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subacute intestinal obstruction

V S Kappikeri, Akshay Mahesh Kriplani
INTRODUCTION: Enteroliths are an uncommon entity in humans and form a rare cause of subacute intestinal obstruction. They occur proximal to stricture or in a diverticulum or a blind loop due to stasis. CASE DESCRIPTION: 40 years male presenting with intermittent right lower abdominal pain since 1 year. Barium meal follow-through and CT abdomen diagnosed as a case of subacute intestinal obstruction with an enterolith in the distal ileal segment. On exploratory laparotomy multiple ileal strictures with mesenteric adhesions were noted...
2016: SpringerPlus
Mei Chin Lim, Niketa Chandrakant Chotai, Danilo Medina Giron
We present a case of a previously healthy 50-year-old gentleman who had recurrent vomiting and abdominal pain of two-month duration. The patient was subsequently diagnosed with abdominal cocoon on computed tomography. Idiopathic sclerosing encapsulating peritonitis, also known as abdominal cocoon, is a rare cause of small bowel obstruction. Visualization of variable encasement of the small bowel loops by a characteristic membranous sac, either preoperatively with cross-sectional imaging or intraoperatively, is the key to diagnosis...
2016: Case Reports in Medicine
Amarjit Kaur, Naveen Chandrashekhar Pawar, Sonam Singla, Jaswinder Kaur Mohi, Shivani Sharma
Superior Mesenteric Artery (SMA) syndrome is one of the rare cause of proximal small bowel obstruction wherein, the third part of the duodenum is compressed between the SMA at its origin and abdominal aorta due to decreased angulations in these two vessels. This decreased angulation exerts a compression effect on third part of the duodenum, resulting in duodenal obstruction which may be complete or partial. There are number of causes which can lead to this entity and will be discussed briefly. Here we report imaging findings of such a rare cause of proximal small bowel obstruction in a young male patient who presented to the emergency surgical department with non specific symptoms of pain abdomen and abdominal fullness...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
Yifan Wang, Stephen Gowing, Goffredo Arena
INTRODUCTION: Intussusception refers to the telescoping of a segment of bowel into the lumen of an adjacent segment. While pediatric intussusception is common and generally idiopathic, adult intussusception is exceedingly rare and is usually attributable to a pathologic lead point. PRESENTATION OF CASE: 37-year-old man who presented with abdominal pain, and was preoperatively diagnosed with a colo-colonic intussusception. Intraoperatively, the lead point was found to be congenital bands, and there was no evidence of underlying malignancy...
2016: International Journal of Surgery Case Reports
Hafez Mohammad Ammar Abdullah, Muhammad Asim Shahzad, Sajjad Ullah, Waqas Ullah
Sclerosing encapsulating peritonitis (SEP) is a rare peritoneal condition characterised by a firm and thick membrane that encases a part of or the whole of the small intestine. It can be idiopathic or secondary to a variety of conditions. It usually presents as an acute or subacute small bowel obstruction, however, the presentation can vary. It may be diagnosed by radiology, although definitive diagnosis is by laparoscopy or laparotomy. It is treated by excision of the covering membrane. We report a case of a teenaged girl who presented with abdominal pain and a palpable mass in the right iliac fossa...
May 9, 2016: BMJ Case Reports
Gaurav V Kulkarni, Hrishikesh P Salgaonkar, Pradeep Chandra Sharma, Nippun R Chakkarvarty, Avinash N Katara, Deepraj S Bhandarkar
Internal hernia is the cause of only 1% of intestinal obstructions, and left paraduodenal hernias (PDH) comprise about 50% of these cases. As the presentation of PDH is varied, diagnosis is often delayed. Here, we report two patients with left PDH presenting in a subacute manner and diagnosed rapidly with the help of a CT scan. Both underwent successful laparoscopic repair; one patient had closure of the defect, and the other required excision of the sac prior to the closure. We review 21 cases of left PDH treated laparoscopically that were previously reported in the literature, including 14 from Asian countries...
