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small bowell obstruction

Noriaki Koizumi, Yosuke Ariyoshi, Hiroshi Fujiki, Chouhei Sakakura
Broad ligament hernia is a rare type of internal hernia. We herein report a case of broad ligament hernia successfully treated by needlescopic surgery. A 41-year-old woman was referred to our hospital with a complaint of nausea and vomiting. Abdominal contrast-enhanced computed tomography showed diffuse dilatation of the small bowel accompanied by a caliber change at the right side of the uterus. She was thus diagnosed with small bowel obstruction due to incarceration through right broad ligament hernia. After bowel decompression, she underwent elective needlescopic surgery using 2- and 3-mm instruments...
February 14, 2019: Asian Journal of Endoscopic Surgery
Won Tae Cho, Tae Yoo, Sung Min Kim
With the increase in the frequency of robotic surgery, complications have also increased, including trocar site hernias, which rarely occur at the 8-mm port site after robotic cholecystectomy using the da Vinci Xi system. A 37-year-old woman was diagnosed with cholecystitis on abdominal sonography. She underwent robotic cholecystectomy using a bikini-line incision. However, after postoperative day 2, she presented to the emergency room with small bowel obstruction secondary to a herniated bowel loop through the left 8-mm port site...
January 2019: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Tom Wiggins
No abstract text is available yet for this article.
February 11, 2019: Lancet. Gastroenterology & Hepatology
Ville Sallinen, Salomone Di Saverio, Eija Haukijärvi, Risto Juusela, Heidi Wikström, Vesa Koivukangas, Fausto Catena, Berndt Enholm, Arianna Birindelli, Ari Leppäniemi, Panu Mentula
BACKGROUND: Although laparoscopic adhesiolysis for adhesive small bowel obstruction is being done more frequently, it is not widely accepted due to the lack of supporting evidence of its superiority over an open approach and concerns regarding its benefits. We aimed to investigate whether laparoscopic adhesiolysis was a superior treatment for adhesive small bowel obstruction compared with an open approach in terms of length of postoperative hospital stay and morbidity. METHODS: In this international, multicentre, parallel, open-label trial, we randomly assigned patients (1:1) aged 18-95 years who had adhesive small bowel obstruction that had not resolved with conservative management to have either open or laparoscopic adhesiolysis...
February 11, 2019: Lancet. Gastroenterology & Hepatology
Nauman S Chaudhry, Wenya Linda Bi, Saksham Gupta, Abhishek Keraliya, Naomi Shimizu, E Antonio Chiocca
BACKGROUND: Pneumoperitoneum after surgical manipulation of the abdomen implies a perforation. Rare cases of non-operated cancer patients, largely with gastrointestinal or genitourinary cancers, have been noted to have radiological findings of pneumatosis intestinalis and/or pneumoperitoneum as a complication of molecular-targeted therapy (MTT) without confounding factors for perforation. We present a patient with a cranial malignancy treated with bevacizumab who subsequently manifested with pneumatosis intestinalis...
February 11, 2019: World Neurosurgery
Brent A Becker, Shadi Lahham, Mark A Gonzales, Jason T Nomura, Michelle K Bui, Taylor A Truong, Barbara A Stahlman, John C Fox, Thompson Kehrl
OBJECTIVE: The main objective of this study was to evaluate the accuracy of emergency physician-performed point-of-care ultrasound (POCUS) for the diagnosis of small bowel obstruction (SBO) compared to computed tomography (CT). METHODS: We performed a prospective, multicenter, observational study examining a convenience sample of adult patients with potential SBO presenting to the emergency department (ED) between July 2014 and May 2017. Each emergency physician-performed POCUS was interpreted at the bedside and retrospectively by an expert reviewer...
February 14, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Mohamed Ahmed, Saba Habis, Rasha Saeed, Ahmed Mahmoud, David Plurad
Intussusception is a rare cause of bowel obstruction caused by both benign and malignant pathology. We are presenting the case of an elderly patient who had been diagnosed with irritable bowel syndrome for many years prior to presenting to us with ileocecal intussusception causing a small bowel obstruction. Laparoscopic resection of the terminal ileum and cecum was performed. Pathology revealed multiple submucosal lipomas as the underlying cause.
December 5, 2018: Curēus
P Lebert, O Ernst, M Zins
PURPOSE: To present radiological aspects of jejunoileal diverticulosis and its complications. RESULTS: Jejunoileal diverticulosis is a relatively rare and underestimated condition, which mostly affects the elderly. It is frequently asymptomatic but it can lead to significant complications requiring surgical treatment. Jejunoileal diverticulosis is far less common than colonic diverticulosis. Acquired small bowel diverticula are often numerous but the complication rate is low...
February 13, 2019: Abdominal Radiology
Y Mathangasinghe, U M J E Samaranayake, J D Jayasinghe, A S K Banagala
Small bowel diverticulosis is an uncommon entity. Clinical presentation of small intestinal diverticulosis is variable. A high mortality is associated with complications such as chronic malnutrition, haemorrhage, intestinal obstruction, and perforation. We report a case of a 63-year-old female with multiple small bowel diverticuli spanning from the first part of the duodenum to the proximal ileum presenting with chronic malnutrition and subacute intestinal obstruction. Although exploratory laparotomy was performed, we opted for a totally conservative treatment in order to avoid complications such as short gut syndrome and anastomotic leakage...
2019: Case Reports in Surgery
Graham Skelhorne-Gross, David Gomez
Case summary: A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed...
