8,793 results match your criteria Obstruction Large Bowel

Metastatic Large Cell Neuroendocrine Carcinoma of the Colon: A Case Report.

Cureus 2022 Jun 19;14(6):e26075. Epub 2022 Jun 19.

Department of Internal Medicine, Wayne State University School of Medicine, Rochester Hills, USA.

Colorectal neuroendocrine tumors are rare entities, with large cell neuroendocrine carcinomas occurring less frequently. We report a case of an 83-year-old male who presented with symptoms of intestinal obstruction. A computed tomography scan of the abdomen and pelvis revealed a high-grade large bowel obstruction secondary to an irregular exophytic soft tissue mass within the ascending colon, with extensive metastatic disease. Read More

View Article and Full-Text PDF


Arq Bras Cir Dig 2022 17;35:e1654. Epub 2022 Jun 17.

Department of Surgery, University Hospital, University of Chile - Santiago - Chile.

Aim: Small bowel obstruction (SBO) is a frequent cause of emergency department admissions. This study aimed to determine risk factors of reoperations, postoperative adverse event, and operative mortality (OM) in patients surgically treated for SBO.

Methods: This is a retrospective study conducted between 2014 and 2017. Read More

View Article and Full-Text PDF

High-Grade Colonic Stricture After a Severe Case of COVID-19 Pneumonia.

Am Surg 2022 Jun 21:31348221109811. Epub 2022 Jun 21.

Division of Colon and Rectal Surgery, Department of Surgery, 23387Mayo Clinic, Phoenix, AZ, USA.

Extrapulmonary involvement of coronavirus-19 disease (COVID-19) is being documented and studied at an increasing frequency. Specifically, gastrointestinal involvement is hypothesized to occur due to cellular entry via the ACE2 receptor found in gastrointestinal epithelial cells, causing inflammation and symptoms such as abdominal pain, nausea/vomiting, and diarrhea. We present the case of a 45-year-old female with recent severe COVID-19 infection and early gastrointestinal symptoms who later presented with worsening abdominal pain, nausea, vomiting, and constipation after initial discharge. Read More

View Article and Full-Text PDF

A curious adult case of small bowel volvulus with congenital malrotation.

J Surg Case Rep 2022 Jun 15;2022(6):rjac285. Epub 2022 Jun 15.

Department of General Surgery, Ipswich Hospital, QLD, Australia.

Intestinal volvulus is defined as a twisting of the bowel on its mesentery. It itself is a rare occurrence, with documented incidence of 1% as the cause of all small bowel obstruction, with further 0.82% of them being associated with intestinal malrotation. Read More

View Article and Full-Text PDF

Perioperative and oncologic outcomes of interval colectomy performed by acute care surgeons after stenting as a bridge to surgery for left-sided malignant colonic obstruction are non-inferior to the outcomes of colorectal surgeons in the elective setting: single center experience.

Eur J Trauma Emerg Surg 2022 Jun 16. Epub 2022 Jun 16.

Head-in-Chief. General, Digestive and Transplantation Surgery Department, University Regional Hospital, Malaga, Spain.

Purpose: To analyze if perioperative and oncologic outcomes with stenting as a bridge to surgery (SEMS-BS) and interval colectomy performed by acute care surgeons for left-sided occlusive colonic neoplasms (LSCON) are non-inferior to those obtained by colorectal surgeons for non-occlusive tumors of the same location in the full-elective context.

Methods: From January 2011 to January 2021, patients with LSCON at University Regional Hospital in Málaga (Spain) were directed to a SEMS-BS strategy with an interval colectomy performed by acute care surgeons and included in the study group (SEMS-BS). The control group was formed with patients from the Colorectal Division elective surgical activity dataset, matching by ASA, stage, location and year of surgery on a ratio 1:2. Read More

View Article and Full-Text PDF

[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

View Article and Full-Text PDF

Large Bowel Obstruction Secondary to Urinary Retention.

Acta Med Acad 2022 Apr;51(1):64-65

Catholic Health System, Sisters of Charity Hospital, Buffalo, New York, USA.

View Article and Full-Text PDF

An Unusual Small Bowel Phytobezoar Successfully Resolved by Double-balloon Enteroscopy.

Intern Med 2022 Jun 7. Epub 2022 Jun 7.

Department of Gastroenterology, Faculty of Medicine, Yamagata University, Japan.

We herein report a very unusual case of small bowel obstruction caused by phytobezoar in a 69-year-old woman who consumed a large amount of bracken. The patient presented with nausea and vomiting. Computed tomography revealed an air-filled foreign body in the jejunum that had likely caused the small bowel obstruction. Read More

View Article and Full-Text PDF

Analysis of surgical mortality in rural South Australia: a review of four major rural hospital in South Australia.