May 2016: Asian Journal of Endoscopic Surgery
R K M D C D Ranaweera, S M K Gamage, D H B Ubayawansa, M M J Kumara
BACKGROUND: Intussusception is invagination of a proximal segment of bowel into the distal segment in telescopic manner. Although intussusception is common among children, intussusception secondary to terminal ileal endometriosis in an adult is a very rare encounter. We present such a case of intussusception in a Sri Lankan female. CASE PRESENTATION: A 43 year old Sri Lankan female presented to the surgical casualty unit with features of a subacute intestinal obstruction...
April 26, 2016: BMC Research Notes
A-W N Meshikhes
INTRODUCTION: Diaphragm disease is a rare consequence of small-bowel enteropathy, and usually occurs as a result of longstanding ingestion of non-steroidal anti-inflammatory drugs. DD is characterized by multiple strictures and saccular dilatations leading to symptoms of subacute intestinal obstruction. Often, the diagnosis is made on histological examination after laparotomy and resection of diseased small bowel. CASE HISTORY: Here, we report a case of an elderly female who suffered for many years from chronic, colicky abdominal pain and anaemia due to undiagnosed diaphragm disease...
May 2016: Annals of the Royal College of Surgeons of England
S Akbulut, Y Yagmur, S Bakir, N Sogutcu, D Yilmaz, A Senol, M V Bahadir
PURPOSE: This paper provides an overview of the literature on appendicular tuberculosis (ATB) between 1909 and 2010. METHODS: We present two cases of primary ATB and a literature review of studies on ATB published in English and accessed via the Pubmed and Google Scholar databases. RESULTS: One hundred fifty-five published cases of ATB were reviewed, and two patients with primary ATB, treated and followed in our clinic, were reported. The age range of the patients (62 females, 60 males and 33 with unnoted gender) was between 2 and 60 years, with a mean age of 27...
December 2010: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
J M L Williamson, M Stevens, D Mahon
A mixed Müllerian mesodermal tumour (MMMT) is a rare aggressive carcinosarcoma. Metastatic progression is uncommon, and occurs via haematological, lymphatic and intraperitoneal spread. Although the latter is seen most frequently, the small intestine seems to be relatively preserved from disease progression with only one reported case of synchronous involvement. We report a case of metachronous MMMT involvement of the small bowel presenting with subacute obstruction that was successfully resected at operation...
February 2016: Annals of the Royal College of Surgeons of England
Govind Yadav, Sabir Husain, Ram Shukla, Rakesh Patidar, Rohtash Luthra
No abstract text is available yet for this article.
August 2015: Indian Journal of Surgery
Willy Arung, Nathalie Dinganga, Emmanuel Ngoie, Etienne Odimba, Olivier Detry
For many reasons, laparoscopic surgery has been performed worldwide. Due to logistical constraints its first steps occurred in Lubumbashi only in 2008. The aim of this presentation was to report authors' ten-month experience of laparoscopic surgery at Lubumbashi Don Bosco Missionary Hospital (LDBMH): problems encountered and preliminary results. The study was a transsectional descriptive work with a convenient sampling. It only took in account patients with abdominal surgical condition who consented to undergo laparoscopic surgery and when logistical constraints of the procedure were found...
2015: Pan African Medical Journal
Ranjan Premaratna, Mindu S Weerasinghe, Nuwan P Premawardana, H Janaka de Silva
BACKGROUND: Gloriosa superba (GSb) is a highly poisonous plant and its toxicity is due to anti-mitotic effects of constituents such as colchicine and gloriosine on rapidly proliferating cells. Poisoning is known to cause very rapid and severe clinical manifestations due gastro intestinal, neurological, cardiac and bone marrow toxicity. CASE PRESENTATION: A young male presented with an acute onset febrile illness associated with diarrhoea, confusion, haematuria and aggressive behavior of 4 days duration...
2015: BMC Pharmacology & Toxicology
Ioannis Sarantitis, Adam Daniel Gerrard, Rebecca Teasdale, Stephen Pettit
Non-steroidal anti-inflammatory drugs (NSAIDs) can produce diaphragm disease where multiple strictures develop in the small bowel. This typically presents with anaemia and symptoms of small bowel obstruction. The strictures develop as a result of circumferential mucosal ulceration with subsequent contraction of rings of scar tissue. We report a case of a 47-year-old woman with a 6-month history of NSAIDs abuse who presented with subacute small bowel obstruction 1 year after stopping NSAIDs. CT and MRI showed multiple ileal strictures with florid locoregional lymphadenopathy...
