A Various Method of Surgical Management in Patients with Acute Intestinal Obstruction: A Case Series

2019 ◽  
Vol 10 (11) ◽  
pp. 2628
Author(s):  
V. Naveen Kumar ◽  
G. Swaminathan ◽  
K.S. Ravishankar
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Management ◽  
Case Series ◽  
Acute Intestinal Obstruction

scholarly journals STUDY OF SURGICAL MANAGEMENT OF INTESTINAL OBSTRUCTION FROM CENTRAL INDIA: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 10 (3) ◽  
pp. 3070-3073
Author(s):  
Samadhan Patil
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Central India ◽  
Signs And Symptoms ◽  
Tertiary Hospital ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Cross Sectional ◽  
Mortality And Morbidity

Intestinal obstruction is a common surgical emergency with high mortality and morbidity rates. About 15% of all emergency room visits for acute abdominal pain are due to intestinal obstruction. Acute intestinal obstruction may manifest in a variety of ways, from a relatively normal appearance with only minor abdominal pain and distension to a condition of hypovolemic or septic shock (or both) that necessitates an emergency procedure. In present study we aimed to evaluate surgical management of intestinal obstruction at our tertiary hospital. The current research included patients aged 21 to 80 who had an acute intestinal obstruction that was surgically treated. After initial resuscitation, patients with strong signs and symptoms of acute obstruction were treated with an appropriate surgical procedure. All of the information was recorded in a preformat and analysed using descriptive statistics. 144 patients had surgery for acute intestinal obstruction during the study period. 51 to 60 years old was the most common age group (26 %), followed by 41 to 50 years old (21 %). In a ratio of 2.8:1, male patients were more frequently affected than female patients. Previous abdominal surgery (56 %), diabetes (31 %), smoking (25 %), hypertension (24 %), and bronchial asthma/ COPD (15 %) were all found to be common comorbidities in this research. Postoperative adhesions (47 %), malignancy (15 %), obstructed hernia (11 %), and Koch's abdomen were the most common causes of intestinal obstruction in this report (8 %). Adhesiolysis (47 %), resection and anastomosis (22 %), diversion colostomy (13 %), and hernioplasty were the most common surgical procedures in this study (11 %). The most common post-operative complications were fever (15%) and wound infection (11%) respectively. The post-operative mortality rate was 13%. (9 patients). Complications such as septicaemia, peritonitis, and respiratory infection account for the majority of deaths. Intestinal obstruction is often caused by postoperative adhesions. Early operative procedures, in combination with clinical diagnosis and radiological findings, may enhance the outcome of acute intestinal obstruction.

scholarly journals Ileosigmoid Knotting Causing Double Lumen Acute Intestinal Obstruction and Gangrene: Review and A Case Report

2020 ◽  
Author(s):  
Arun Kumar Gupta ◽  
Md Abu Masud Ansari ◽  
Sneh Jayant ◽  
Shubham Goel ◽  
Lalit Kumar Bansal
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
English Literature ◽  
Case Series ◽  
Acute Intestinal Obstruction ◽  
Surgical Removal ◽  
Free Text ◽  
Stoma Formation ◽  
Compound Volvulus

