Matjaž Horvat, Marko Hazabent, Marjan Sekej, Milka Kljaić Dujić
Sigmoid volvulus is an extremely rare cause of intestinal obstruction in pediatric patients. This condition occurs when a redundant sigmoid loop with a narrow mesenteric base of attachment to the posterior abdominal wall rotates around its mesenteric axis. This situation might result in vascular occlusion and large bowel obstruction. There are only a few predisposing factors of sigmoid volvulus, such as a long-term history of constipation or pseudo-obstruction with an excessive sigmoid colon. Underlying hypoganglionosis can also lead to large bowel obstruction...
July 2021: Journal of International Medical Research
Zeenat Khuda Bakhsh, Raheel Khan, Khalid Bashir
Irritable bowel syndrome (IBS) is a benign condition of the gastrointestinal tract causing abdominal pain, bloating, diarrhea, and/or constipation. Symptoms of IBS usually improve on passing flatus and defecation. There is no known identifiable underlying pathology; however, several risk factors are known to contribute to the development of IBS, which include a stressful lifestyle and certain foods such as bread, coffee, alcohol, pasta, and chocolates. Intestinal bacteria may also contribute to symptoms of IBS...
June 2021: Curēus
Tanvi Vaidya, Avinash Nanivadekar, Rajan Patel
Coronavirus disease 2019 (COVID-19) has posed a serious threat to global public health with its rapid spread, high fatality, and severe burden on health care providers all over the world. Although COVID-19 has been established as a respiratory tract infection, it can manifest with gastrointestinal symptoms as a consequence of direct infection by the virus or due to inflammation-mediated cytotoxicity. It has been observed that COVID-19 patients presenting with gastrointestinal symptoms tend to progress to a severe form of disease with increased morbidity and mortality, thus indicating the need for timely management...
June 28, 2021: World Journal of Radiology
Daniel Sermoneta
AIM: The management of open abdomen with enteroatmospheric fistula is a real nightmare for surgeons; negative pressure with fluid instillation is affordable and effective. After improvement of general conditions, a good strategy for promoting tissue granulation around the fistula could be the application of a matrix wound dressing. MATERIALS AND METHODS: A 45-year-old man was admitted to our Emergency Department for abdominal compartment syndrome following a previous intervention for bowel occlusion; at exploration we found a frozen abdomen that was managed by negative pressure wound therapy with fluid instillation (AbThera  device, VAC Instill , 3M+KCI)...
June 21, 2021: Annali Italiani di Chirurgia
E Dinoto, F Ferlito, M A La Marca, D Mirabella, G Bajardi, F Pecoraro
INTRODUCTION: COVID-19 is an infectious disease that has been associated not only with respiratory complications. The COVID-19 disease includes, also damage to other organ systems as well as coagulopathy. The present report describes a case of COVID-19 presenting with acute mesenteric ischemia (AMI) and subsequent acute limb ischemia (ALI). PRESENTATION OF CASE: An 84-years old hospitalized female patient presenting diabetes and recent COVID-19 reported acute onset of abdominal pain and typical findings of AMI...
June 9, 2021: International Journal of Surgery Case Reports
Tommaso Cai
Introduction: Recurrent uncomplicated urinary tract infections (UTI) have a high impact on patients' quality of life and high direct and indirect costs for public health. Therefore, optimal management should be of high priority. Methods: Current international guidelines were reviewed, and a systematic literature search was performed in Medline, Cochrane, and Embase. Results: Several risks factors have been identified and used in everyday clinical practice to plan the correct strategy for recurrence prevention...
2021: GMS Infectious Diseases
Gallitto E, Faggioli G, Melissano G, Fargion A, Isernia G, Lenti M, Pratesi C, Chiesa R, Gargiulo M
OBJECTIVE: Complex aortic aneurysms (juxtarenal j-AAA, pararenal p-AAAs, thoracoabdominal TAAAs) are treated with increasing frequency through fenestrated and branched endovascular repair (F/B-EVAR), however the outcome of these procedures is usually reported separately by single experiences and wider overviews are not frequent. The aim of this study was therefore to report an Italian experience analyzing the results obtained in 4 academic centers in order to evaluate predictors of outcome...
