19,161 results match your criteria Intestinal Perforation


Ileo-colic lipomatosis complicated by cecum perforation and mimicking acute appendicitis: a case report.

Acta Biomed 2022 Jun 29;93(S1):e2022208. Epub 2022 Jun 29.

S.O.C. Chirurgia Generale, P.O. Santissima Trinità, Cagliari, Italy..

Lipomatosis of the colon is rare in clinical practice although the majority of cases are found incidentally. In rare circumstances, patients may presents with acute complications such as bowel obstruction, intussusception, or perforation. Here we report a case of colonic lipomatosis that present as localized peritonitis mimicking acute appendicitis in a young COVID patient. Read More

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Safe multidisciplinary approach in deeply infiltrating endometriosis (DIE): is it feasible?

JBRA Assist Reprod 2014 Dec 27;18(4):139-143. Epub 2014 Dec 27.

Department of Obstetrics and Gynecology, Federal University of Minas Gerais (UFMG) - Belo Horizonte/MG - Brazil.

Objective: Evaluate the type and incidence of postoperative complications after surgery for deep infiltrative endometriosis at Biocor Hospital.

Methods: Our observational study involved a multidisciplinary surgical team that performed laparoscopy on 154 patients suffering from pelvic pain. Surgical complications occurring up to the 30th postoperative day were recorded. Read More

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December 2014

Non-coding RNAs in Neonatal Necrotizing Enterocolitis.

Newborn (Clarksville) 2022 Jan-Mar;1(1):120-130. Epub 2022 Mar 31.

Global Newborn Society, Clarksville, Maryland, United States of America.

The incomplete understanding of the etiopathogenesis of necrotizing enterocolitis (NEC) contributes to the lack of timely diagnosis and limited therapeutic options. Non-coding RNAs (ncRNAs) have emerged as key regulators of gene expression in various pathways that can modulate various physiological and pathological processes. Despite several studies revealing the role of ncRNAs in intestinal inflammatory diseases in adults, these remain largely unexplored in NEC. Read More

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Case report: anaesthetic and surgical management of a diaphragmatic rupture with tension pneumothorax and iatrogenic bowel perforation in an undiagnosed Bochdalek hernia patient.

BMC Anesthesiol 2022 Jun 24;22(1):195. Epub 2022 Jun 24.

Division of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, Block 5 Level 2, Outram Road, Singapore, 169608, Singapore.

Background: Congenital diaphragmatic defects are rare, with most cases presenting in childhood. Diagnosis in adulthood is usually incidental or when symptoms develop. We present a case of a strangulated Bochdalek hernia complicated by possible tension pneumothorax and iatrogenic bowel injury in a healthy young male. Read More

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Tension pneumoperitoneum following colonic perforation due to barotrauma.

BMJ Case Rep 2022 Jun 24;15(6). Epub 2022 Jun 24.

Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India

Barotrauma of the colorectum is an uncommon entity that usually occurs after colonoscopy. Perforation of the colon by non-iatrogenic barotrauma of the colon, with tension pneumoperitoneum, is very rare. We present a case of a male patient in his 20s with colon barotrauma caused by industrial compressed air, causing perforation of the transverse colon, with multiple serosal tears throughout the colon. Read More

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Prophylactic mesh placement in emergency midline laparotomy for intestinal perforation peritonitis: An appeal for caution.

Trop Doct 2022 Jun 23:494755221110831. Epub 2022 Jun 23.

Department of Surgery, 534313NSCB Government Medical College, Jabalpur, India.

Prophylactic mesh placement (PMP) is increasingly being used to reduce the incidence of incisional hernia after routine and emergency midline laparotomy (EML). However, such studies are not available for EMLs done solely for intestinal perforation. Patients who underwent non-absorbable PMP during EML for intestinal perforation (Group A, 15 patients) were compared with those who had a conventional abdominal wall closure (Group B, 20 patients). Read More

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Evaluation of a Diagnostic and Management Algorithm for Adult Caustic Ingestion: New Concept of Severity Stratification and Patient Categorization.

J Pers Med 2022 Jun 17;12(6). Epub 2022 Jun 17.

Department of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.

Background: Caustic ingestion has gained increasing attention worldwide. However, the insight into whether to use esophagogastroduodenoscopy (EGD) or computed tomography (CT) for first-line investigation remains controversial. This study aimed to evaluate a diagnostic and management algorithm that combines EGD and CT for rapid triage. Read More

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Safety and Efficacy of Bevacizumab in Cancer Patients with Inflammatory Bowel Disease.

