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Rupture of small intestine

Thomas Kotsis, Panagitsa Christoforou, Nikolaos Asaloumidis, Ioannis Papaconstantinou
Colon ischemia following aortic reconstruction is a severe complication with an incidence of 1% to 2% of the operated patients; this infrequent complication will be lethal for nearly half of these patients. Commonly, colon ischemia may be an intraoperative observation or an early postoperative finding. However, in the case presented here, sigmoid rupture and small and large intestine communication was revealed 3 months following repair of the abdominal aorta. A 71-year-old man, following open repair of an abdominal aortic aneurysm, went home on the fifth postoperative day...
January 1, 2017: Vascular and Endovascular Surgery
Mark Igorevich Gluzman, Victor Anatolevich Kashchenko, Aleksei Mikhailovich Karachun, Rashida Vakhidovna Orlova, Iakov Aleksandrovich Nakatis, Iurii Vasilevich Pelipas, Evgenia Leonidovna Vasiukova, Ivan Vladimirovich Rykov, Veronika Vladimirovna Petrova, Svetlana Leonidovna Nepomniashchaia, Anton Sergeevich Klimov
BACKGROUND: Gastrointestinal stromal tumors (GIST) comprise about 80% of gastrointestinal sarcomas. In patients with localized disease, surgery is considered as "Gold Standard" treatment. Organ-sparing radical en-block resection is widely accepted practice. Since lymph node dissection is not routinely indicated, minimally invasive approach is of particular interest. The aim of this study is to investigate the short-term outcomes of different surgical treatment of GISTs. METHODS: We analyzed data of 116 patients who received surgical treatment for localized forms of GIST...
2017: Translational Gastroenterology and Hepatology
Shuichi Fukuda, Yoshinori Fujiwara, Tomoko Wakasa, Keisuke Inoue, Kotaro Kitani, Hajime Ishikawa, Masanori Tsujie, Masao Yukawa, Yoshio Ohta, Masatoshi Inoue
INTRODUCTION: Gastrointestinal stromal tumors (GISTs) are clinically asymptomatic until they reach a significant size; therefore, GISTs that are 2cm or less are typically asymptomatic. Patients with symptomatic GISTs typically present with abdominal pain, gastrointestinal bleeding, or a palpable mass but rarely present with hemoperitoneum. PRESENTATION OF CASE: A 72-year-old Japanese man presented to us with acute onset abdominal pain. Physical examination showed peritoneal irritation in the lower abdomen...
2017: International Journal of Surgery Case Reports
Mark Wessels, Ben Strugnell, Nick Woodger, Martin Peat, Severina Anna La Rocca, Akbar Dastjerdi
Systemic necrotizing polyarteritis was diagnosed in three 7-11-mo-old lambs from the same flock. Aneurysmal dilation and rupture of the gastroduodenal artery in 1 lamb resulted in fatal hemorrhage. All lambs had severe necrotizing vasculitis involving the small intestine, abomasum, mesentery, kidney, and heart with concurrent lymphocytic enteritis. Immunohistochemistry for T- and B-lymphocytes and macrophages found a T-cell- and macrophage-dominant transmural vascular infiltrate and T-cell-associated enteritis...
May 1, 2017: Journal of Veterinary Diagnostic Investigation
Wes A Baumgartner, Lorelei Ford, Larry Hanson
In 2009, a virulent strain of Aeromonas hydrophila caused severe disease and high mortalities (motile aeromonad septicemia variant [MASv]) in farmed channel catfish ( Ictalurus punctatus) and hybrid catfish ( I. punctatus × I. furcatus) in eastern Mississippi and Alabama. As is common in MAS, there is severe hemorrhagic dermatitis with ulceration, as well as abdominal hyperemia, petechiation, and mild ascites. Additional findings in MASv cases include panophthalmitis and orbital cellulitis, leading to ocular rupture, and brains are often hyperemic with mild random acute hemorrhage...
May 1, 2017: Journal of Veterinary Diagnostic Investigation
T C Schuurs, E M Vandewalle, C Dickhoff
A 44-year-old woman came to the emergency department with severe pain in the right upper abdomen. Her medical history mentioned a low anterior resection 8 years ago because of severe endometriosis. The CT scan showed a ruptured right hemidiaphragm with herniation of the small intestine.
2017: Nederlands Tijdschrift Voor Geneeskunde
Yukinobu Watanabe, Masahiro Ogawa, Kaori Hayashi, Mariko Kumagawa, Kentaro Takayasu, Midori Hirayama, Takao Miura, Katsuhiko Shiozawa, Naoki Matsumoto, Hiroshi Nakagawara, Toshiki Yamamoto, Mitsuhiko Moriyama, Akihiro Hemmi
A 70-year-old man was referred to our hospital to undergo treatment for hepatocellular carcinoma. In hospital, he complained of hematochezia and a laboratory analysis revealed a decreased level of hemoglobin. Abdominal computed tomography revealed a tumor in the small intestine, with slow enhancement of the dorsal region. Double-balloon enteroscopy revealed a submucosal tumor with a depression in the jejunum. Partial enterectomy was performed and a pathological examination demonstrated the presence of a solitary varix...
