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L Prana, S Baijoob, B Rampersad
Introduction Intussuception remains one of the most common surgical abdominal emergencies in the paediatric population. The aim of this study was first to re-evaluate our non-operative reduction rate of intussusception using multiple interval barium enemas and second to investigate or discuss an audit cycle, providing evidence and validating the modification of clinical practice. Materials and methods This five-year retrospective study performed at one of two institutions at which a paediatric surgical service is offered...
May 2018: Annals of the Royal College of Surgeons of England
Joshua Falckenheiner Soria, Diego Bernal Moreno, Jose Miguel Flores Rivera, Manuel Toro Guillen, Jose Luis Lérida Vaca
No abstract text is available yet for this article.
April 2018: Cirugía Española
Yagan Pillay
INTRODUCTION: Transient jejunal intussusception in an adult is a rare clinical finding as reported in the English literature. The diagnosis is usually a matter of exclusion given the extremely rare nature of this medical condition. PRESENTATION OF THE CASE: A young female presented to our hospital with abdominal pain and distention of six months duration. The episodes were intermittent in nature and resolved with conservative management. The aetiology remained obscure until a computerized tomography(CT) scan diagnosed a small bowel intussusceptionIntraoperatively a small bowel tumour was identified and resected...
2017: International Journal of Surgery Case Reports
T Charles, L Penninga, J C Reurings, M C J Berry
Intussusception is the most common cause of small bowel obstruction in young infants. Therefore a high index of suspicion and thorough knowledge of this condition is of major importance to be able to diagnose and treat this potentially life threatening condition. In this review we describe epdidemiology, etiology and clinical symptoms of intussuception. Furthermore, we describe diagnostic modalties, especially ultrasonography as the primary choice for diagnosis. In addition, non-operative treatment with different types of enema reduction techniques, and operative treatment by laparotomy and laparoscopy, and outcomes have been reviewed...
September 2015: Acta Chirurgica Belgica
Ju Sun Kim, Jae Hoon Lim, Jin Ho Jeong, Wan Sung Kim
BACKGROUND/AIMS: The incidence of adult small bowel intussusception detected at CT has increased with advanced imaging techniques and universal utilization of CT scan. We aimed to identify factors that could predict the necessity of surgical intervention in adult patients with small bowel intussusception detected at CT during the past decade. METHODS: There were 39 cases of adult small-bowel intussusception detected at CT from January 2004 to June 2014. The data on clinical factors, radiological factors and outcomes were collected by retrospectively reviewing all available medical records...
May 2015: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
L Lundby, S Laurberg
No abstract text is available yet for this article.
February 2015: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Janeil Belle, Alexandra Ysasi, Robert D Bennett, Nenad Filipovic, Mohammad Imani Nejad, David L Trumper, Maximilian Ackermann, Willi Wagner, Akira Tsuda, Moritz A Konerding, Steven J Mentzer
Vascular systems grow and remodel in response to not only metabolic needs, but also mechanical influences as well. Here, we investigated the influence of tissue-level mechanical forces on the patterning and structure of the chick chorioallantoic membrane (CAM) microcirculation. A dipole stretch field was applied to the CAM using custom computer-controlled servomotors. The topography of the stretch field was mapped using finite element models. After 3days of stretch, Sholl analysis of the CAM demonstrated a 7-fold increase in conducting vessel intersections within the stretch field (p<0...
September 2014: Microvascular Research
Jean-François Lapray
Colpocystodefecography (CCD) and dynamic MRI with defecography (MRId) allow an alternation between filling and emptying the hollow organs and the maximum abdominal strain offered by the defecation. When applied in imaging these two principles reveal the masked or underestimated prolapses at the time of the physical examination. A rigorous application of the technique guarantees almost equivalent results from the two examinations. The CCD provides voiding views and improved analysis of the anorectal pathology (intussusception, anismus) but involves radiation and a more invasive examination...
January 2013: Le Journal Médical Libanais. the Lebanese Medical Journal
Yong Wook Lee, Soo In Yang, Ji Myoung Kim, Jae Young Kim
PURPOSE: To detect major acute gastroenteritis virus (rotavirus, norovirus, astrovirus, and enteric adenovirus) and non-enteric type of adenovirus (AdV) in the stools of intussusception patients and to investigate the clinical role of detected viruses. METHODS: From March 2012 to February 2013, major acute gastroenteritis virus and non-enteric type of AdV were isolated from stool samples that collected from 44 patients treated for intussusception in Chungnam National University Hospital...
September 2013: Pediatric Gastroenterology, Hepatology & Nutrition
Andrew E Dongo, Emeka B Kesieme, Christopher E Iyamu, Peter O Okokhere, Odigie C Akhuemokhan, George O Akpede
Lassa fever, an endemic zoonotic viral infection in West Africa, presents with varied symptoms including fever, vomiting, retrosternal pain, abdominal pain, sore-throat, mucosal bleeding, seizures and coma. When fever and abdominal pain are the main presenting symptoms, and a diagnosis of acute abdomen is entertained, Lassa fever is rarely considered in the differential diagnosis, even in endemic areas. Rather the diagnosis of Lassa fever is suspected only after surgical intervention. Therefore, such patients often undergo unnecessary surgery with resultant delay in the commencement of ribavirin therapy...
2013: Virology Journal
Mehmet Bilgin, Huseyin Toprak, Issam Cheikh Ahmad, Erkan Yardimci, Ercan Kocakoc
While intestinal tumors are rare, small intestinal lipomas are even more uncommon benign neoplasms. They are usually asymptomatic, but lipomas larger than 2 cm may become symptomatic due to obstruction, bleeding, or intussusception. In this paper, US and CT findings of a lipoma located in the terminal ileum and causing ileocecal intussusception were discussed. We report a case of small bowel lipoma that became symptomatic due to intermittent obstruction episodes and ileocecal intussuception. If the diagnosis of intestinal lipoma had been made absolutely as in our case, they should be removed surgically in elective conditions...
