Acute appendicitis causing small intestinal band obstruction in a premature baby: A case report

Background: Bilious vomiting is a common symptom of neonatal intestinal obstruction. The etiology is mostly related to congenital anomalies and other conditions causing intestinal obstruction. Case Presentation: We report a case of a seven days male premature baby (35 Weeks) that presented with features of intestinal obstruction including bilious vomiting and abdominal distention. X-ray abdomen showed features of complete small bowel obstruction. On laparotomy, the baby had acute appendicitis causing multiple adhesions, and an adhesion band was responsible for intestinal obstruction. Adhesions were divided, and appendectomy performed. Postoperatively the baby had an uneventful recovery and was discharged in a stable condition. Conclusion: Neonatal appendicitis causing intestinal obstruction is a rare phenomenon and should be considered in the differential diagnosis of babies presenting with bilious vomiting.

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Laparoscopic correction of midgut volvulus due to malrotation in a patient with Marfans syndrome

International Surgery Journal ◽

10.18203/2349-2902.isj20205393 ◽

2020 ◽

Vol 7 (12) ◽

pp. 4241

Author(s):

Saurabh Sharma ◽

Radha Govind Khandelwal ◽

Prabha Om

Keyword(s):

Intestinal Obstruction ◽

Index Case ◽

Uneventful Recovery ◽

Midgut Volvulus ◽

Small Intestinal Obstruction ◽

First Case ◽

Small Intestinal ◽

Ladd’S Procedure

This case describes 13-year-old female with Marfans syndrome who presented recurrent small intestinal obstruction which was later diagnosed as acute midgut volvulus due to malrotation after extensive workup. Laparoscopic Ladd’s procedure was performed. Patient had uneventful recovery and discharged on post-operative day five. To best of our knowledge the index case is the first case of laparoscopic ladds procedure in known case of Marfans syndrome.

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

Journal of Neonatal Surgery ◽

10.47338/jns.v10.948 ◽

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.

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Clinico-pathological profile and surgical management of tubercular small intestinal obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20184621 ◽

2018 ◽

Vol 5 (11) ◽

pp. 3553

Author(s):

Lalit Choudhary ◽

Narendra Singh Bhat ◽

Kedar Singh Shahi

Keyword(s):

Intestinal Obstruction ◽

Medical Record ◽

Clinical Features ◽

Tertiary Care ◽

Abdominal Tuberculosis ◽

Common Symptom ◽

Tertiary Care Centre ◽

Small Intestinal Obstruction ◽

Ileal Stricture ◽

Small Intestinal

Background: Small intestinal obstruction is one of the most common abdominal emergencies faced by surgery resident in emergency department. Diagnosis and management of tubercular intestinal obstruction is challenging as underlying pathology is usually obscure and disease is associated with significant morbidity and mortality. The aim of this study is to know the various clinical features; different types of treatment and prognosis of tubercular intestinal obstruction in adult patients in our setting. Our centre is the only tertiary care centre belongs to Kumauni region at present, most of our patient are from low socioeconomical strata of their region.Methods: Our study was a retrospective analytic study. Medical record of all patients who were operated between 2011 and 2016 for intestinal obstruction due to abdominal tuberculosis at Surgery Department of Dr. Sushila Tiwari Government Hospital attached to GMC Haldwani were retrospectively analysed. The patients who were above 14 years of age and operated for obstruction of small bowel and whose complete medical record was available, were included in the study.Results: There were total 59 patients operated during this time span, out of these, 19 were female and 40 were male. Patients from 3’rd decades (37.29%) of their life were most commonly affected. Abdomen pain was most common symptom found in all 59 patients. Ileal Stricture was most common gross finding. Resection anastomosis was done in 71.19%.Conclusions: Most of the cases of abdominal tuberculosis presents with non-specific clinical features, inconclusive laboratory and radiography findings.

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

Journal of Neonatal Surgery ◽

10.47338/jns.v9.532 ◽

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

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Intussusception in a premature newborn: A case report

Journal of Neonatal Surgery ◽

10.47338/jns.v10.959 ◽

2021 ◽

Vol 10 ◽

pp. 30

Author(s):

Daniel Acosta Farina ◽

Diego León-Ochoa ◽

Karen Serrano-Concha ◽

Manuel Cabrera-Viteri ◽

Jorge Oliveros-Rivero ◽

...

Keyword(s):

Case Report ◽

Intestinal Obstruction ◽

Clinical Picture ◽

Neonatal Period ◽

Lead Point ◽

Case Presentation ◽

Premature Newborn ◽

Premature Babies ◽

Neonatal Intestinal Obstruction ◽

Pathological Lead Point

Background: Intussusception is rare in the neonatal period and even less common in premature babies. Case Presentation: We present a case of a premature newborn with an insidious clinical picture characterized by irritability and multiple vomits. Ultrasound was diagnostic of intussusception. The baby had a jejunal intussusception without any pathological lead point, with a favorable outcome. Conclusion: Intussusception is a rare cause of neonatal intestinal obstruction especially in premature neonates.

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