2017: Internal Medicine
Kawano Seiji, Takaki Akinobu, Iwamuro Masaya, Yasunaka Tetsuya, Kono Yoshiyasu, Miura Kou, Inokuchi Toshihiro, Kawahara Yoshiro, Umeda Yuzo, Yagi Takahito, Okada Hiroyuki
Background and Aims. Gastrointestinal surveillance is a requirement prior to liver transplantation (LT), but small intestine examination is not generally undertaken. The aim of the present study was to evaluate the safety and efficacy of capsule endoscopy (CE) for patients with end-stage liver disease. Methods. 31 patients who needed LT were enrolled, and 139 patients who underwent CE over the same period of time acted as controls. Results. Frequency of successful achievement of evaluation of the full length of the small bowel, the mean gastric transit time, and the mean small bowel transit time were not significantly different between the two groups...
2017: BioMed Research International
Suleyman Caglar Ertekin, Tolga Ozmen
Hydatid disease is an endemic disease especially in underdeveloped and developing countries affecting mostly the liver and lungs. The hydatid cysts located in other sites are mostly due to rupture of primary liver or splenic cysts. We present a primary small intestine hydatid cyst resected laparoscopically with the affected intestinal segment. As far as we know, this is the first report of a primary small intestine hydatid disease in the literature.
July 28, 2016: Curēus
Sarah Giutronich, Aurélien Scalabre, Thomas Blanc, Peter Borzi, Yves Aigrain, Mike O'Brien, Pierre D E Mouriquand, Yves Heloury
OBJECTIVE: Bladder perforation is not commonly described in bladder exstrophy patients without bladder augmentation. The goal of this study was to identify the risk factors of spontaneous perforation in non-augmented exstrophy bladders. METHODS: The study was a retrospective multi-institutional review of bladder perforation in seven male and two female patients with classic bladder exstrophy-epispadias (E-E). RESULTS: Correction of E-E was performed using Kelly repair in two and staged repair in seven (Table)...
December 2016: Journal of Pediatric Urology
Raymond P Glahn, Elad Tako, Karen Cichy, Jason Wiesinger
Strategies that enhance the Fe bioavailability of the bean are of keen interest to nutritionists, bean breeders and growers. In beans, the cotyledons contain 75-80% of the total seed Fe, most of which appears to be located within the cotyledon cells. The cotyledon cell walls are known to be resistant to digestion in the stomach and the upper small intestine. Therefore, given the above and the general belief that the primary site for human Fe absorption is the upper small intestine, the present study was designed to determine if the cotyledon cell walls represent a barrier to Fe absorption from the bean...
July 13, 2016: Food & Function
Daichi Shikata, Hiroshi Nakagomi, Atsushi Takano, Takahiro Nakagomi, Hideki Watanabe, Masahiro Maruyama, Haruka Nakada, Atsushi Yamamoto, Kazushige Furuya, Masao Hada, Yoshiaki Miyasaka, Masao Omata, Toshio Oyama
INTRODUCTION: A spontaneous mesenteric hematoma is a rare condition. Furthermore, it is extremely rare that the mesenteric hematoma caused gastrointestinal bleeding with an unknown etiology. We experienced a case with a spontaneous mesenteric hematoma that ruptured into the jejunum. PRESENTATION OF CASE: A 75-year-old man was referred to our hospital because of anal bleeding and anemia. Abdominal computed tomography (CT) showed a low density mass measuring 3.0cm in diameter, including an enhanced spot...
2016: International Journal of Surgery Case Reports
Chia-Sheng Chao, Chien-Sung Tsai, Yao-Horng Wang, Yuan-Hao Liu, Jian-Ming Chen, Yee-Phoung Chang, Hsien-Kuo Chin, Shang-Tao Chien, Tai-Ming Lee, Shyh-Chyun Yang
Compared with conventional aortic cross-clamping, endovascular balloon occlusion (EBO) is a valuable strategy in unstable ruptured abdominal aorta aneurysm patients; however, it is unclear how long the balloon may remain safely inflated. Using a porcine model, we evaluated the influence of different EBO time periods on intra-abdominal pressure (IAP) and the association between various pathophysiologic indicators and reperfusion time. Twelve healthy three-month-old domestic piglets were subjected to ischemia/reperfusion injury using EBO within the abdominal aorta...
