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Keywords Diagnosis of small bowel obstr...

Diagnosis of small bowel obstruction

https://read.qxmd.com/read/38532296/indications-for-readmission-for-small-bowel-obstruction-a-comparison-of-medical-vs-surgical-service-admission
#1
JOURNAL ARTICLE
Emily L Sturm, Alexandra L Van Horn, Molly E Sternick, Alexa P Soult, Rebecca C Britt
Small bowel obstruction (SBO) impacts the health care system and patient quality of life. Previously, we evaluated differences between medical and surgical admissions in the management of SBO. This study investigates indications for readmission based on original admission to medical (MS) or surgical services (SS). A retrospective chart review was performed for 799 patients aged 18 to 89 admitted between 2012 and 2019 with a diagnosis of SBO. Patient characteristics examined included length of stay (LOS), prior abdominal operations, prior SBO, use of small bowel follow through imaging, operative intervention, mortality, and 30-day readmission...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38522504/robotic-assisted-uterine-transposition-followed-by-anatomic-pelvic-repositioning-for-a-patient-with-intramural-fibroids-and-rectal-cancer
#2
JOURNAL ARTICLE
Megan E Gornet, Mindy S Christianson, Rebecca L Stone
OBJECTIVE: To report the first described case of robotic-assisted utero-ovarian transposition followed by anatomic repositioning in the pelvis and cervico-vaginal anastomosis in a woman with uterine fibroids, which was performed for fertility preservation in the context of pelvic radiation for rectal cancer. DESIGN: Description of technique and live-action narrated surgical footage showing uterine transposition and repositioning. SUBJECT(S): 36 year-old woman with a new diagnosis of cT3N2M0 rectal adenocarcinoma, planned for neoadjuvant chemotherapy and pelvic radiation, who desired fertility preservation permissive of future pregnancy...
March 22, 2024: Fertility and Sterility
https://read.qxmd.com/read/38522478/abdominal-complications-of-ascariasis-in-childhood
#3
REVIEW
Ivonete Siviero, Ugo V B de Almeida, Betina C Bertrand Simões, Claudia R R Penna, Elazir B M Di Puglia
OBJECTIVE: Complications of ascariasis are a significant cause of abdominal pain in pediatric emergencies, especially where it is endemic. A literature review was conducted with the aim of improving diagnostic and therapeutic approaches for these patients. DATA SOURCES: A PubMed search was conducted using the key terms "ascariasis complications" and "hepatobiliary ascariasis". The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, case reports, and reviews published up to December 2023...
March 21, 2024: Jornal de Pediatria
https://read.qxmd.com/read/38518460/gallstone-ileus-an-unusual-complication-of-cholelithiasis-in-a-42-year-old-female-with-no-comorbidities
#4
Khalil Abuzaina, Sulaiman Fakhouri, Zahra I H Makhamre, Wala' K A Alzatari, Merna A B Hazaza, Leen N Y Jawabreh
INTRODUCTION AND IMPORTANCE: Gallstone ileus is a rare condition, accounting for 0.5 % of mechanical small bowel obstructions. It is a misnomer for mechanical intestinal obstruction caused by one or more gallstones impacted within the gastrointestinal tract lumen, which occurs mostly in the elderly and female population. Treated usually by operative enterolithotomy. Preoperative diagnosis is challenging, but CT, which is investigation of choice, and magnetic resonance imaging (MRI) have made it easier to diagnose...
March 19, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38513418/case-report-jejunal-diverticulosis-with-chronic-interstitial-and-mesenteric-adhesions-chronic-mesenteric-volvulus-and-decompensated-small-bowel-obstruction
#5
Sarlote Agate Vanka, Janis Rudzitis, Ingus Skadins, Juta Kroica, Sintija Miluna-Meldere, Janis Dreijers
INTRODUCTION: Jejunal diverticulosis has not gained significant attention because of its rarity and typically asymptomatic course as well as the relative diagnostic inaccessibility of the jejunum. This report presents a rare case of jejunal diverticulosis complicated with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction. PRESENTATION OF CASE: An 84-year-old man was admitted to the emergency room with a 24-h history of acute colicky abdominal pain...