June 4, 2021: Journal of Vascular Surgery
Ahmed Almumtin, Eman Al Sulais, Mohammed Atif Elhag
INTRODUCTION AND IMPORTANCE: Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a poorly understood disorder which poses a diagnostic challenge to clinicians and pathologists. Here we have described the case of a male patient with IMHMV along with a presumed history of ulcerative colitis for 1 year. CASE PRESENTATION: A 55-year-old male presented to the OPD with history of chronic abdominal pain. Clinical and radiological examination coupled with endoscopic findings resulted in the patient being wrongly diagnosed to be a case of ulcerative colitis and was managed accordingly...
May 26, 2021: International Journal of Surgery Case Reports
Zouheir Ibrahim Bitar, Mohamed Elsayed Elhabibi, Ossama Sajeh Maadarani, Ali Khalifa Albirami, Mahmoud Mostafa Elzoueiry, Tamer Mohamed Zaalouk
INTRODUCTION: Portal venous gas is a rare finding in adults and is typically associated with underlying intestinal ischemia. Portal venous gas can be detected by a bedside point of care ultrasound (POCUS) examination in adult patients in critical care units (CCU). Findings include echogenic bubbles flowing centrifugally throughout the portal venous system. CASE PRESENTATION: We present the case of a 73-year-old female with advanced ischemic cardiomyopathy and cardiorenal syndrome who was managed in the CCU...
May 12, 2021: International Journal of Surgery Case Reports
Trigui Emna, Mejri Atef, Saad Sarra
BACKGROUND/OBJECTIVE: Sigmoid volvulus is the most common type of volvulus. Its epidemiological features, as well as its management, differ between developed and developing countries. This work aims to analyze the epidemiological features thus allowing to compare them to the rest of the "volvulus belt'' and assess the surgical management of sigmoid volvulus in Tunisia. METHOD: This is a retrospective review of 64 patients with sigmoid volvulus treated in the General Surgery department of Jendouba Hospital...
April 21, 2021: Asian Journal of Surgery
Ludovica Baldari, Luigi Boni, Massimiliano Della Porta, Cristina Bertani, Elisa Cassinotti
BACKGROUND: Minimally invasive right colectomy is increasingly performed as standard treatment for diseases of right colon. Complete mesocolic excision has been introduced for cancer treatment to improve oncological results. Both standard and complete mesocolic excision techniques are associated with intraoperative complications. The purpose of this study was to analyse incidence and management of intraoperative complications in patients who underwent laparoscopic right colectomy with complete mesocolic excision in a single institution...
April 14, 2021: Minerva surgery
Elizabeth L Chou, Linda J Wang, Rachel M McLellan, Zach M Feldman, Christopher A Latz, Glenn M LaMuraglia, W Darrin Clouse, Matthew J Eagleton, Mark F Conrad
OBJECTIVES: Acute mesenteric ischemia (AMI) is a life-threatening condition associated with dismal outcomes. This study sought to evaluate the evolution of presentation, treatment, and outcomes of AMI over the past two decades. METHODS: AMI patients presenting at a single institution were reviewed (1993-2016). Venous thrombosis patients were excluded. Primary outcome was 30-day mortality. Patients were stratified by etiology and diagnosis date (before 2004 versus 2004 and later)...
April 3, 2021: Annals of Vascular Surgery
Muhammad Salah Muhammad Ahmad, Muhammad Rafaih Iqbal, Jonathan Simon Refson
A 77-year-old male patient presented with a 5-day history of abdominal pain, coffee ground vomiting and blood-stained diarrhoea. CT scan of the abdomen and pelvis demonstrated a long segment thrombotic occlusion of the superior mesenteric vein (SMV) extending up to the proximal portion of the portal vein causing significant acute small bowel ischaemia. Patient's deteriorating clinical condition warranted surgical management. Successful surgical management required multidisciplinary teamwork between emergency, vascular surgeons, anaesthetists and intensivists...
April 1, 2021: BMJ Case Reports
Simone Ferrero, Carolina Scala, Ennio Biscaldi, Annalisa Racca, Umberto Leone Roberti Maggiore, Fabio Barra
RESEARCH QUESTION: Several studies have investigated reproductive outcomes following surgical treatment of colorectal endometriosis, mainly segmental colorectal resection. This study examines pregnancy and live birth rates of women with rectosigmoid endometriosis not treated by surgery. DESIGN: A retrospective analysis of data collected between May 2009 and January 2020 related to 215 women affected by rectosigmoid endometriosis wishing to conceive. Patients had a diagnosis of rectosigmoid endometriosis by transvaginal ultrasonography and magnetic resonance imaging enema...