ANZ J Surg 2022 Jun 8. Epub 2022 Jun 8.

Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.

Background: One-third of Australia's population reside in rural and remote areas. This audit aims to describe all-causes of mortality in rural general surgical patients, and identify areas of improvement.

Methods: This is a retrospective multi-centre study involving four South Australian hospitals (Mt Gambier, Whyalla, Port Augusta, and Port Lincoln). Read More

View Article and Full-Text PDF

Pseudo-intestinal obstruction after transsphenoidal surgery for craniopharyngioma.

J Surg Case Rep 2022 May 31;2022(5):rjac254. Epub 2022 May 31.

Department of Anesthesiology, Gunma University Graduate School of Medicine, Maebashi City, Japan.

Craniopharyngioma surgery is frequently associated with the occurrence of central diabetes insipidus, and oral rehydration therapy is reliable for postoperative management if the patient's thirst is normal. A 61-year-old Japanese male patient underwent extended endoscopic transsphenoidal surgery for craniopharyngioma. He was undergoing acute treatment for postoperative central diabetes insipidus and hypopituitarism in the intensive care unit. Read More

View Article and Full-Text PDF

Intussusception in the Geriatric Population: A Case Report.

Cureus 2022 May 2;14(5):e24663. Epub 2022 May 2.

General and Bariatric Surgery, West Suburban Hospital, Oak Park, USA.

Recurrent abdominal pain in the adult population is a complex symptom with a broad spectrum of diagnoses. The diagnosis of intussusception in the elderly is considerably rarer than in the younger population. High clinical suspicion is required, and imaging is needed for confirmation. Read More

View Article and Full-Text PDF

Portal vein stenting in the management of duodenal varices due to malignant obstruction: A case report and literature review.

Int J Surg Case Rep 2022 Jun 25;95:107246. Epub 2022 May 25.

Department of General Surgery, Calvary Mater Hospital, Waratah, NSW 2298, Australia; Discipline of Surgery, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.

Introduction And Importance: Ectopic varices of the small bowel are a rare complication of portal hypertension. There are various aetiologies that can cause portal vein hypertension such as portal vein obstruction. Each of these pathologies has their own management strategies. Read More

View Article and Full-Text PDF

Large bowel obstruction secondary to a cecal bascule with internal herniation through the foramen of Winslow: A case report.

Int J Surg Case Rep 2022 May 25;94:107123. Epub 2022 Apr 25.

Garnet Health Medical Center - Catskills Campus, Harris, NY, United States of America.

Introduction: Internal hernias are a rare phenomenon, and even rarer is a herniation through the foramen of Winslow. The clinical presentation of patients with an internal hernia is often vague and difficult to diagnose clinically. If internal hernias go undiagnosed and untreated, patients can develop bowel compromise leading to a high morbidity and potential mortality. Read More

View Article and Full-Text PDF

Bouveret syndrome: A challenging case of impacted gallstone within the fourth part of the duodenum.

Int J Surg Case Rep 2022 May 14;94:107084. Epub 2022 Apr 14.

General Surgery Department, Croydon University Hospital, London CR7 7YE, United Kingdom. Electronic address:

Introduction And Importance: Bouveret syndrome is a rare condition characterised by gastric outlet obstruction secondary to a gallstone fistulating into the proximal duodenum or pylorus. Although rare, this condition carries a high mortality rate and no current standardised guidelines for management.

Case Presentation: We present a case of a patient in their 60s with recurrent small bowel obstruction secondary to a cholecysto-duodenal fistula and large gallstone which became impacted in the fourth part of the duodenum. Read More

View Article and Full-Text PDF

A single centre 20-year retrospective cohort study: Percutaneous endoscopic colostomy.

Colorectal Dis 2022 Jun 2. Epub 2022 Jun 2.

Western Sussex Hospitals NHS Trust, Worthing, UK.

Aim: Percutaneous endoscopic colostomy (PEC) represents an important intervention in specific patients. Limited data currently exist. We present the largest recorded study of patients undergoing PEC. Read More

View Article and Full-Text PDF

Small Bowel Obstruction After Neonatal Repair of Congenital Diaphragmatic Hernia-Incidence and Risk-Factors Identified in a Large Longitudinal Cohort-Study.

Front Pediatr 2022 17;10:846630. Epub 2022 May 17.

Department of Pediatric Surgery, University Children's Hospital Mannheim, University of Heidelberg, Mannheim, Germany.