March 19, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38510899/primary-midgut-volvulus-an-unusual-case-of-a-young-adult-necessitating-extensive-bowel-resection
#6
Ibrahim El Nogoomi, Rania Jumah, Khadijah O Zaidan, Ammar Agha
Primary small bowel volvulus (SBV), commonly known as midgut volvulus, is an uncommon condition in which the small intestine rotates around its own mesenteric axis. This case report details the diagnostic and management challenges encountered in a rare presentation of primary SBV in a previously healthy 19-year-old male. Our patient presented with acute abdominal pain, vomiting, and signs of shock, prompting urgent medical attention. He was sent for exploratory laparotomy and underwent extensive resection of the gangrenous bowel...
February 2024: Curēus
https://read.qxmd.com/read/38500945/eosinophilic-enteritis-causing-recurrent-small-bowel-obstruction-a-case-report
#7
Clifford Atuiri, Wei Zhang, Christopher Cronin
Eosinophilic enteritis is an inflammatory condition characterized by eosinophilic infiltration of the gastrointestinal tract. This case report highlights a unique presentation of eosinophilic enteritis as a cause of recurrent small bowel obstruction. The diagnosis was elusive despite extensive abdominal imaging. A histopathologic examination of a full-thickness bowel segment showing extensive eosinophilic infiltration in the muscularis propria was vital in establishing the diagnosis. This report underscores the diagnostic complexities associated with eosinophilic enteritis and the need to consider this condition as a potential cause of recurrent abdominal pain and small bowel obstruction...
February 2024: Curēus
https://read.qxmd.com/read/38495965/internal-hernia-through-a-mesenteric-defect-following-esophagectomy-and-reconstruction-with-a-stomach-preserved-ileocolic-interposition
#8
Daisuke Tomita, Kentoku Fujisawa, Yu Ohkura, Masaki Ueno, Harushi Udagawa
Esophagectomy is the standard treatment for esophageal cancer and often involves the stomach as a substitute organ for esophageal reconstruction. However, we actively perform stomach-preserved ileocolic interposition because of its advantages in gastrointestinal function and the prevention of reflux esophagitis. Despite its benefits, few facilities perform esophageal reconstruction with ileocolic interposition; hence, postoperative complications following this procedure have rarely been reported. We present the first case of internal hernia through a mesenteric defect following esophagectomy and reconstruction with a stomach-preserved ileocolic interposition...
March 2024: Curēus
https://read.qxmd.com/read/38487643/small-bowel-obstruction-in-a-29-year-old-male-with-congenital-peritoneal-bands-a-rare-case-report-from-syria
#9
Mouhammed Sleiay, Bilal Sleiay, Douha Albaroudi, Hasan Alsmoudi, Mohammad Ali Abshi, Mohammed Alaswad, Abdulazez Sleiay, Osama Arabi
This case highlights the significance of maintaining clinical suspicion for CPBs in adults presenting with SBO. Early surgical intervention, offering both diagnosis and treatment, is essential for managing this rare cause of SBO. Increased clinical awareness of CPBs will help ensure they are considered in the differential diagnosis of adult patients with bowel obstruction.
March 2024: Clinical Case Reports
https://read.qxmd.com/read/38471214/bezoar-in-meckel-s-diverticulum-case-report-and-narrative-review
#10
Guillaume Tcheutchoua Soh, Abdourahmane Ndong, Adja Coumba Diallo, Jacques Noel Tendeng, Mohamed Lamine Diao, Ibrahima Konate
INTRODUCTION: Bezoars are a known cause of complications in Meckel's diverticulum. We present a case in which a bezoar in a Meckel's diverticulum resulted in intestinal obstruction. In addition, we conducted a narrative review to explore the association between Meckel's diverticulum and bezoars. CASE PRESENTATION: We present the case of a 22-year-old patient admitted for bowel obstruction persisting for three days and periumbilical tenderness. Abdominal CT tomography revealed a hyper dense circular structure with a diameter of 2 cm, small bowel distension of 41 mm, and free fluid...
