scholarly journals Role of Radiologist in Diagnosis of Neonatal Small Left Colon Syndrome: A Case Report

2020 ◽  
Author(s):  
Ibrahim Haruna Gele ◽  
Muhammad Baba Sule ◽  
Sadisu Mohammed Maaji ◽  
Abubakar Musa ◽  
Muhammad Abacha
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Splenic Flexure ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Contrast Enema ◽  
Left Colon ◽  
Abrupt Transition ◽  
Neonatal Intestinal Obstruction

Neonatal small left colon syndrome is a well-defined functional disease of the lower colon and it results in signs and symptoms of intestinal obstruction. It is an uncommon cause of neonatal intestinal obstruction characterised by an abrupt transition of intestinal caliber at or near the splenic flexure. More than 50% of affected patients are born to mothers with diabetes. We report a five-day-old neonate who presented with abdominal distension and vomiting diagnosed to have small left colon syndrome by contrast enema. He had surgical resection of the narrowed segment and anastomosis with subsequent resolution of symptoms.

scholarly journals Chronic intestinal pseudo-obstruction in newborn: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 1431
Author(s):  
Mahmoud M. Osman ◽  
Ahmed Hassan Sherif ◽  
Mohammed Saleh Alissa ◽  
Suzan Abdel Hamid ◽  
Adel Abdelsalam Alatar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Mechanical Obstruction ◽  
Imaging Studies ◽  
Primary Defect ◽  
Neonatal Intestinal Obstruction ◽  
Rare Differential Diagnosis ◽  
Intestinal Pseudo Obstruction

Chronic intestinal pseudo-obstruction (CIPO) is a rare and serious disorder of the gastrointestinal tract motility with the primary defect of impaired peristalsis. Symptoms are consistent with a bowel obstruction, although mechanical obstruction cannot be identified. It is a rare differential diagnosis for neonatal intestinal obstruction. Herein we report a case of neonate with non-resolving intestinal pseudo-obstruction, presenting since birth as progressive abdominal distention. The diagnosis was made by exclusion of mechanical causes of intestinal obstruction via thorough imaging studies.

scholarly journals Case Report: Pediatric pharmacobezoar with subacute intestinal obstruction

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1037
Author(s):  
Mahnaz Hakeem ◽  
Heeramani Lohana ◽  
Sarwat Urooj ◽  
Sheraz Ahmed
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Acute Intestinal Obstruction ◽  
Rare Entity ◽  
Persistent Vomiting ◽  
Delay In Diagnosis ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
High Index Of Suspicion

Bezoars are an undigested mass causing an intraluminal obstruction in children.  Pharmacobezoars are formed from medicines or their vehicle, considered as a less frequent type observed in children. Our objective is to report a relatively rare entity as a potential cause of intestinal obstruction in children.  Here we report a case of 13-year-old girl with a history of herbal medicine intake who presented with persistent vomiting and abdominal distension. She was diagnosed with acute intestinal obstruction and managed conservatively without any complications. The patient became stable within two days so was discharged home. We found that ineffective history could lead to a delay in diagnosis and management. Clinicians should have a high index of suspicion for pica and psychiatric disorders, especially in adolescent children.

Diagnostic performance and role of the contrast enema for low intestinal obstruction in neonates

2020 ◽  
Vol 36 (9) ◽  
pp. 1093-1101
Author(s):  
Michael Baad ◽  
Jorge Delgado ◽  
Jillian S. Dayneka ◽  
Sudha A. Anupindi ◽  
Janet R. Reid
Keyword(s):  
Intestinal Obstruction ◽  
Diagnostic Performance ◽  
Contrast Enema

scholarly journals A clinical study on the surgical management of intestinal obstruction

2019 ◽  
Vol 7 (1) ◽  
pp. 150
Author(s):  
Jyotsna Choudary Gogineni ◽  
Trupti Tonape ◽  
V. S. Athavale ◽  
Sree Kumar ◽  
Shweta Achuthan Kutty ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Management ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Abdominal Adhesions ◽  
Medical College ◽  
Common Causes ◽  
General Surgeons ◽  
The Common ◽  
A Prospective Study

Background: Intestinal obstruction remains one of the common emergencies encountered by general surgeons all over the world. Acute intestinal obstruction occurs when there is a disruption in the frontward flow of intestinal contents.Methods: This study is a prospective study conducted in Dr. D Y Patil Medical College and Hospital, Pimpri, Pune. Patients coming to the hospital with signs and symptoms suggestive of intestinal obstruction and willing for surgical management in our hospital were included after taking written and informed consent.Results: In our study, pain abdomen and abdominal distension was the most common presenting complaints in 90% and 92% of the patients respectively. On palpation, 96% of the patients had abdominal tenderness, 72% of the patients had guarding and 12% of the patients had rigidity. On auscultation, all patients had some abnormality with regard to bowel sounds. It has been noted that intestinal strictures and abdominal adhesions were amongst the most common causes of intestinal obstruction in our study.Conclusions: Prompt clinical assessment aided by radiological imaging is of crucial importance in reaching the diagnosis of intestinal obstruction. Decision regarding surgical intervention is taken based on the initial presentation of the patient, and his/her response to first line conservative management and fluid resuscitation