Objective: In patients with a congenital diaphragmatic hernia (CDH), postoperative small bowel obstruction (SBO) is a life-threatening event. Literature reports an incidence of SBO of 20% and an association with patch repair and ECMO treatment. Adhesions develop due to peritoneal damage and underly various biochemical and cellular processes. Read More

View Article and Full-Text PDF

Giant Proximal Right Colon Submucosal Hematoma Leading to a Large Bowel Obstruction.

Cureus 2022 Apr 29;14(4):e24599. Epub 2022 Apr 29.

General Surgery, Texas Tech University Health Sciences Center, Amarillo, USA.

A 41-year-old female with a previous history of chronic obstructive pulmonary disease (COPD) and polycythemia presented to the emergency department with worsening shortness of breath and cough which progressed to respiratory distress requiring mechanical ventilation. During her hospital stay, she developed abdominal distention followed by a fever and a four-point decrease in hemoglobin. A non-contrasted abdominopelvic CT scan was ordered which showed a very large retroperitoneal hematoma adjacent to the right colon with subtle active bleeding. Read More

View Article and Full-Text PDF

Large Meckel's Diverticulum Enterolith. A case of small bowel obstruction.

Ann Ital Chir 2022 Mar 24;11. Epub 2022 Mar 24.

The Meckel's diverticulum is usually asymptomatic but in sometimes it presents severe complications, such as bleeding or perforation. The presence of enterolith inside a Meckel diverticulum is rare. In this report, we present a case of a 56- years- old man, with an abdominal pain and small bowel obstruction for a enterolith. Read More

View Article and Full-Text PDF

Incarcerated right inguinal hernia containing sigmoid colon: An unusual case report.

Int J Surg Case Rep 2022 Jun 21;95:107237. Epub 2022 May 21.

Department of abdominal surgery, Aliabad Teaching Hospital, Kabul University of Medical Sciences (Abuali Ibn Sina), Kabul, Afghanistan. Electronic address:

Introduction: Incarcerated inguinal hernia is an irreducible but the blood supply to the contained part is intact, but developing towards strangulation. Diagnosis usually made by physical examination. The content of hernia sac may vary. Read More

View Article and Full-Text PDF

Intestinal Obstruction among Patients Admitted in the Department of Surgery of a Tertiary Care Centre: A Descriptive Cross-sectional Study.

JNMA J Nepal Med Assoc 2022 Apr 15;60(248):344-347. Epub 2022 Apr 15.

Department of Surgery, Lumbini Provincial Hospital, Butwal, Rupandehi, Nepal.

Introduction: Although intestinal obstruction is a very common surgical emergency, there is a dearth of evidence regarding its prevalence at our institute. The objective of this study is to find out the prevalence of intestinal obstruction among patients admitted to the Department of Surgery of a tertiary care centre.

Methods: A descriptive cross-sectional study on a total of 6735 admitted patients' in Department of Surgery a tertiary care centre was conducted from 1st January, 2014 to 31st March, 2015. Read More

View Article and Full-Text PDF

Colonic Trichobezoar Causing Acute Large Bowel Obstruction.

Am Surg 2022 May 27:31348221087925. Epub 2022 May 27.

440172AdventHealth Orlando, Orlando, FL, USA.

A trichobezoar is a solid mass of undigested hair that accumulates in the gastrointestinal tract that is typically associated with trichotillomania and trichophagia. Most documented cases are reported to be found in the stomach and small intestine. We report a case of a complete large bowel and small bowel obstruction secondary to a trichobezoar in an 81-year-old male with abdominal pain for one month. Read More

View Article and Full-Text PDF

A successful operation for giant intra-abdominal desmoid tumors associated with familial adenomatous polyposis: A case report.

Mol Clin Oncol 2022 Jun 6;16(6):107. Epub 2022 May 6.

Department of Surgery, Moriguchi Keijinkai Hospital, Moriguchi, Osaka 570-0021, Japan.

Desmoid tumors are benign proliferations of spindle cells originating in fibro-aponeurotic tissue. Many patients with familial adenomatous polyposis (FAP) die from desmoid tumors, which can arise spontaneously but often appear to be surgically induced by prophylactic colectomy. Desmoid tumors are the second most common cause of death in patients with FAP, second to colorectal cancer. Read More

View Article and Full-Text PDF

Large bowel obstruction caused by a colonic polyp.

J Surg Case Rep 2022 May 23;2022(5):rjac161. Epub 2022 May 23.

Department of Surgery, Suwa Central Hospital, Nagano, Japan.