October 2016: Experimental Biology and Medicine
Arshad Ahmad, Suresh Kumar, Abhinav Arun Sonkar, Sanjeev Kumar
Spontaneous prolapse of the sigmoid colon and evisceration of the small bowel through a rupture in the rectosigmoid is a rare presentation. We report a case of a 60-year-old man presenting with massive small bowel evisceration through a perforation in a prolapsed sigmoid colon. The patient had a 2-year history of rectal prolapse. He was also incontinent for flatus and liquid stool. There was no other significant medical history. After reduction of the small intestine, a large perforation was seen in the prolapsed sigmoid colon...
April 15, 2016: BMJ Case Reports
Hirofumi Chiba, Katsuya Endo, Fumiyoshi Fujishima, Hideo Ohtsuka, Takeshi Naitoh, Masatake Kuroha, Tomoya Kimura, Hisashi Shiga, Yoichi Kakuta, Yoshitaka Kinouchi, Michiaki Unno, Tooru Shimosegawa
A 47-year-old woman was admitted to our hospital urgently with sudden-onset hematochezia. She was temporarily in a state of hemorrhagic shock. As we strongly suspected bleeding from the small intestine, peroral double-balloon enteroscopy was performed, and indicated a 2.0-cm diameter hemispheric elevated lesion in the jejunum. Moreover, a blood clot was observed at the top of the protrusion. The site was marked by injecting India ink, without taking a biopsy specimen, to avoid further hemorrhaging. Subsequently, laparoscopic partial small bowel resection was performed...
April 2016: Clinical Journal of Gastroenterology
T Hølmebakk, B Bjerkehagen, K Boye, Ø Bruland, S Stoldt, K Sundby Hall
BACKGROUND: Tumour rupture is a risk factor for recurrence of gastrointestinal stromal tumour (GIST). In this study, patterns of recurrence after potential tumour seeding were investigated, and a new definition of tumour rupture, based on major and minor defects of tumour integrity, is proposed. METHODS: Patients undergoing surgery for non-metastatic small intestinal GIST from 2000 to 2012 were included in the study. Tumour spillage, tumour fracture or piecemeal resection, bowel perforation at the tumour site, blood-tinged ascites, microscopic tumour infiltration into an adjacent organ, and surgical biopsy were defined as major defects of tumour integrity...
May 2016: British Journal of Surgery
D Tan Nguyen, Sietske Dellbrügge, Paul P Tak, Savio L-Y Woo, Leendert Blankevoort, Niek C van Dijk
BACKGROUND: Recently, healing of a ruptured anterior cruciate ligament (ACL) is reconsidered. In a previous study, we have shown that the transected ACL can heal after treatment with the triple X locking suture alone or combined with small intestine submucosa (SIS). The first research question of this study was whether the healing ACLs in both groups show histological characteristics that are typical for ligament healing. Secondly, did the combined treatment with SIS lead to improved histological healing, in terms of the morphology of the fibrous synovial layer, the extracellular matrix (ECM), collagen fiber orientation, cellularity, ratio of myofibroblasts, and collagen type 3 staining...
December 2015: Journal of Experimental Orthopaedics
R J Urry, D L Clarke, J L Bruce, G L Laing
INTRODUCTION: The purpose of this study is to provide a comprehensive overview of the incidence, spectrum and outcomes of traumatic bladder injury in Pietermaritzburg, South Africa, and to identify the current optimal investigation and management of patients with traumatic bladder injuries. METHODS: The Pietermaritzburg Metropolitan Trauma Service (PMTS) trauma registry was interrogated retrospectively for all traumatic bladder injuries between 1 January 2012 and 31 October 2014...
May 2016: Injury
Satoshi Sugimoto, Yasuaki Miyazaki, Sou Hirose, Toshiya Michiura, Shigeo Fujita, Kazuo Yamabe, Satoru Miyazaki, Makio Nagaoka
A 78 -year-old man with rectal cancer underwent abdominoperineal resection of the rectum. In the postoperative period, the patient experienced wound infection, leading to an abdominal wall hernia. Two years following surgery, a rise in the serum CEA level was seen. A metastatic tumor was detected in the right lung on chest CT. VATS right lung inferior lobe segmental resection was performed. After lobectomy, the serum CEA level continued to increase. Another metastatic tumor was detected in the right lung on chest CT...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Bao-Yin Wu, Chao Gu, Xiu-Yun Yan, Hai-Yang Yu, Zhen You, Hao Wang, Li-Chao Wen, Ji-Zong Ren, Yu-Tie Zhang
This work aims to explore the application value and clinical efficacy of laparoscopic enterolysis surgery for the treatment of adhesive intestinal obstruction. A total of 126 inpatient cases of intestinal adhesion were selected. In order to observe the effects and complications of surgery, the patients were randomly assigned into laparoscopic and laparotomy groups, with 63 cases in each group. The operative time, blood loss, postoperative ambulation time, exhaustion time, postoperative analgesia number of patients, and hospital days of the patients in the laparoscopic group were compared with those in the control group, and the differences were all statistically significant (p < 0...
December 2015: Indian Journal of Surgery
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