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

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.

scholarly journals Role of Cancer Directed Approach During Emergency Surgery; Adenocarcinoma of the Jejunum Presenting as Intestinal Obstruction: A Case Report

2017 ◽  
Vol 3 ((Supplementary)1) ◽  
Author(s):  
Som Raj Mahajan ◽  
Rajesh Chaudhary ◽  
Monika Mahajan ◽  
Tenzin Dolkar ◽  
Umesh Dhiman ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Emergency Surgery

scholarly journals Acute intestinal obstruction: small intestine vs. large intestine: an analysis

2017 ◽  
Vol 5 (1) ◽  
pp. 162
Author(s):  
Latika Sharma ◽  
Harshit Srivastava ◽  
Dharmendra Kumar Pipal ◽  
Saurabh Kothari ◽  
Rohit Dhawan ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Geographical Location ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Late Presentation ◽  
Acute Intestinal Obstruction ◽  
X Ray ◽  
Common Causes ◽  
Operative Findings ◽  
Tract Infections

Background: Bowel obstruction is one of the most common causes of acute abdomen and also a common surgical emergency.The causes of IO vary significantly depending on geographical location. The aim of this study was to identify the etiology, clinical presentation, management and outcomes of patients with acute mechanical IO presenting in Jodhpur, Rajasthan.Methods: A prospective study was conducted at Mahatma Gandhi Hospital and Mathura Das Mathur Hospital (associated with Dr. SN Medical College), Jodhpur, Rajasthan. 100 patients with acute intestinal obstruction were admitted and evaluated. Blood routine, X-Ray abdomen, USG abdomen and CECT (if required) were done. A pre-operative diagnosis was made. Intra-operative findings and Post-operative complications were noted and follow up was done till the patient was discharged from the hospital.Results: A total of 69 male and 31 female patients, presented with acute mechanical IO during the period of the study. Mean patient age was 48.5 years with peak incidence in those aged 31-45 years. The foremost signs and symptoms were abdominal distension (88%), obstipation (87%), abdominal pain (81%) and nausea/ vomiting (47%). Adhesions and bands (29%), hernia (13%), neoplasm (9%) and pseudo-obstruction (8%) were the leading causes of intestinal obstruction. The sensitivity of X-ray and USG in present study was 67% and 75% respectively. Most common complication associated was wound infection (17%) followed by paralytic ileus (7%) and respiratory tract infections (6%). Late presentation was associated with poor prognosis. 4 patients expired before surgery. Post-operative mortality was associated with 6 patients and was more common in cases which presented with gangrenous bowel.Conclusions: The most common causes of IO in this study were adhesions and bands, hernia, neoplasm and pseudo-obstruction. Presence of bowel gangrene was associated with higher morbidity and mortality.

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

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

scholarly journals Segmental dilatation of ileum in a child with juvenile idiopathic arthritis, localized myopathy with focal stasis induced immunogenic injury as a possible etiology: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Santosh Kumar Mahalik ◽  
Susama Patra ◽  
Bikasha Bihary Tripathy ◽  
Akash Bihari Pati ◽  
Manoj Kumar Mohanty ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Abdominal Distension ◽  
Female Child ◽  
Case Presentation ◽  
Ileocecal Junction ◽  
Immune Mediated ◽  
Segmental Dilatation ◽  
Segmental Dilatation Of Ileum

Abstract Background Segmental dilatation of the intestine (SDI) though uncommon is a well-known entity and more than 150 cases of SDI are reported in the literature. The presentation and association of SDI are well described; however, the association of SDI with juvenile idiopathic arthritis (JIA) has not been reported earlier. We described a case of SDI with JIA, who presented with malnutrition and chronic abdominal distension. Case presentation A 5-year-old female child was getting treated for JIA and referred to us for evaluation of chronic abdominal distension. On laparotomy, a huge SDI was found approximately 40 cm from the ileocecal junction and resection of the dilated part with approximately 2–3 cm of healthy ileum on each side and anastomosis was performed. The child recovered well and the features of arthritis also resolute 6 weeks later. From histologic analysis, we have suggested role of localized myopathy in development of segmental dilatation. We have further emphasized the link between the SDI with development of arthritis. Conclusion Etiology of SDI is multifactorial with architectural malformation of the smooth muscle due to localized myopathy is the key. Focal stasis in SDI affecting permeability and increased exposure to macromolecules, and antigens may give rise to immune-mediated arthritis. Surgical management can reduce and cure the symptoms of such patients.

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