A large bowel obstruction (LBO) is an emergency condition that requires early diagnosis and prompt treatment, and it is also crucial to identify the cause of the obstruction. Here, we describe a 76-year-old woman who presented to the hospital with a 1-day history of abdominal pain and vomiting and was diagnosed with LBO. Endoscopic findings showed that the cause of the LBO was initially determined to be a Bormann Type I tumour in the sigmoid colon. Read More

View Article and Full-Text PDF

Intestinal occlusion due to Burkitt lymphoma: an unusual cause.

Rev Esp Enferm Dig 2022 May 24. Epub 2022 May 24.

Aparato Digestivo, Hospital Universitario Miguel Servet.

We present the case of a 37-year-old Caucasian woman, with no history of interest, who came to the emergency room for an occlusive condition of 24 hours' evolution. The patient reported a weight loss of 12 kg in the last month, as well as the appearance of a lump in the left breast in the last week. A chest-abdominal CT scan revealed multiple solid-appearing nodules in the left breast, a metastatic liver lesion, and a tumor-like mass in the right iliac fossa measuring 90x60 mm. Read More

View Article and Full-Text PDF

Strangulating left colon volvulus following nonsurgical castration in a 6-year-old donkey.

Vet Res Forum 2022 Mar 15;13(1):145-147. Epub 2022 Mar 15.

Department of Surgery and Diagnostic Imaging, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran .

Colic is a clinical syndrome and has been defined as a visceral abdominal pain and/or acute abdominal disease. It is a common cause of morbidity and mortality in horses. The most common forms of colics are related to gastrointestinal tract in nature and most often linked to colonic disturbances. Read More

View Article and Full-Text PDF

Two secondary localisation of non-Hodgkin's lymphomas in the upper gastrointestinal tract.

BMJ Case Rep 2022 May 18;15(5). Epub 2022 May 18.

Department of Medical Biotechnologies, University of Siena, Siena, Italy.

Extranodal non-Hodgkin's lymphomas of the gastrointestinal tract represent 30%-40% of all extranodal lymphomas. Gastric lymphomas are increasingly described in the literature due to the development of diagnostic techniques and the increased incidence, together with the reduced incidence of gastric solid neoplasms. Significant diagnostic difficulties are determined by the non-specificity of the symptoms, which are mostly chronic, characterised by a slow progression. Read More

View Article and Full-Text PDF

Ascending colon stenosis caused by repeated diverticulitis that clinically mimicked advanced colon cancer: A case report.

Int J Surg Case Rep 2022 Jun 12;95:107184. Epub 2022 May 12.

Department of Surgery, Atago Hospital, Kochi, Japan.

Introduction: We experienced a rare case of right-sided large bowl obstruction (LBO) of the colon caused by chronic diverticulitis, which was challenging to diagnose.

Presentation Of Case: A young male was admitted to our department with a fever, diarrhea, and right-sided lateral abdominal pain for several days. CT showed a thickened ascending colon wall with stenosis and adjacent retroperitoneal inflammation without marked diverticula. Read More

View Article and Full-Text PDF

A Delayed Presentation of Perforated Diffuse Large B Cell Lymphoma of the Small Bowel Resulting in a Large Interloop Faecaloma.

Case Rep Surg 2022 5;2022:3881598. Epub 2022 May 5.

Department of General Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, Queensland 4020, Australia.

Primary small bowel lymphomas are a rare entity but with significant morbidity and a low five-year overall survival even after surgery. Its diagnosis is often delayed due to the lack of clear specific signs, unfamiliarity amongst clinicians, and the lack of screening tools. This often results in patients presenting with tumour-associated complications such as perforation, obstruction, or gastrointestinal bleeding which warrant urgent surgical intervention. Read More

View Article and Full-Text PDF

Bowel Obstruction Due to Stenotic Sigmoid Colon Cancer in a 32-Year-Old Patient Presenting in the Third Trimester of Pregnancy: A Case Report of an Interval Surgical Approach.

Am J Case Rep 2022 May 16;23:e935920. Epub 2022 May 16.

Department of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.

BACKGROUND Colorectal cancer among pregnant women is a rare entity. If colon cancer is suspected during pregnancy, the diagnosis is a therapeutic challenge that should be managed by a multidisciplinary team of specialists. Standardized therapeutic models do not exist. Read More

View Article and Full-Text PDF

A Rare Cause of Small Bowel Obstruction: A Case Report.

Front Surg 2022 26;9:855904. Epub 2022 Apr 26.

Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, China.

Introduction: Small bowel obstruction is a common surgical emergency abdominal condition in clinical practice. Fecalith is one of the rare causative factors, especially phytobezoars.

Case Report: We report the case of a 66-year-old man admitted with "abdominal pain with vomiting for 1 day. Read More

View Article and Full-Text PDF