Cancers (Basel) 2022 Jun 13;14(12). Epub 2022 Jun 13.

Department of Cancer Medicine, Gustave Roussy Cancer Institute, 94805 Villejuif, France.

Background: The safety of bevacizumab in combination with chemotherapy in patients with inflammatory bowel disease (IBD) and digestive and nondigestive cancers is poorly documented.

Methods: We retrospectively evaluated patient records of all adult cancer patients with IBD at our institution from April 2007 to May 2016 with an update in November 2019.

Results: Twenty-seven patients with a history of IBD (Crohn's disease, = 22; ulcerative colitis, = 5) who were treated with bevacizumab and chemotherapy for metastatic solid tumors were identified. Read More

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Unexpected diagnosis of jejunal perforation after robot-assisted radical prostatectomy.

Urol Case Rep 2022 Sep 10;44:102127. Epub 2022 Jun 10.

Department of Urology, Juntendo University Faculty of Medicine, Tokyo, Japan.

We report a rare case of perforated jejunal diverticulitis after an unrelated surgery. A 60-year-old male presented with severe abdominal pain one day after robot-assisted radical prostatectomy. This was diagnosed as perforated jejunal diverticulitis and managed via immediate partial jejunal resection. Read More

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September 2022

Small Intestinal Perforation Caused by Enteric-coated Low-dose Aspirin: A Case Report.

Intern Med 2022 Jun 21. Epub 2022 Jun 21.

Department of Surgery, Oida Hospital, Japan.

A 77-year-old man presented with abdominal pain for 1 week. He was taking enteric-coated low-dose aspirin (LDA) to prevent secondary cardiovascular events and a proton pump inhibitor (PPI). Computed tomography indicated a small intestinal perforation; thus, small intestine resection was performed. Read More

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Ileal lactobezoar in extreme premature infant complicated by intestinal perforation: A case report.

Int J Surg Case Rep 2022 Jun 14;96:107303. Epub 2022 Jun 14.

Neonatology Department, The Hospital for Sick Children, Toronto, Ontario, Canada; University of Toronto, Toronto, Ontario, Canada.

Introduction And Importance: Lactobezor is a rare complication that has been reported more in the stomach, however it may be located anywhere in the intestine.

Case Report: Reported here, is a case of ileal lactobezoar which was complicated by perforation and was mimicking necrotizing enterocolitis in presentation, ex preterm (26 weeks) male infant who presented at day of life 18th (2 days after BM fortification) with hemodynamic instability and intestinal perforation, which was diagnosed by Abdominal X-ray and Ultrasound necessitating urgent laparotomy.

Clinical Discussion: Laparotomy revealed an area of ileal perforation and an inspissated mass which was confirmed to be lactobezoar by pathology, ileostomy was performed. Read More

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Pneumatosis cystoides intestinalis accompanied by schistosomiasis: a case report.

J Int Med Res 2022 Jun;50(6):3000605221105160

Department of Pathology, Minhang Hospital, Fudan University, Shanghai, P. R. China.

Pneumatosis cystoides intestinalis (PCI) is a rare disease that most frequently occurs in the large and small intestine and has no obvious clinical symptoms. The main pathological feature is the presence of air-filled cysts in the intestinal submucosa, intermuscular wall, and subserous membrane. Conservative treatment is the first choice when no serious complications are present, whereas timely surgical treatment is needed for serious and life-threatening complications. Read More

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Correction: Intestinal Perforation as a Paradoxical Reaction to Tuberculosis.

Cureus 2022 Jun 10;14(6):c65. Epub 2022 Jun 10.

Pediatric Medicine, Tawam Hospital, Abu Dhabi, ARE.

[This corrects the article DOI: 10.7759/cureus.24077. Read More

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Reconstruction with omental flap and negative pressure wound therapy after total pelvic exenteration of anal fistula cancer: a case report.

Surg Case Rep 2022 Jun 20;8(1):116. Epub 2022 Jun 20.

Department of Gastroenterological Surgery, Fukuoka University Hospital, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.

Introduction: Surgery for anal fistula cancer (AFC) associated with Crohn's disease usually entails extensive perineal wounds and dead space in the pelvis, which is often filled with a myocutaneous flap. However, use of a myocutaneous flap is invasive. We report a case of total pelvic exenteration (TPE) for AFC in which a myocutaneous flap was avoided by using an omental flap and negative pressure wound therapy (NPWT). Read More

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Retrospective analysis of different therapeutic approaches for retroperitoneal duodenal perforations.