2012: Case Reports in Surgery
S K Shetty, D Hindley
A 3033g male infant was born to a healthy mother at 39 weeks gestation by normal vaginal delivery with Grade 1 meconium stained liquor. There was no prolonged rupture of membranes or any antenatal risk factors for sepsis. The immediate neonatal period was uneventful and the baby was discharged after two days. At 6 weeks of age the baby was admitted with an 8-hour history of inconsolable crying. He was pyrexial. Initially the possibility of intussuception was considered, however, the submandibular swelling became more obvious and tender...
2010: BMJ Case Reports
David W Borowski, Catherine Hobday, Anil K Agarwal
Common complications of Meckel's diverticulum in children include gastrointestinal haemorrhage, intestinal obstruction or intussuception and diverticulitis. Here, the rare case of a perforated, non-inflamed Meckel's diverticulum causing significant haemoperitoneum in a young child, is reported. The case highlights the potential for rapid deterioration of patients with complications form vitelline duct abnormalities, for which surgical exploration should not be delayed.
2010: BMJ Case Reports
Mahesh Gupta, Subhash Goyal, Rekha Goyal
CONTEXT: Intestinal intussuception in an adult is a rare entity that differs in etiology from its pediatric counterpart owing to underlying pathologic lead points in adults, mostly neoplasms. The main clinical presentation in chronic intussuception in adults remains dull abdominal pain, and acute intussuception is uncommon. Computed tomography (CT) remains the diagnostic modality of choice and surgical resection is the optimal treatment. CASE REPORT: We report a case of chronic intussuception in a young adult presenting with severe anemia and chronic abdominal pain in right hypochondrium and lumbar region...
September 2010: North American Journal of Medical Sciences
Helmut Alfredo Segovia-Lohse
BACKGROUND: Intussuception is an uncommon condition in adults. It is usually secondary to an organic lesion that may be malignant. The most common clinical presentation is as a partial bowel obstruction that requires surgical management. Preoperative diagnosis remains difficult; therefore, this paper presents a case report and a brief review of adult intussusception. CLINICAL CASE: We present the case of a 24-year-old female with a 36-h evolution of lower abdominal pain with nausea, vomiting and diarrhea and a previous episode 8 days earlier...
May 2011: Cirugia y Cirujanos
Alois Lametschwandtner, Monika Höll, Heidi Bartel, Vipavee Anupunpisit, Bernd Minnich
The microvascular bed of the stomach of Xenopus laevis and the changes it undergoes when the herbivorous tadpole becomes a carnivorous adult were studied by scanning electron microscopy of vascular corrosion casts and light microscopy of stained tissue sections. In tadpoles an upper and a lower gastric artery supplied, and upper, middle and lower medial and lateral gastric veins drained the vertically extending stomach. During metamorphosis, the stomach gained a horizontal cranio-caudal extension and vessels accordingly become dorsal and ventral gastric arteries, and anterior, middle and posterior gastric veins, respectively...
June 2012: Anatomical Science International
Mehran Peyvasteh, Shahnam Askarpour, Hazhir Javaherizadeh, Bibimaryam Beigom Al-Taha
UNLABELLED: Intussusception is a curious anatomic condition characterized by the invagination of one segment of the gastrointestinal tract into the lumen of an adjacent segment. Once initiated, additional intestinal telescopes into the distal segment, causing the invaginated intestine to propagate distally within the bowel lumen. The aim of the study was to evaluate the clinical manifestation, etiology, and outcome of intussuception at atypical ages. MATERIAL AND METHODS: This retrospective study was carried out on patients aged <6 mo or >2 yr with intussusception...
June 2011: Polski Przeglad Chirurgiczny
Martha Patricia Ramírez-Pinilla, Scott L Parker, Christopher R Murphy, Michael B Thompson
We used immunofluorescent confocal microscopy and scanning electron microscopy to quantify uterine vascularity and to describe uterine surface morphology during gestation in pregnant females of the lecithotrophic lizard Niveoscincus coventryi. As uterine angiogenesis and epithelial cell morphology are thought to be under progesterone control, we studied the effect of a progesterone receptor antagonist (mifepristone) on uterine and chorioallantoic microvasculature and features of the uterine epithelial surfaces...
January 2012: Journal of Morphology
Seok Youn Lee, Won Cheol Park, Jeong Kyun Lee, Dong Baek Kang, Young Kim, Ki Jung Yun
Intussusception is a rare cause of intestinal obstruction in adult patients, but is common in children. In fact, it accounts for an estimated 1% of all cases of bowel obstruction in adults, although adult intussusception of the large intestine is rare. Sigmoidorectal intussusception, however, is a rare variety with few cases reported in the literature. A mucinous adenocarcinoma, a subtype of adenocarcinoma, is characterized by extracellular mucin production and accounts for between 5% and 15% of the neoplasms of the colon and rectum...
February 2011: Journal of the Korean Society of Coloproctology
J-F Lapray, P Costa, V Delmas, F Haab
Colpocystodefecography (CCD) and dynamic MRI with defecography (MRId) permit an alternation between filling and emptying the hollow organs and the maximum abdominal strain offered by the defecation. The application in imaging of these two principles reveal the masked or underestimated prolapses at the time of the physical examination. Rigorous application of the technique guarantees almost equivalent results from the two examinations. The CCD provides voiding views and improved analysis of the anorectal pathology (intussusceptions, anismus) but involves radiation and a more invasive examination...
December 2009: Progrès en Urologie
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