Sub-Acute Intestinal Obstruction – A Rare Complication in a patient with Autosomal Dominant Polycystic Kidney Disease

associated with vomiting and constipation. On examination he was an obese, ill looking male with a distended abdomen and bilateral palpable flank masses. Gut sounds were sluggish. Small and large bowel loops were found to be dilated on abdominal x-ray. Computed tomography scan of the abdomen showed grossly enlarged kidneys occupying almost whole of the abdomen pushing small bowel loops anteriorly. Based on clinical and radiological findings a diagnosis of sub-acute intestinal obstruction was made. Patient was managed conservatively (i.e. with NG tube and rectal decompression). This case highlights intestinal obstruction as a rare complication of ADPKD.

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Acute Kidney Injury in ADPKD Patients with Pneumonia

International Journal of Nephrology ◽

10.4061/2011/617904 ◽

2011 ◽

Vol 2011 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Carlos Franco Palacios ◽

Mira T. Keddis ◽

Dingxin Qin ◽

Ladan Zand ◽

Guangxi Li ◽

...

Keyword(s):

Acute Kidney Injury ◽

Autosomal Dominant ◽

Kidney Injury ◽

Polycystic Kidney ◽

X Ray ◽

Lower Baseline ◽

Acute Pneumonia ◽

Chest X Ray ◽

Hospital Stays ◽

Autosomal Dominant Polycystic Kidney

Background. In animal models, polycystic kidneys are susceptible to acute kidney injury (AKI). We examined the occurrence of AKI in a cohort of autosomal dominant polycystic kidney disease (ADPKD) and non-ADPKD patients with acute pneumonia.Design. All ADPKD patients admitted to Mayo Clinic Rochester for pneumonia from January 1990 to April 2010 were examined. Sixty-three patients had lobar infiltration and consolidation on chest X-ray. After excluding patients on dialysis, with organ transplantation, and on chronic immunosuppression, 24 remaining ADPKD patients were enrolled. Twenty-three of the 24 were matched with 92 (1 : 4 ratio) non-ADPKD pneumonia patients based on their baseline eGFR. AKI was defined as serum creatinine elevation ≥0.3 mg/dL.Results. Sixteen of the 23 ADPKD patients (69.6%) and 36 of the 92 (39.1%) non-ADPKD patients developed AKI,P=0.008. In both groups, those who developed AKI had a lower baseline eGFR (41.1±5.00versus58.7±11.8in ADPKD and40.2±3.65versus51.8±2.24 mL/min/1.73 m2in the non-ADPKD group), more intensive care unit admissions, and longer hospital stays. AKI was associated with a reduced survival in both groups.Conclusions. Patients with ADPKD admitted for acute pneumonia had more frequent episodes of AKI than non-ADPKD patients with comparable kidney function.

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Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome

Case Reports in Obstetrics and Gynecology ◽

10.1155/2016/2576280 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Gerald Okanandu Udigwe ◽

George Uchenna Eleje ◽

Eric Chukwudi Ihekwoaba ◽

Onyebuchi Izuchukwu Udegbunam ◽

Richard Obinwanne Egeonu ◽

...

Keyword(s):

Intestinal Obstruction ◽

Exploratory Laparotomy ◽

Acute Intestinal Obstruction ◽

University Teaching ◽

Successful Outcome ◽

Management Approach ◽

Abdominal Pregnancy ◽

Case Presentation ◽

X Ray ◽

Female Baby

Background. Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality. When it is synchronous with abdominal pregnancy, it is even rarer.Case Presentation. A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain. Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus. Plain abdominal X-ray was diagnostic of intestinal obstruction. Conservative treatment was successful till the 34-week gestational age when she had exploratory laparotomy. At surgery, the amniotic sac was intact and the placenta was found to be adherent to the gut. There was also a live female baby with birth weight of 2.3 kg and Apgar scores of 9 and 10 in the 1st and 5th minutes, respectively, with the baby having right clubbed foot. Adhesiolysis and right adnexectomy were done. The mother and her baby were well and were discharged home nine days postoperatively.Conclusion. To the best of our knowledge, this is the first report of abdominal pregnancy as the cause of acute intestinal obstruction in the published literature. Management approach is multidisciplinary.

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Acute intestinal obstruction due to gastrointestinal stromal tumours: case report

International Surgery Journal ◽

10.18203/2349-2902.isj20203811 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3140

Author(s):

Kewithinwangbo Newme ◽

Donkupar Khongwar ◽

Ranendra Hajong ◽

Vandana Raphel

Keyword(s):

Emergency Department ◽

Case Report ◽

Intestinal Obstruction ◽

Acute Intestinal Obstruction ◽

Imaging Studies ◽

Gastrointestinal Stromal Tumours ◽

X Ray ◽

Main Culprit ◽

Aged Individual ◽

Rule Out

Gastrointestinal stromal tumours (GIST) as such is a rare disease, but according to some study it may end up to malignant type in approximately 10-30%. Herein we present a 2 cases of GIST who presented with acute intestinal obstruction in emergency department. In imaging studies (X-ray erect abdomen, ultrasonography abdomen), it showed a features of intestinal obstruction but could not rule out the exact mechanism or pathology behind the obstruction. As commonly adhesions is a main culprit behind the cause of acute intestinal obstruction in case of any post-operative patient. So, we try to highlight that in case of any old aged individual and in virgin abdomen GIST should be keep in mind as a cause of intestinal obstruction.