March 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38469797/double-balloon-enteroscopy-for-the-detection-of-gist-in-a-patient-with-neurofibromatosis-type-1
#11
JOURNAL ARTICLE
Liliangzi Guo, Jie-Li Chen, Li-Sheng Wang, Jun Yao
NF1 is an autosomal dominant hereditary disease, with a prevalence of at least 1 in 4000-5000 population. The diagnosis criteria of NF1 included typical manifestations such as café-au-lait spots, frecking in the axilla or inguinal region, multiple neurofibromas, Lisch nodeules, and distinctive osseous lesions. Genetic testing shows NF1 mutation. It is essential for tumor surveillance in NF1 patients because their life expectancy is about 54 years due to malignancy. A case of NF-1 patient receive laparoscopic small bowel resection and finally diagnosed as adenocarcinoma and ganglioneuroma...
March 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38469174/emergency-transabdominal-preperitoneal-tapp-repair-of-a-strangulated-obturator-hernia-a-literature-review-and-video-vignette
#12
REVIEW
Valentin Butnari, Ahmer Mansuri, Subham Prasad Jaiswal, Mohamed Wael Ahmed, Moataz Ewedah, Dixon Osilli, Francesco Di Nubila, Robert Leonides Buhain, Sayed Haschmat Sarwary, Sandeep Kaul
Obturator hernia (OH), a rare and potentially life-threatening condition, presents diagnostic and therapeutic challenges. This review article comprehensively delves into the clinical features, diagnosis, and management of OH, with a particular emphasis on the pivotal role of computed tomography (CT) in timely and accurate diagnosis. Delays, particularly in contrast-enhanced CT, dramatically increase mortality due to potential bowel strangulation. To illustrate the challenges and complexities surrounding OH, we present a video vignette of a 74-year-old female patient who presented with symptoms suggestive of bowel obstruction (BO) secondary to a strangulated left-sided OH...
2024: Journal of Clinical Imaging Science
https://read.qxmd.com/read/38463772/the-role-of-multimodal-ultrasound-in-diagnosis-of-fetal-bowel-dilatation-and-prediction-of-adverse-neonatal-outcomes-a-study-of-86-cases-in-a-series-of-43-562-births
#13
JOURNAL ARTICLE
Xuelei Li, Meng Zhou, Shanshan Wang, Chaoxue Zhang
OBJECTIVE: To investigate the diagnostic utility of multimodal ultrasound for fetal bowel dilatation (FBD) in different parts of the bowel and to examine its prognostic potential in FBD. METHODS: This retrospective study analyzed 86 fetuses with a dilated bowel identified via ultrasound in a 10-month postnatal follow-up. Both two- and three dimensional (2D and 3D, respectively) ultrasound volume imaging were used to characterize dilation across different bowel sections...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38450492/intestinal-cystic-lymphangioma
#14
JOURNAL ARTICLE
Arturo García Pavía, Alex Akana Ngatia, Jackson Lokili Ebune
A 7-year-old girl, coming from a rural area in Cameroon, presented to the emergency department with a 3-months history of abdominal pain. Her family also reported vomiting and minimal food intake for two weeks. Physical examination showed a palpable and mobile abdominal mass. An ultrasound showed a large intrabdominal multicystic lesion of about 10cm, close to the intestine and with no solid lesions in other organs. A laparotomy was scheduled and a mobile mass dependent on the jejunum was found. The mass caused an intestinal obstruction and was composed of several large cysts with whitish fluid...
March 7, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38445118/small-bowel-obstruction-due-to-abdominal-cocoon-syndrome-in-post-covid-19-patients
#15
JOURNAL ARTICLE
Mohammad Aboelnaga, Mohamed S Elkadi, Islam E Abdelhady, Yomna H Elwan
BACKGROUND: Abdominal cocoon syndrome, also recognized as encapsulating peritoneal sclerosis, is an exceedingly rare medical condition characterized by an anomalous membranous envelopment of the small bowel. Despite its clinical rarity, the precise etiology and pathogenic mechanisms of this syndrome remain elusive. METHODS: This comprehensive discussion presents a case series encompassing six patients who sought medical attention in the Emergency Room, all sharing a common presentation: severe abdominal distension and persistent constipation...
