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Int J Colorectal Dis 2020 May 30. Epub 2020 May 30.

Division of Human Pathology, Department of Pathology and Microbiology, Nihon University School of Medicine, Tokyo, Japan.

Background: Myenteric ganglionitis is a disorder that causes intestinal motor dysfunction. It may be caused due to neoplastic, central nervous system, or systemic infectious disorders. However, some cases are considered to be idiopathic in origin. Read More

Surg Endosc 2020 May 28. Epub 2020 May 28.

Department of Gastroenterological Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoji-Ku, Osaka City, Osaka, 543-0035, Japan.

Background: Small bowel obstruction (SBO) arises on various backgrounds, and the surgical procedure is often modified intraoperatively as needed. Single-incision laparoscopic surgery (SILS) is less invasive than conventional multiport laparoscopic surgery (MPS) and reported to be equally safe and efficient. We have been applying SILS to SBO requiring surgical treatment, and we conducted a retrospective study to clarify the role of SILS in the management of SBO. Read More

J Pediatr Surg 2020 May 5. Epub 2020 May 5.

Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore, Pakistan.

Background: Trichobezoar is an exceedingly rare entity in children and mimics other chronic ailments such as abdominal tuberculosis or malignancy. Delayed diagnosis and management result in various complications. The study was conducted to describe our experience with 17 consecutive cases of gastrointestinal tract (GIT) trichobezoars. Read More

Ann Hepatobiliary Pancreat Surg 2020 May;24(2):198-202

Division of Pediatric Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Multivisceral organ transplantation (MVOT) includes transplantation of three or more abdominal organs, generally including the small bowel, duodenum, stomach, liver, pancreas, and colon. We here presented the detailed procedures of repeat living donor liver transplantation for primary non-function of the first liver graft following MVOT in a pediatric patient. A 6-year-old girl with chronic intestinal pseudo-obstruction underwent MVOT with 5-year-old donor organs. Read More

Surg Case Rep 2020 May 24;6(1):108. Epub 2020 May 24.

Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.

Background: Small bowel obstruction after gastrectomy with Roux-en-Y reconstruction (R-Y reconstruction) is not a rare complication. However, patients who need re-operation for this complication have a high rate of postoperative complications. We report a case series of three patients who underwent fluoroscopic balloon dilation (FBD) for early jejunojejunostomy obstruction (JJO) after gastrectomy with Roux-en-Y reconstruction (R-Y reconstruction). Read More

Korean J Gastroenterol 2020 May;75(5):296-299

Department of Internal Medicine, Kyungpook National University, Daegu, Korea.

This paper reports a case of a twisted small bowel obstruction in a 74-year-old man that occurred after a double tract reconstruction (DTR) in a laparoscopic proximal gastrectomy (PG) for early gastric cancer. The patient had inadequate oral intake and reflux symptoms for 10 days after discharge. Imaging analysis revealed a narrowed small bowel with twists between the esophagojejunostomy and gastrojejunostomy sites. Read More

Int J Surg Case Rep 2020 Apr 1;71:102-106. Epub 2020 Apr 1.

University of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, Tennnodai, Tsukuba-city, Ibaraki-Ken, 305-8575, Japan. Electronic address:

Introduction: Malignant melanoma sometimes metastasizes to small intestine, and could cause various clinical symptoms, including intussusception. Among the acute abdomen cohort in Japan, it is quite rare to encounter this entity.

Presentation Of Case: A 68-year-old male patient was admitted to our hospital with chief complaints of abdominal pain and vomiting. Read More

Medicine (Baltimore) 2020 May;99(20):e20288

Department of Critical Care Medicine, The Second Affiliated Hospital of Hainan Medical University, Longhua District, Haikou.

Background: As one of the complications after abdominal operation, early postoperative inflammatory small bowel obstruction (EPISBO) is a great trouble for many patients. The use of somatostatin in treating this disease had been widely reported, but its efficacy and safety were controversial. Therefore, the present research carried out a systematic review of the clinical efficacy and safety of somatostatin in treating EPISBO. Read More

Surg J (N Y) 2020 Apr 19;6(2):e101-e104. Epub 2020 May 19.

Department of Surgical Gastroenterology, Nishtha Surgical Hospital and Research Centre, Patan, Gujarat, India.

An inflammatory myofibroblastic tumor is a rare tumor of mesenchymal background commonly found in the pulmonary system. It is rarely found as a primary tumor in the gastrointestinal tract. We report an unusual presentation of this rare lesion causing intussusception and intestinal obstruction in a 39-year-old male. Read More

Int J Surg Case Rep 2020 May 11;71:45-49. Epub 2020 May 11.

Department of Surgery, AUSL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.