Sci Rep 2022 Jun 17;12(1):10243. Epub 2022 Jun 17.

Department of General, Visceral and Transplant Surgery, University Hospital of Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Surgical therapy of duodenal perforation into the retroperitoneum entails high morbidity. Conservative treatment and endoscopic negative pressure therapy have been suggested as promising therapeutic alternatives. We aimed to retrospectively assess outcomes of patients treated for duodenal perforation to the retroperitoneum at our department. Read More

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Spontaneous perforated duodenal diverticulum: a case series.

Acta Gastroenterol Belg 2022 Apr-Jun;85(2):387-389

Department of gastroenterology and hepatology, AZ Nikolaas, Sint-Niklaas, Belgium and Faculty of Medicine, Ghent University, Ghent, Belgium.

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Small Bowel Injury Due to Electrocautery Excision of Umbilical Granuloma in a Four-Month-Old Child.

Cureus 2022 May 12;14(5):e24940. Epub 2022 May 12.

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Many surgeons are familiar with small bowel perforation-a breach in the continuity of the bowel wall resulting in spillage of contents into the peritoneal cavity. Usually, patients present with severe abdominal pain, and radiological investigations suggest pneumoperitoneum. However, intestinal perforation secondary to electrocautery used for umbilical granuloma excision is rare. Read More

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Incidental Finding of Ascaris in Peritoneal Cavity During Laparotomy for Blunt Trauma Abdomen: A Rare Case.

Cureus 2022 May 13;14(5):e24970. Epub 2022 May 13.

Psychiatry, Maharishi Markandeshwar Medical College and Hospital, Solan, IND.

migration from the intestine into the peritoneal cavity is rarely seen and the usual presentation is the acute abdomen. Our case report is of a young male who got admitted after a roadside accident with polytrauma including blunt trauma abdomen. When the patient was taken up for exploratory laparotomy, a freely lying tubular structure was noticed in the pelvis and small intestinal perforation. Read More

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[Incidental Finding of Appendiceal Neuroendocrine Tumour].

Zentralbl Chir 2022 Jun 15;147(3):244-248. Epub 2022 Jun 15.

Klinik für Viszeral-, Allgemeine-, Tumor- und Transplantationschirurgie, Universitätsklinikum Köln, Koln, Deutschland.

With an incidence of 80%, neuroendocrine neoplasia (NEN) is the most common neoplasia of the appendix. In most cases, these tumours are diagnosed as an incidental finding after appendectomy with suspected appendicitis. They are usually highly differentiated neuroendocrine tumours. Read More

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[Obstructed colon cancer: which strategy in 2022?]

Rev Med Suisse 2022 Jun;18(786):1192-1199

Service de chirurgie viscérale, Département de chirurgie, Centre hospitalier universitaire vaudois et Université de Lausanne, 1011 Lausanne.

The key priority for obstructed colon cancer (OCC) is urgent resolution of the large bowel obstruction with ideally no compromise of oncological outcomes and low initial and permanent ostomy rates. Proactive management is pivotal to decrease the risk of perforation and septic shock. Staged procedures have an important place to provide optimal treatment and offer similar treatment and outcomes as in the elective setting. Read More

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PTX3 Protects Intestinal Mucosal Barrier Damage in Sepsis Through Toll-Like Receptor Signaling Pathway.

Inflammation 2022 Jun 10. Epub 2022 Jun 10.

Department of Critical Care Medicine, First Affiliated Hospital of Xinjiang Medical University, Urumqi, No. 137, Liyushan Road, Xinshi District, Urumqi, Xinjiang Uygur Autonomous Region, 830054, People's Republic of China.

This study aims to confirm the protective effect of Pentraxin 3 (PTX3) on intestinal mucosal barrier damage in sepsis in animal and cell models and explore its mechanism. Analysis of the GSE147775 gene set revealed that the level of PTX3 was upregulated in the lipopolysaccharide (LPS)-induced rat sepsis model. The mice sepsis model was established by cecal ligation perforation (CLP), and the cell inflammation model was induced by LPS. Read More

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[Complications of surgical management of non-traumatic acute abdomens of digestive origin at the Yaoundé central hospital, Cameroon (November 2019 - July 2020)].

Med Trop Sante Int 2021 12 26;1(4). Epub 2021 Nov 26.

Département de chirurgie et spécialités, Faculté de médecine et des sciences biomédicales de l'Université de Yaoundé I, Cameroun.