2019: Trauma surgery & acute care open
Jacqueline Bakhit, Mohammad Rafique, Toan D Pham
Surgicel® is a commonly used hemostatic agent. We report a case of small bowel obstruction secondary to the prior placement of Surgicel® within the peritoneal cavity, and the radiological diagnosis conundrum and potential prognostic implications this finding has in a patient with a known history of malignancy.
January 2019: Journal of Surgical Case Reports
Haley Prough, Sarah Jaffe, Brian Jones
Cases of small bowel diverticulitis, excluding Meckel's diverticulitis, are rare. Small bowel diverticular disease has been reported in approximately 0.3-1.3% cases of post mortem studies (Fisher JK, Fortin D. Partial small bowel obstruction secondary to ileal diverticulitis. Radiology 1977;122:321-322.) and in only 0.5-1.9% of contrast media study cases (Cattell RB, Mudge TJ. The surgical significance of duodenal diverticula. N Engl J Med 1952;246:317-324). Diverticula located within the small bowel may have presentations and complications similar to that of colonic diverticular disease...
January 2019: Journal of Surgical Case Reports
Ayman Trigui, Ahmed Guirat, Haitham Rejab, Nizar Kardoun, Foued Frikha, Mohamed Ben Amar, Mohamed Issam Beyrouti
Internal hernias of the abdomen are uncommun. They represent less than 1% of bowel obstruction cases. The left paraduodenal hernia is the most frequent type of internal hernias. We report a case of 77 year-old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal paraduodenal hernia by showing incarcerated jejunal loops in a paraduodenal hernia through a narrow opening to the left of the angle of Treitz...
September 28, 2018: Annali Italiani di Chirurgia
Fabrizio Michelassi, Diane Mege, Michele Rubin, Roger D Hurst
MINI: The side-to-side isoperistaltic strictureplasty (SSIS) is a safe and effective procedure in patients with extensive fibrostenosing Crohn disease of the small bowel. Eighty-six percent of patients maintain the original SSIS after a median follow-up of 11 years. OBJECTIVE: Review the long-term outcomes of the side-to-side isoperistaltic strictureplasty (SSIS) and its effects on bowel preservation in Crohn disease (CD). SUMMARY BACKGROUND DATA: The first SSIS was performed 25 years ago as an alternative to resection in the treatment of extensive fibrostenosing jejuno-ileal CD...
January 31, 2019: Annals of Surgery
Sander D Borgsteede, Patricia E B Verwer, Gerrie Prins, Rixt A Wijma, Koos de Keijzer, Jelmer Alsma, Birgit C P Koch
BACKGROUND: In recent years, numerous reports have been published on body packers, i.e. people who use their own body to transport drugs. Most body packers swallow small packages of cocaine or heroin. CASE DESCRIPTION: We describe the case of a patient who, two days after ingestion of packages containing cannabis, was admitted for dizziness and drowsiness. Urinalysis was positive for cannabis and negative for other drugs. The deterioration in clinical status possibly indicated a burst package...
January 24, 2019: Nederlands Tijdschrift Voor Geneeskunde
Raevin K Ravindra, Atandrila Das, Grace L Chew, Eric Daniel
Phytobezoars are a rare cause of small bowel obstruction (SBO), which consists of vegetable matter such as seeds, skins, fibres of fruit and vegetables that have solidified. We present the case of a 61-year-old man with no previous surgery who presented with central abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated SBO with a transition point in the left anterior abdomen. He proceeded to a laparoscopy, which revealed multiple perforations throughout the small bowel, from the proximal jejunum to the terminal ileum...
February 3, 2019: BMJ Case Reports
Agha Wajdan Baqir, Mouyed Alawad, Kristina Loukeris
No abstract text is available yet for this article.
February 1, 2019: Gastroenterology
Philip Sutera, Ronny Kalash, David A Clump, David D'Ambrosio, Alina Mihai, Steven A Burton, Dwight E Heron
Purpose: Patients with oligometastatic colorectal cancer have demonstrated excellent clinical outcomes with surgical resection of hepatic and pulmonary metastases. Stereotactic ablative radiation therapy (SABR) has emerged as an alternative local therapy for nonsurgical candidates. Herein, we report the oncologic and patient-reported quality-of-life (PR-QoL) outcomes for a subset of patients with oligometastatic colorectal cancer who were treated in a prospective phase 2 multicenter clinical trial...
January 2019: Advances in Radiation Oncology
Neda Nozari, Maryam Shafiei, Soheila Sarmadi
Background: Bowel endometriosis affects about 3.8-37% of women with endometriosis diagnosis. Most of the time endometriosis involves the recto-sigmoid. Right colon involvement is not common in endometriosis and also a few studies have reported obstructive endometriosis of bowel. Here, a case of endometriosis was reported with the ileocolic intussusception and cecal mass. Case Presentation: A 32y old woman was referred to Yas hospital due to severe low abdominal pain and vomiting...
October 2018: Journal of Reproduction & Infertility
Shengxian Fan, Min Feng, Meng Wang, Wenxian Guan
RATIONALE: Metastasis of T1N1 gastric cancer (GC) at early stage after curative gastrectomy is unusual. Reports on the diagnosis, treatment, and prognosis of peritoneal metastasis following curative gastrectomy for T1N1 GC are lacking. PATIENT CONCERNS: A 54-year-old woman was admitted to our hospital with complaints of mild abdominal distension and failure to pass gas and stool for 2 days. She has a history of distal gastrectomy for T1N1 GC. About 1 year after surgery, she presented with persistent abdominal distension and underwent conservative managements...
February 2019: Medicine (Baltimore)
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