December 13, 2020: Reproductive Biomedicine Online
Raffaele Porfidia, Simona Grimaldi, Maria Giovanna Ciolli, Pietro Picarella, Angela Romano, Sergio Grimaldi
BACKGROUND: The treatment of complex wounds often requires multiple surgical debridements and, eventually, reconstruction with skin grafts or flaps. Topical negative pressure therapy with a vacuum-assisted closure device can achieve wound healing with a reduction in healing time and easier management of the wound. OBJECTIVE: With a step-by-step closure protocol developed by the authors from July 2017 to the present, this case series highlights the advantages of using negative pressure wound therapy with instillation and dwell time (NPWTi-d)...
December 2020: Wounds: a Compendium of Clinical Research and Practice
Zouheir Ibrahim Bitar, Ossama Sajeh Maadarani, Tamer Mohamed Zaalouk, Mohammed Jaber Mohsen, Ragab Desouky Elshabasy, Mahmoud Mostafa Elzoueiry
INTRODUCTION: The Abdominal Compartment Society (WSACS) developed a medical management algorithm with a stepwise approach to keep intra-abdominal pressure (IAP) ≤ 15 mm Hg. The role of point-of-care ultrasound (POCUS) as a bedside modality in the critical care patients is not well studied in relation to the intra-abdominal hypertension (IAH) management algorithm. AIM: To test the role of point-of-care ultrasound (POCUS) in the medical management of patients with intra-abdominal hypertension (IAH)...
January 5, 2021: Journal of Ultrasound
Aurora Mariani, Mohammed Siddiqui, Nicolas Boulard, Dominique Berrebi, Arnaud Bonnard
Meckel's diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Intestinal occlusion due to MD is a commonly observed consequence of intussusception or volvulus. Here, we report a case of an 11-year-old boy who presented to the emergency department with acute abdominal pain, bilious vomiting, and abdominal rebound tenderness. Computed tomography scan concluded a diagnosis of intestinal occlusion with no apparent cause. The patient was submitted to diagnostic laparoscopy, and mechanical occlusion by the permeable Meckel with double base was identified...
January 2020: European Journal of Pediatric Surgery Reports
Marcello Ceccaroni, Matteo Ceccarello, Roberto Clarizia, Enrico Fusco, Giovanni Roviglione, Daniele Mautone, Camilla Cavallero, Simone Orlandi, Roberto Rossini, Giuliano Barugola, Giacomo Ruffo
BACKGROUND: Bowel endometriosis is the most common pattern of Deep Endometriosis (DE). Arising from the posterior portion of the cervix and spreading to the recto-vaginal septum, utero-sacral and parametrial ligaments could lead to a distortion of normal pelvic anatomy, causing pain and infertility. Hormonal therapy is the first-line treatment in non-symptomatic patient. Conversely, laparoscopic surgical treatment has to be considered when symptoms relief are not optimal or with signs of bowel occlusion...
October 14, 2020: Surgical Endoscopy
Raed M Ennab, Mamoon H Al-Omari, Ihab I Jaradat, Alaa A A Aljabali
INTRODUCTION: Acute mesenteric ischemia caused by an embolism resulting from atrial fibrillation in a thyrotoxic young male patient is a rare event. Endovascular intervention is increasingly being considered as the primary modality of treatment in selected patients. PRESENTATION OF CASE: A 41-years male known to have hyperthyroidism presented with atrial fibrillation, acute mesenteric ischemia, splenic infarction, and left renal infarction. He was successfully managed with endovascular intervention of the superior mesenteric artery...
October 2, 2020: International Journal of Surgery Case Reports
Giuseppe Di Buono, Federica Ricupati, Elisa Maienza, Leonardo Gulotta, Salvatore Buscemi, Antonino Agrusa
INTRODUCTION: Caesarean section is the most common abdominal surgery performed on women worldwide. Adhesions represent a severe complication of cesarean section and can cause different degrees of bowel obstruction. CASE REPORTS: We report two unusual cases of small bowel obstruction treated with laparoscopic approach after caesarean section performed for gynecological pathologies. In the first one small bowel obstruction was due to volvulus caused by a severe pelvic adhesion syndrome; in the second one, occlusive picture was related to presence of multiple adhesion phenomena between the sigmoid colon and the right ovary as result of abdominal hysterectomy...
September 14, 2020: International Journal of Surgery Case Reports
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