Objective: Acute non-traumatic digestive surgical emergencies are a frequent cause of emergency in Africa. We undertook this study to investigate the morbidity and mortality of these patients in Cameroon, a developing country in Central Africa.

Patients And Methodology: This was an analytical cross-sectional study with prospective data collection, over a period of eight months (November 2019 to July 2020), at the Yaoundé central hospital (Cameroon). Read More

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December 2021

Endoscopic Therapy of Small Bowel Polyps by Single-Balloon Enteroscopy in Patients with Peutz-Jeghers Syndrome.

Int J Clin Pract 2022 1;2022:7849055. Epub 2022 Feb 1.

Department of Gastroenterology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.

Background: Little is known about the efficacy and safety of single-balloon enteroscopy (SBE) in patients with Peutz-Jeghers syndrome (PJS). The aim of this study was to assess the efficacy and safety of SBE for the treatment of small bowel polyps in patients with PJS.

Methods: We conducted a single-center observational study, which included all patients diagnosed with PJS who underwent SBE for polypectomy between January 2018 and March 2021. Read More

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Risk factors for prolonged mechanical ventilation in neonates following gastrointestinal surgery.

Transl Pediatr 2022 May;11(5):617-624

Division of Neonatology, The Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Prolonged mechanical ventilation (MV) should be avoided in neonates. Noninvasive ventilation (NIV) can facilitate weaning from MV but has risks for patients immediately following foregut surgery due to the potential risk of anastomotic leak. We evaluated the risk factors for prolonged MV following intestinal surgery in neonates. Read More

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Conservative treatment of gastric perforation after microwave ablation of a hepatocellular carcinoma: Case report.

Medicine (Baltimore) 2022 Jun 3;101(22):e29195. Epub 2022 Jun 3.

Surgical Center Oranienburg, Oranienburg, Germany.

Rationale: Microwave ablation (MWA) has been proven to be an efficient and safe method for local tumor control of liver tumors. Reported complications are rare, but include liver abscess, hematoma, pleural effusion, and occasional thermal injury of the adjacent colon. Intestinal perforation usually requires immediate surgical treatment to prevent generalized peritonitis and sepsis. Read More

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COVID-19 and Intestinal Ischemia: A Multicenter Case Series.

Front Med (Lausanne) 2022 18;9:879996. Epub 2022 May 18.

Department of Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

Introduction: Gastrointestinal symptoms are common among COVID-19 patients. Although gastrointestinal involvements are mostly benign, they rarely indicate a severe pathology like intestinal ischemia. The present case series describes 21 patients with bowel ischemia, necrosis, or perforation. Read More

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Therapeutic strategies in Crohn's disease in an emergency surgical setting.

World J Gastroenterol 2022 May;28(18):1902-1921

Department of Surgery, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.

Crohn's disease (CD) remains a chronic, incurable disorder that presents unique challenges to the surgeon. Multiple factors must be considered to allow development of an appropriate treatment plan. Medical therapy often precedes or complements the surgical management. Read More

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bacteremia and its implications: A case report.

IDCases 2022 20;29:e01516. Epub 2022 May 20.

Department of Infectious Disease, University Medical Center, 1800 W Charleston Blvd, Las Vegas, NV 89102, United States.

Background: The species is a gram positive, anaerobic, rod-shaped microbe that is known to produce many toxins. Most infections by the species involve , , and . However, other types of species are also clinically relevant, such as and . Read More

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Sigmoid colon perforation in a SARS-CoV-2 positive neonate: a uniqueness report and a brief review.

BMC Pediatr 2022 Jun 3;22(1):327. Epub 2022 Jun 3.

Department of Surgery, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Background: Despite the relative prevalence of small bowel and proximal colon perforation in the neonatal period, recto-sigmoid perforation is extremely rare. Full-term neonates experience intestinal perforation less frequently than premature infants. Here we report a neonate with sigmoid perforation and simultaneous Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection. Read More

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Nonocclusive mesenteric ischemia caused by type B aortic dissection: a case report.

BMC Surg 2022 Jun 3;22(1):214. Epub 2022 Jun 3.

Second Affiliated Hospital of Soochow University, Suzhou, China.

Background: Nonocclusive mesenteric ischemia (NOMI) is defined as acute intestinal ischemia because of decreased blood flow in mesenteric vessels. Only a few cases of NOMI that occur secondary to aortic dissection (AD) have been reported, resulting in the lack of sufficient knowledge of diagnosis and treatment.

Case Presentation: We aimed to report a case of NOMI caused by type B Aortic Dissection. Read More

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