2015: BMJ Case Reports
Ridvan Yavuz, Sami Akbulut, Mehmet Babur, Firat Demircan
INTRODUCTION: Sclerosing encapsulating peritonitis (SEP) is characterized by partial or complete encasement of small intestine by a thick fibrocollagenous membrane. Depending on underlying causes, SEP is divided into primary and secondary forms. Idiopathic SEP is also called idiopathic or abdominal cocoon syndrome. Herein we presented a case of idiopathic SEP. CASE PRESENTATION: A 90-year-old male patient presented to our emergency department with signs and symptoms of intestinal obstruction and dehydration...
May 2015: Iranian Red Crescent Medical Journal
J-P Estrade, B Gurriet, J-P Franquebalme, J-M Chinchole, E Glowaczower, C Ferry, P Crochet, A Agostini
STUDY OBJECTIVE: To evaluate the efficacy and safety of vaginal prosthetic adhesive (VPA) during laparoscopic sacrocolpopexy. DESIGN: Retrospective analysis of 35 first consecutive cases. SETTING: Gynecology Surgery Unit, Bouchard Clinic, Marseille, France. PATIENTS: Thirty-five women (age range: 35-85 years; average 60.8 years) presenting a genital prolapse assessed by a Pelvic Organ Prolapse Quantification (POP-Q) Score (stage 2 to 4)...
June 2015: Gynécologie, Obstétrique & Fertilité
Spoorthy Sudhakar Shetty, Charan Kishor Shetty
Eosinophilic enteritis is a rare disorder presenting mostly with diarrhea, malabsorption, abdominal pain, weight loss, and hypersensitivity. Surgical manifestation of eosinophilic gastrointestinal disorders depends on the site and extent of involvement. In our case series of four patients two of them had ileocaecal masses with recurrent subacute intestinal obstruction with past history of intake of antitubercular drugs for 9 months. On histopathological examination both of them proved to have eosinophilic enterocolitis...
2015: Case Reports in Surgery
Chaonan Dong, Wee Sing Ngu, Simon E Wakefield
A 45-year-old woman, a smoker, presented acutely with subacute small bowel obstruction. Abdominal CT scan showed features of ileocaecal Crohn's disease. She was treated with high dose steroids and her symptoms rapidly settled. A few days later she was discharged on a reducing steroid course in addition to azathioprine. Outpatient colonoscopy was performed and reported as normal but there was failed terminal ileal intubation. Three months later, she represented as an emergency with complete small bowel obstruction...
April 22, 2015: BMJ Case Reports
Mohammad Zain Sohail, Shumaila Hasan, Benan Dala-Ali, Shahanoor Ali, M A Hashmi
Sclerosing encapsulating peritonitis (SEP) or abdominal cocoon is a rare acquired condition with an unknown aetiology. It is characterized by encapsulation of the small bowel by a fibrous membrane and can lead to intestinal obstruction. We present the case of a 42-year-old gentleman with a history of hepatitis C, tuberculosis, and previous abdominal surgery, who presented with subacute intestinal obstruction. Surgical exploration of the abdomen revealed that the entire contents were enclosed into three distinct sacs by a dense fibrous membrane...
2015: Case Reports in Surgery
Magdalena Kurnik, Krzysztof Gil, Mariusz Gajda, Piotr Thor, Andrzej Bugajski
INTRODUCTION: Impairment of the enteric nervous system has been suggested to occur within the pathogenesis of neurodegenerative diseases. Thus, in the current study, we consider salsolinol (1-methyl-6,7-dihydroxy-1,2,3,4-tetrahydroisoquinoline, SAL) as a substance that can potentially induce myenteric neurodegen-eration. MATERIAL AND METHODS: Male Wistar rats were subjected to continuous intraperitoneal dosing of salsolinol (200 mg/kg in total) with osmotic mini-pumps for either two or four weeks...
2015: Folia Histochemica et Cytobiologica
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