scholarly journals ADYNAMIC GRACILOPLASTY FOR FECAL INCONTINENCE IN AN ADULT AFTER ANAL ATRESIA AND FAILED CORRECTIONS IN INFANCY – A CASE REPORT

2019 ◽  
Vol 28 (7) ◽  
pp. 72-74
Author(s):  
Narimantas Evaldas Samalavičius ◽  
Vitalija Nutautienė ◽  
Miglė Kibrancienė ◽  
Vitalijus Eismontas ◽  
Giedrius Kuprys ◽  
...  

Fecal incontinence after surgeries for anal atresia is not rare. One of the possible treatment alternatives – adynamic graciloplasty. We present a case of an adult patient to whom adynamic gracyloplasty was performed for fecal incontinence after single attempt of sphincter repair in childhood. There was a symp­tomatic improvement postoperatively, as confirmed by Wexner and FISI index. Adynamic graciloplasty could be more often used as a treatment option of fecal incontinence in adult patients with history of anal atresia.

2011 ◽  
Vol 57 (4) ◽  
pp. 25-27
Author(s):  
A I Sazonova ◽  
N V Molashenko ◽  
I S Iarovaia ◽  
N Iu Kalinchenko ◽  
E A Troshina

This case report illustrates peculiarities of the clinical course of congenital adrenal cortical dysfunction in adult patients presenting with the salt-losing form of the disease. Analysis of this case confirmed the necessity of dynamic observation of adults with this pathology in order to avoid complications that are likely to develop in case of inadequate treatment.


2019 ◽  
Vol 60 ◽  
pp. 164-167 ◽  
Author(s):  
Shogo Fukutomi ◽  
Shoichirou Arai ◽  
Masahiro Fujisaki ◽  
Kazuya Naritomi ◽  
Masahiro Kawabata ◽  
...  

2021 ◽  
Vol 34 (01) ◽  
pp. 040-048
Author(s):  
Srinivas Joga Ivatury ◽  
Lauren R. Wilson ◽  
Ian M. Paquette

AbstractFecal incontinence is a prevalent health problem that affects over 20% of healthy women. Many surgical treatment options exist for fecal incontinence after attempts at non-operative management. In this article, the authors discuss surgical treatment options for fecal incontinence other than sacral neuromodulation.


2003 ◽  
Vol 24 (8) ◽  
pp. 653-656 ◽  
Author(s):  
Sujit S. Kadambande ◽  
Kartik Hariharan

A patient with multiple tarsal coalitions presenting with symptoms at the age of 47 years is reported. The report highlights the presentation of symptomatic coalitions following trauma in adulthood. Coalitions can pose difficulties in diagnosis, particularly without previous history of pain or disability in childhood. A decrease or loss of subtalar movement, painful movement, and valgus deformity of the hindfoot are usually present in the adult patient but are not often pathognomonic and present a diagnostic conundrum, particularly with x-rays being misinterpreted. This report highlights the problem of diagnosing such a condition with the attendant difficulties in formulating treatment.


2020 ◽  
Vol 23 (2) ◽  
pp. 59-62
Author(s):  
Yugal Limbu ◽  
Manish Pokhrel ◽  
Tanka Prasad Bohara ◽  
Mukund Raj Joshi

Spontaneous rupture of umbilical hernia in an adult patient is a rare presentation. We present a case of a 43-year old male patient with long standing history of umbilical hernia who presented with sudden spontaneous rupture of the hernia with evisceration of the small bowel. The authors would like to highlight this rare complication of umbilical hernia and its management.


2021 ◽  
Vol 8 (2) ◽  
pp. 1-3
Author(s):  
Dimitrios Katsifis-Nezis ◽  

We report a case of celiac crisis in a previously healthy 51-year-old female presenting with a month’s history of diarrhea, cachexia and an abnormal metabolic panel.The patient’s diarrhea resolved after initiation of a gluten free diet and she gained 4 kilograms during hospitalization. Celiac crisis is a very rare presentation of celiac disease in adults but nonetheless should be considered in patients with marked metabolic derangements in the setting of osmotic diarrhea.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Chenshuang Li ◽  
Zhong Zheng ◽  
Xiaohong Deng ◽  
Lan Zhang ◽  
Baoyan Wang ◽  
...  

Apexification is widely applied in teenager patients but rarely used in the adult population. Instead, artificial apical barrier with mineral trioxide aggregate (MTA) is clinically accepted, and spontaneous apical closure in nonvital immature teeth of adult patients has rarely been encountered while only apexification of the maxillary incisors in adult patients has been reported. The aim of this case report is to share a successful apexification application in the mandibular premolar with a blunderbuss apex and periapical lesion of an adult patient by using calcium hydroxide: radiographically, spontaneous hard tissue barrier has been established, and narrowing canal space and decreasing area of periapical shadow were documented without complications. Taken together, our study indicates that patient’s age and tooth position may not be the critical limitation for apexification.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.


2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.


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