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Hepatopleural Fistula with Empyema Thoracis: A Rare Complication of Autosomal Dominant Polycystic Kidney Disease

ACG Case Reports Journal ◽

10.14309/crj.2018.2 ◽

2018 ◽

Vol 5 (1) ◽

pp. e2

Author(s):

Jeerawat Maytapa ◽

Kessarin Thanapirom ◽

Sombat Treeprasertsuk ◽

Piyawat Komolmit ◽

Bundit Chaopathomkul ◽

...

Keyword(s):

Kidney Disease ◽

Polycystic Kidney Disease ◽

Autosomal Dominant ◽

Rare Complication ◽

Empyema Thoracis ◽

Polycystic Kidney ◽

Autosomal Dominant Polycystic Kidney

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P53 First Reported Case of Successful Non-Surgical Management for Acute Small Intestinal Obstruction Caused by Enterolith as A Rare Complication of Jejunal Diverticulosis

BJS Open ◽

10.1093/bjsopen/zrab032.052 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

Author(s):

Fang Fang Quek ◽

Andrew Tanase ◽

Fang Fang Quek

Keyword(s):

Small Bowel ◽

Intestinal Obstruction ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Rare Complication ◽

Acute Intestinal Obstruction ◽

Jejunal Diverticulosis ◽

Jejunal Diverticulum ◽

Life Threatening

Abstract Introduction Enterolith ileus is a rare complication of jejunal diverticulosis, which in itself is a rare entity. Here we report a rare case of enterolith ileus as a complication of jejunal diverticulosis which is successfully managed conservatively. Case Report A 75-year-old female presented with a 7- day history of “gripey” abdominal pain with intermittent vomiting. She was able to pass flatus and had open bowel with small amount of loose stool. Patient was previously fit and well with no significant past medical history and had not undergone previous abdominal surgery. On admission, patient was in no acute distress and was afebrile. On examination, she had a very distended tympanic abdomen with left-sided tenderness but no palpable mass. Bowel sounds were present. Laboratory investigations revealed a white cell count of 22.6 x109/L, C-reactive protein of 26 mg/L and haemoglobin of 144 g/L. Abdominal X-rays revealed distended loops of small bowel indicating small bowel obstruction. CT images did not reveal pneumobilia which would be suggestive of gallstone ileus but showed intraluminal small bowel obstruction secondary to an enterolith in the terminal ileum. The scan also showed an inflamed jejunal diverticulum with fat stranding around but no perforation nor abscess was seen. The working diagnosis was acute intestinal obstruction caused by jejunal enterolith expulsed from jejunal diverticulum. Since no perforation nor abscess was noted, this patient was treated conservatively. Patient recovered uneventfully and was discharged with an MRI scheduled in 4-6 weeks for follow-up. The follow-up MRI was completely normal and patient has recovered uneventfully with conservative management. Discussion Acute intestinal obstruction caused by jejunal enterolith expulsed from jejunal diverticulum is rare. However, it is important to diagnose jejunoileal diverticulosis timely as they may lead to acute complications which can be life- threatening and may even cause death. Conclusion Many cases have reported jejunoileal diverticulosis being overlooked or misdiagnosed for other acute abdominal conditions. It is important to have a clinical awareness of this condition as although rare, it can lead to life-threatening complications.

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Intestinal Obstruction of Congenital Origin: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.4708 ◽

2020 ◽

Vol 58 (221) ◽

Author(s):

Mandeeep Guragai ◽

Suzit Bhusal ◽

Anwesh Bhatta

Keyword(s):

Computed Tomography ◽

Case Report ◽

Young Child ◽

Intestinal Obstruction ◽

Mechanical Obstruction ◽

Computed Tomography Scan ◽

X Ray ◽

Congenital Origin ◽

Viral Enteritis ◽

Tomography Scan

Congenital bands are rare causes of intestinal obstruction and often leads to diagnostic challenges.Diagnostic delays in cases of mechanical obstruction might lead to irreversible bowel ischemiaand perforation. Presently described is a case of an 18 month young child with severe vomitingdeveloped for one day. The child was initially thought to have acute viral enteritis and treatedaccordingly. Due to the severity, an X-Ray and computed tomography scan were sent which pointedtowards the possibility of having congenital bands. He was treated operatively. The child was keptunder observation for eleven days and was discharged. Although rare, intestinal obstruction due tocongenital bands must be considered when treating a child with severe vomiting.

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