scholarly journals Systemic amyloidosis due to unknown multiple myeloma in small bowel pseudo-obstruction: case report

2016 ◽  
Vol 10 (1) ◽  
pp. 15-18
Author(s):  
Giuseppe Caparrotti ◽  
Diego Di Maria ◽  
Elia Iovane ◽  
Clemente Martone ◽  
Francesco Graziani ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Small Bowel ◽  
Exploratory Laparotomy ◽  
Primary Amyloidosis ◽  
Secondary Amyloidosis ◽  
Protein Fibrils ◽  
Plasma Cell Disorders ◽  
Gastric Mass ◽  
Hematological Evaluation

Amyloidosis is a pathologic diagnosis characterized by extracellular deposition of insoluble protein fibrils in various organs and tissues. There are two main forms of amyloidosis, primary amyloidosis, and secondary amyloidosis. Gastrointestinal involvement is common in both amyloidosis forms. We describe the case of a 78-year-old woman taken to the operating room for small bowel obstruction, found to have pseudo-obstruction and enteritis. Exploratory laparotomy revealed gastric mass and histological examen showed extensive amyloid deposition consistent with amyloidosis. Hematological evaluation revealed unknown multiple myeloma. This case report and literature data suggest to perform a hematological examination in patients with amyloidosis diagnosis to exclude a multiple myeloma or other plasma cell disorders

scholarly journals Small bowel malignant tumor: a diagnostic dilemma, a case report and literature review

2020 ◽  
Vol 7 (11) ◽  
pp. 3785
Author(s):  
Mahmood A. Makhdoomi ◽  
Abdulaziz Almotlaq ◽  
Nader A. Tawfiq
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Diagnostic Dilemma ◽  
Small Bowel Tumor ◽  
Introduction History ◽  
Abdominal Examination ◽  
Bowel Dilatation ◽  
Saudi Male

A 47 years old Saudi male was admitted to king Khalid hospital with complaints of constipation and abdominal distension. Abdominal examination showed as a case of intestinal obstruction. He was fully evaluated and was treated first conservatively, until all investigative study confirmed as huge small bowel dilatation (mainly jejunum). Exploratory laparotomy confirmed small bowel tumor and on histology an adenocarcinoma. The introduction, history and research paper will also be discussed in this report.

Leiomyoma of the Ileum: A Case Report and Literature Review

2016 ◽  
Vol 70 (1) ◽  
pp. 43-46
Author(s):  
Ivana Roso ◽  
Igor Fildiski ◽  
Milcho Panovski
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Literature Review ◽  
Clinical Presentation ◽  
Exploratory Laparotomy ◽  
Definitive Diagnosis ◽  
Histopathological Analysis ◽  
Laboratory Findings ◽  
Ct Angiogram ◽  
Small Intestines

Abstract Introduction. Leiomyomas are infrequently localized on the ileum. They are diagnosed accidentally or due to complications from their existence. Case report. We present a case of a 65-year-old patient, with CT angiogram performed due to a pain, swelling and coldness in the lower extremities, which pointed to a well-vascularized tumorous formation on the small intestines. Anamnestic and laboratory findings were negative for the existence of carcinoid. Exploratory laparotomy with partial resection of the ileum was performed, using “no touch” technique and a termino-terminal anastomosis was done. Results. The operative and postoperative period were uneventful. The histopathological finding confirmed leiomyoma of the small bowel. Conclusions. Leiomyomas of the small intestines are rare and their clinical presentation is atypical. The surgical therapy is primary and often indicated to accidentally discovered lesions. Definitive diagnosis is confirmed with histopathological analysis from which the further therapy depends.

scholarly journals Multiple submucosal lipomas of small intestine: a case report

2020 ◽  
Vol 7 (9) ◽  
pp. 3133
Author(s):  
Kritika Tiwari ◽  
Rhishikesh J. Raghuvanshi ◽  
Anuja Athale ◽  
Suresh G. Deshpande
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Small Bowel ◽  
Hypertensive Patient ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Exploratory Laparotomy ◽  
Adult Intussusception ◽  
Asymptomatic Adult

Small bowel obstruction can be due to benign or malignant pathologies. Gastro intestinal lipomas are one of the benign subepithelial tumours causing obstruction. These are usually detected incidentally if asymptomatic. Adult intussusception due to intestinal lipoma is a very rare cause. We are presenting a case of male hypertensive patient with features of multiple subacute obstruction due to multiple submucosal lipomas in ileum. Exploratory laparotomy with intra-operative enteroscopy was performed and resection-anastomosis of affected segment was done.

