41
Author(s):  
Muhammad Bilal Mirza ◽  
Sumaira Noor Maham ◽  
Nabila Talat
Keyword(s):  
Rare Entity ◽  
Repeat Surgery ◽  
Case Presentation ◽  
Postoperative Course ◽  
Initial Surgery ◽  
Neonatal Intestinal Obstruction ◽  
Complete Surgical Resection ◽  
Segmental Dilatation ◽  
Male Neonate ◽  
Segmental Dilatation Of Intestine

Background: Congenital segmental dilatation of intestine is a rare entity characterized by a localized dilated segment of the intestine. It manifests as neonatal intestinal obstruction. Occurrence with another surgical anomaly may masquerade it and complicate the treatment course. Case Presentation: A 1-day-old male neonate with anorectal malformation underwent colostomy as first stage of the treatment. The stoma did not function postoperatively. At repeat surgery, congenital segmental dilatation of the ileum, with slightly different morphology, was found. Resection of the lesion and ileostomy were formed. Postoperative course remained uneventful. Conclusion: Congenital segmental dilatation of intestine may be missed at initial surgery. Complete surgical resection is curative.

scholarly journals Role of Radiologist in Diagnosis of Neonatal Small Left Colon Syndrome: A Case Report

2020 ◽  
Author(s):  
Ibrahim Haruna Gele ◽  
Muhammad Baba Sule ◽  
Sadisu Mohammed Maaji ◽  
Abubakar Musa ◽  
Muhammad Abacha
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Splenic Flexure ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Contrast Enema ◽  
Left Colon ◽  
Abrupt Transition ◽  
Neonatal Intestinal Obstruction

Neonatal small left colon syndrome is a well-defined functional disease of the lower colon and it results in signs and symptoms of intestinal obstruction. It is an uncommon cause of neonatal intestinal obstruction characterised by an abrupt transition of intestinal caliber at or near the splenic flexure. More than 50% of affected patients are born to mothers with diabetes. We report a five-day-old neonate who presented with abdominal distension and vomiting diagnosed to have small left colon syndrome by contrast enema. He had surgical resection of the narrowed segment and anastomosis with subsequent resolution of symptoms.

scholarly journals Sigmoid volvulus in pregnancy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jay Lodhia ◽  
Joachim Magoma ◽  
Joylene Tendai ◽  
David Msuya ◽  
Jamil Suleiman ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Preterm Labor ◽  
Fetal Death ◽  
Sigmoid Volvulus ◽  
Intrauterine Fetal Death ◽  
Emergency Laparotomy ◽  
Case Presentation ◽  
Radiological Features ◽  
High Degree ◽  
In Pregnancy

Abstract Introduction Sigmoid volvulus in pregnancy is a rare cause of intestinal obstruction with high maternal and fetal morbidity and mortality if not diagnosed and managed early. Case presentation A 29-year-old female (Chagga by tribe) presented with clinical features of intestinal obstruction 24 weeks into her second pregnancy. She had symptoms for one week. An emergency laparotomy was performed whereby gangrenous sigmoid volvulus was found; thus, it was resected and Hartmann’s colostomy was raised. Unfortunately, she experienced intrauterine fetal death post-operatively. She was discharged clinically stable. Conclusion Early diagnosis and management can prevent adverse effects such as bowel ischemia and preterm labor. Because classic clinical and radiological features may not be evident, high degree of suspicion is warranted.

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