Ileosigmoid Knotting is a rare cause of intestinal obstruction. It is also called as compound volvulus or double volvulus. It is caused by the wrapping of the ileum around the sigmoid colon and its mesentery or vice-versa. It is a rapidly progressive condition, leads to acute intestinal obstruction and gangrene in ileum as well as in the sigmoid colon. Early diagnosis and intervention is the key to a better outcome. Due to the rarity and unfamiliarity of this entity, diagnosis is usually made intraoperatively. Surgical removal of the gangrenous segment with either stoma formation or anastomosis is the only hope.An additional systemic search of the literature was done in PubMed, MEDLINE, ISIS, Embase, and CAS searches with the following free text keywords: ileosigmoid knotting, intestinal knotting, compound volvulus and double volvulus in English literature. Around 64 studies were identified, out of which 38 studies were selected for this article after the removal of duplicates and unrelated articles. These case series and reports were reviewed for aetiopathogenesis, presentation, diagnostic modalities, surgical interventions, and outcome.Along with this review article, there was a case report of ileosigmoid knotting in a 38-year-old male patient that presented in the surgical Emergency Department; with complaints of generalised pain and distention of abdomen for two days. Also, he had complained of not passing flatus and motion for two days. On examination, patient had generalised tenderness and bowel sounds were absent. X-ray abdomen showed dilated small and large bowel with multiple air-fluid levels. After resuscitation, an emergency exploratory laparotomy was done, and the diagnosis of ileosigmoid knotting with gangrene of both ileum and sigmoid colon was made intraoperatively. After resection of both gangrenous segment, colocolic anastomosis and double barrel ileostomy was performed. The postoperative course was uneventful, and patient was discharged on 7th postoperative day.

scholarly journals Midgut malrotation: case series

2021 ◽  
Author(s):  
Dimple Gupta ◽  
Shivani B. Paruthy ◽  
Anirban Das ◽  
Radhika Thakur
Keyword(s):  
Intestinal Obstruction ◽  
Neonatal Period ◽  
Case Series ◽  
Acute Intestinal Obstruction ◽  
Definitive Diagnosis ◽  
Chronic Abdominal Pain ◽  
Midgut Malrotation ◽  
Abdominal Symptoms ◽  
Left Hypochondrium ◽  
Left Abdomen

Mal rotation of midgut is associated with other anomalies usually encountered in neonatal period or early childhood. If undetected in childhood it presents in adulthood with small bowel obstruction, repeated appendicitis or chronic abdominal symptoms. CECT abdomen is mandatory for diagnosis though it often presents as surgical surprise on abdominal laparotomy. Hereby, we presented 3 cases where it was undetected till adulthood though CECT was mandatory for definitive diagnosis. Case 1 patient presented with chronic abdominal pain on left abdomen was actually malrotation with appendix lying on left hypochondrium and stenosed fourth part duodenum adding to vomiting off and on. Case 2 patient in adulthood presented with repeated sub-acute intestinal obstruction because of midgut mal-rotation. Relieved after Ladd band was cut and obstructive symptoms relieved. Case 3 patient had inflammed appendix in subhepatic position was cause of chronic pain with para duodenal hernial sac adding to intestinal obstruction with malrotation of midgut.

scholarly journals Abdominal tuberculosis: a surgical emergency

2017 ◽  
Vol 5 (9) ◽  
pp. 3847
Author(s):  
Rajandeep Singh Bali ◽  
Rahul Jain ◽  
Yawar Zahoor ◽  
Ankul Mittal
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Acute Intestinal Obstruction ◽  
Care Hospital ◽  
Number Of Patients ◽  
Management Protocol ◽  
Operative Findings

Background: To study and assess the clinico-pathologic profile, intra-operative findings, surgical intervention performed and outcome in terms of morbidity and mortality of the patients included in the study group.Methods: This study was carried out at Lok Nayak Hospital and Maulana Azad Medical College, New Delhi, a tertiary care hospital between November 2011 to March 2015. It was a retrospective study in which the records of the patients operated upon in the emergency department as peritonitis or acute intestinal obstruction and whose diagnosis was later confirmed as tuberculosis on histopathology were analysed with regards clinic-pathologic profile, intra-operative findings, surgical intervention performed and outcome in terms of morbidity and mortality.Results: The mean age of our study group was 28.7 years. 70% of our patients were found to be in the underweight category and 30% were in the normal category. Fourty three (56.6%) presented to the hospital with features suggestive of peritonitis and thirty-three (43.4) were suffering from acute intestinal obstruction. The commonest intra-operative finding encountered was ileal perforation followed by multiple small bowel perforations, solitary stricture of the small bowel with perforation, ileo-cecal mass, adhesions or bands, single or multiple strictures, stricture with impending small bowel perforation and jejunal perforation. The frequently performed surgical procedures were ilesotomy, resection and anastamosis of the involved bowel, primary repair of thr perforation, right hemicolectomy, adhesiolysis, stricturoplasty (done in case of single stricture, mostly), jejunostomy and peritoneal and omental biopsy.Conclusions: Tuberculosis is a very grave disease, studies with larger number of patients need to be conducted to standardise its surgical management as at present there is no standardised surgical management protocol.