scholarly journals Plasmacytoma as a cause of small bowel obstruction in a virgin abdomen in a patient with multiple myeloma: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Aubrey A. Mwinyogle ◽  
Astha Bhatt ◽  
Katarina Kapisoda ◽  
Justin Somerville ◽  
Steven C. Cunningham
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction

scholarly journals Simultaneous Gastric and Ileal Trichobezoars Causing Small Bowel Obstruction: A Case report

2011 ◽  
Vol 31 (1) ◽  
pp. 72-74
Author(s):  
S Lal ◽  
P Shukla ◽  
V Yedalvar ◽  
GP Shrivastava
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Alimentary Tract ◽  
Complete Evaluation ◽  
Surgical Evacuation ◽  
Gastric Mass

The corrected PDF for this article was loaded on 07/02/2011.Bezoars are conglomerates of food or fiber in the alimentary tract of humans and certain animals, mainly ruminants. A trichobezoar represents a mass of accumulated hair. Trichobezoars may present as an isolated gastric mass, as an extension into the small intestine, or as an independent fragmented mass in the small intestine. The presence of discrete coexisting gastric and ileal trichobezoars has been reported only rarely in the literature. This is a case report of a 10-year-old girl presenting with small-bowel obstruction secondary to synchronous trichobezoars in the stomach and ileum. The case highlights the role of imaging and importance of complete evaluation of the gastrointestinal tract at the time of surgical evacuation. Key words: Trichobezoars; stomach; small bowel; obstructions DOI: 10.3126/jnps.v31i1.3968J Nep Paedtr Soc 2010;31(1):72-74

scholarly journals Primary ileal volvulus: a rare twist in an elderly patient—case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Srikant Agrawal ◽  
Ashwini Ranjan Yadav ◽  
Bikash Nepal ◽  
Pramod Kumar Upadhyay
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Predisposing Factors ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of

Abstract Background Small bowel volvulus is a rare entity and it is even rarer for the ileum to undergo torsion without any known predisposing factors. It presents as acute abdomen with features of intestinal obstruction. As it is a life-threatening condition, it should be kept as a differential for small bowel obstruction despite its rarity. Therefore, we report this case. Case report A 60-year-old gentleman presented to our emergency department with a 2-day history of worsening abdominal pain, vomiting, abdominal distension and obstipation. Exploratory laparotomy was done which revealed ileal volvulus with no predisposing factors. Derotation of the segment was done. The postoperative period was uneventful and on follow up after a month, he had a satisfying recovery. Conclusion Though primary ileal volvulus is a rare diagnosis, it should be kept in mind in any patient with small bowel obstruction with pain out of proportion and resistant to opioid management. Early diagnosis and urgent surgical intervention is the key to prevent bowel necrosis and associated morbidity and mortality.

scholarly journals Transverse Colonic Volvulus: A Case Report and Literature Review of a Rare Disease

2019 ◽  
pp. 1-6
Author(s):  
John Cull ◽  
John Cull ◽  
Joshua Schammel ◽  
Palmer M ◽  
Schammel C
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Literature Review ◽  
Rare Disease ◽  
Surgical Procedures ◽  
Transverse Colon ◽  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
Colonic Volvulus ◽  
Cancer Inflammation

Obstructions of the large and small bowel are frequently caused by cancer, inflammation, post-surgical adhesions, hernias, and, more rarely, volvulus, representing <10% of all reported cases. Of these, volvulus of the transverse colon (TCV) is found in <5% of all instances of colonic volvulus with delayed diagnosis and treatment resulting in infarction, peritonitis, and death. Given the morbidity and the fact that TCV most often develops acutely, diagnosis of this condition is considered to be a surgical emergency. Common surgical procedures to correct this often involve urgent exploratory laparotomy, followed by either colopexy or colectomy with subsequent creation of colostomy or anastomoses. This is a review of all of the treatment and complications of transverse colonic volvulus published in the last 75 years.

scholarly journals Extramedullary Relapse of Multiple Myeloma Presenting as Mechanical Small Bowel Obstruction: A Case Report

2015 ◽  
Vol 88 (3) ◽  
pp. 330
Author(s):  
Myung-Won Lee ◽  
Ji-Young Moon ◽  
Hea-Won Rhu ◽  
Yoon-Seok Choi ◽  
Ik-Chan Song ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Extramedullary Relapse
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