February 2024: Curēus
https://read.qxmd.com/read/38445117/congenital-transmesenteric-hernia-with-closed-loop-small-bowel-obstruction-and-intestinal-gangrene-in-an-adult
#16
Siddharth V Songadkar, Dency S Hansalia, Haryax V Pathak, Jitesh A Desai
Internal hernias (IHs) are defined as the protrusion of the intestine through an aperture in the peritoneal ligament, mesentery, or the omentum, without traversing the fascial planes and leading to encapsulation of the protruded intestine within another compartment of an otherwise intact abdominal cavity. Internal hernias can be acquired or congenital. Congenital internal hernias resulting in small bowel obstruction are extremely rare, even more so in adults, occurring usually due to embryological or developmental defects, often undiagnosed, and requiring a high index of clinical suspicion...
February 2024: Curēus
https://read.qxmd.com/read/38442967/management-of-small-bowel-obstruction-in-the-third-trimester
#17
JOURNAL ARTICLE
Mariam Ayyash, Madison Miller, Nicolina Smith, Jeannette Espy, Sun Kwon Kim
Small bowel obstruction (SBO) in pregnancy is exceedingly rare. Management of SBO in the third trimester may pose particular challenges, as clinicians must determine whether or not the delivery of the fetus is indicated. In this report, we review the case of a patient in her mid-20's with no prior surgical history who presented with nausea and vomiting at 34 weeks of gestation and was ultimately diagnosed with an SBO. Following expectant management during the initial 4 days of inpatient admission, the patient subsequently underwent an exploratory laparotomy at 35 weeks without concurrent delivery...
March 5, 2024: BMJ Case Reports
https://read.qxmd.com/read/38440227/case-report-an-unusual-presentation-of-intra-abdominal-desmoplastic-small-round-cell-tumor
#18
Akshay Nilesh Desai, Christine Jane Kurian, William Rafferty, Danielle Lajoie Behrens, Polina Khrizman
BACKGROUND: Intra-abdominal desmoplastic small round cell tumor (IDSRCT) is a rare entity (0.2-0.74 cases per million people per year), which predominantly occurs in young men. It may present as an abdominal mass with pain, distention, and constipation. IDSRCT has a very poor prognosis, with 5-year overall survival estimated at 15%-30%. Diagnosis is made with tissue biopsy. CASE DESCRIPTION: We present a case of a 28-year-old man with a history of schizophrenia and depression who presented to an emergency room (ER) in November 2022 with constipation and pelvic pain...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38435937/when-the-gut-took-a-wrong-turn-to-the-right-a-case-report-of-a-rare-complication-of-closed-loop-small-bowel-obstruction-with-small-bowel-volvulus-in-a-right-paraduodenal-hernia-with-midgut-malrotation
#19
Samanvitha H, Sushmitha Puttappa Shivagange, Shantkumar S Sajjan, Naveen S G, Harsha M T
Internal hernias constitute 5.8% of all small bowel obstructions. The right paraduodenal hernia is a less common subtype of the paraduodenal hernia. Lack of specific signs and symptoms precludes its clinical diagnosis, which emphasizes the need for computed tomography in diagnosis. We present a case of a 24-year-old male patient with a right paraduodenal hernia and midgut malrotation causing closed loop small bowel obstruction and small bowel volvulus within the hernial sac who underwent laparoscopy-assisted reduction of hernia and adhesiolysis with closure of the peritoneal defect...
January 2024: Curēus
https://read.qxmd.com/read/38435223/rare-combination-of-chyloperitoneum-secondary-to-primary-small-bowel-volvulus
#20
Diogo Galvão, Rui Bettencourt, Ana Cláudia Soares, Inês Bagnari, Joana Bonança
Chylous ascites is the exudation from lymphatic content to the peritoneum and is a rare situation that mostly occurs following medical causes like neoplasms or cirrhosis. However, trauma to the lymphatic system due to compression by masses or altered anatomy can be a trigger too. We describe a rare combination of a primary small bowel volvulus in a young healthy adult causing chylous ascites. Obstruction caused by a primary small bowell volvulus can re-arrange the lymphatics anatomy increasing their flow pressure which can lead to rupture and leak...
February 2024: Curēus
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