Clinical study of surgical management of acute intestinal obstruction in the adults

2021 ◽  
Vol 19 (1) ◽  
pp. 18-21
Author(s):  
Amit Girme ◽  
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Management ◽  
Tertiary Care ◽  
Abdominal Distension ◽  
Acute Intestinal Obstruction ◽  
Emergency Laparotomy ◽  
Care Hospital ◽  
Age Group ◽  
Female Ratio ◽  
Male Predominance

Background: Acute Intestinal obstruction is defined as an obstruction in forwarding propulsion of the contents due to mechanical or neurological causes. Present study was aimed to evaluate the etiology, clinical presentation, surgical management and outcomes in patients with acute intestinal obstruction at our tertiary care hospital. Material and Methods: Present study was retrospective study conducted in patients >18 years age, diagnosed as case of intestinal obstruction, underwent emergency laparotomy for acute intestinal obstruction. Results: In present study, total 92 cases were studied. male predominance (72.83 %) was noted and male to female ratio was 2.68:1. Most common age group was between 41- 50 years (26.09%) followed by 51-60 years (20.65%) and 61-70 years (16.3%) age group. In present study most common sign and symptoms were abdominal tenderness (89.13 %), abdominal pain (85.87 %), vomiting (83.7 %), abdominal distension (75 %) and constipation (60.87 %). In present study most common etiology noted was adhesive obstruction (41.3 %), obstructed inguinal hernia (27.17 %), incisional hernia (9.78 %) and sigmoid volvulus (6.52 %). Other less common causes were ileocecal tuberculosis (3.26 %), ascending and descending colon growth (3.26 %), rectum/anal canal growth (3.26 %), sigmoid colon growth (2.17 %), internal hernia (2.17 %) and intussusception (1.09 %). Adhesiolysis + Resection Anastomosis (44.57 %) was most common surgical procedure followed by herniorrhaphy (36.96 %) and resection anastomosis (15.22 %). Sepsis (15.22 %), urinary tract infection (13.04 %), wound infection (11.96 %), basal atelectasis (6.52 %) and burst abdomen (6.52 %) were common complications noted in post-operative period. In present study 9.72% mortality was noted. Conclusion: Success in the treatment of acute bowel obstruction depends mainly on the early diagnosis and efficient management and treating the pathological effects of the obstruction as much as the treatment of the cause itself.

scholarly journals Jejunogastric Intussusception - Case Series Reporting

1970 ◽  
Vol 17 (2) ◽  
pp. 134-137
Author(s):  
MAR Sarkar
Keyword(s):  
Intestinal Obstruction ◽  
Case Series ◽  
Rare Condition ◽  
Acute Intestinal Obstruction ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Jejunogastric Intussusception ◽  
Back Ground ◽  
Upper Gi Endoscopy ◽  
Acute Form

Jejunogastric Intussusception is rare but potentially serious complication of gatrojejunostomy or gastrectomy requiring early diagnosis and prompt surgical intervention in acute form of the complication. Upper GI Endoscopy by a familiar person with this rare condition is diagnostic. The clinical picture of acute intestinal obstruction with haematemesis in the back ground of gastrectomy or gastrojejunostomy may make the illusive diagnosis definite and demand surgery to reduce morbidity and mortality of the patients. In our all the 4 cases Upper G I Endoscopy found to be diagnostic. Keywords: Jejunogastric Intussusception; Upper GI Endoscopy; Acute intestinal obstruction. DOI: 10.3329/jdmc.v17i2.6598J Dhaka Med Coll. 2008; 17(2) : 134-137

Sign in / Sign up

Export Citation Format

Share Document