Introduction: Malrotation of gut is a congenital anomaly of foetal intestinal rotation and it is mostly discovered in early childhood as acute intestinal obstruction. This condition is very rare and often silent in adults.

Presentation Of Case: We present a case of 44-year-old woman admitted with acute abdominal pain. Read More

ANZ J Surg 2020 May 21. Epub 2020 May 21.

Division of Surgical Specialties and Anaesthetics, Lyell McEwin Hospital, Adelaide, South Australia, Australia.

Pediatr Surg Int 2020 May 20. Epub 2020 May 20.

Department of Paediatric Surgery, Level 3 CSB, Wellington Children's Hospital, Riddiford St, Newtown, Wellington, 6021, New Zealand.

Recent reports have recommended laparoscopic diverticulectomy for symptomatic Meckel diverticulum (MD) rather than laparoscopic-assisted extracorporeal resection. This technique may risk leaving residual ectopic mucosa leading to complications. This systematic review attempts to quantify the relative risks of both approaches. Read More

Int J Surg Case Rep 2020 May 8;70:126-129. Epub 2020 May 8.

Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia; The University of Sydney, Discipline of Surgery, Sydney, New South Wales, Australia. Electronic address:

Introduction: Adult intussusception (AI) is both a challenging and rare diagnosis, with predisposing factors including malignancy, surgery and infection to name a few. Transient jejunal intussusception is a subset of AI which is usually diagnosed radiologically, with diagnostic laparoscopy utilised to determine whether a malignant cause is identifiable and subsequently treatable.

Presenting Case: We present the case of a previously healthy 36-year-old male diagnosed with transient jejunal intussusception on computed tomography after presenting with abdominal pain. Read More

Clin Pract Cases Emerg Med 2020 May 24;4(2):158-160. Epub 2020 Feb 24.

Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts.

Bladder scanners allow for quick determination of bladder volumes (BV) with minimal training. BV measured by a machine is generally accurate; however, circumstances exist in which falsely elevated BVs are reported. This case details a patient with a significant small bowel obstruction (SBO) due to superior mesenteric artery syndrome causing a falsely elevated BV. Read More

Ann Med Surg (Lond) 2020 Jun 4;54:106-108. Epub 2020 May 4.

Department of Digestive Surgery, Fattouma Bourguiba University Hospital, Monastir, Tunisia.

Hamartomatous polyposis is a rare cause of intussusception in adults. But this complication is the most frequent for patient with Peutz Jeghers syndrome. Small bowel screening is recommended for those patients in order to prevent emergency repetitive surgeries. Read More

Eur J Radiol 2020 Apr 30;128:109026. Epub 2020 Apr 30.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, United States.

Diverticular disease of the colon and small bowel is an important cause of pathology leading to emergency department visits and urgent gastrointestinal surgery. CT is a highly sensitive and specific modality for the diagnosis of acute diverticulitis and its complications as well as for the exclusion of alternate causes of pathology. Ultrasound, MRI and virtual CT colonoscopy have important adjunct roles for screening and workup of complications in specific patient populations. Read More

Int J Surg Case Rep 2020 May 11;70:123-125. Epub 2020 May 11.

Department of Pediatric Surgery, Faculty of Medicine, University of Alexandria, Egypt. Electronic address:

Introduction: Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial rotation in the chest due presence of a diaphragmatic defect. Gastric volvulus associated with congenital diaphragmatic hernia is extremely rare and can be explained as 2 of the 4 ligaments supporting the stomach (gastrophrenic and gastrosplenic) which are connected to the left diaphragm may become elongated or absent. According to the current literature, only 27 pediatric cases have been reported so far. Read More

Vet Rec 2020 May 15. Epub 2020 May 15.

Department of Clinical Sciences (Companion Animals and Equids), Faculty of Veterinary Medicine, Equine Clinic, Liege University, Liege, Belgium.

Background: Epiploic foramen entrapment (EFE) of small intestine is a severe cause of strangulating small intestinal obstruction (SSI) with long-term survival seeming lower than for other causes of SSI in horses. Different techniques via laparoscopy or laparotomy for epiploic foramen (EF) closure have been developed.

Methods: This study describes a technique of peroperative mesh closure of the EF in clinical cases and their long-term follow up. Read More

Gastroenterol Res Pract 2020 27;2020:8121625. Epub 2020 Apr 27.

Department of Gastroenterology, Ruijin Hospital, Shanghai, Jiaotong University School of Medicine, Shanghai, China.

Background: Double-balloon enteroscopy (DBE) is widely used worldwide. However, comparisons between the diagnostic yields in adults and the elderly remain scarce.

Aim: The aim of this study is to compare the diagnostic yields and safety of DBE between adults and elderly with obscure gastrointestinal bleeding and incomplete small bowel obstruction. Read More

J Gastrointest Surg 2020 May 14. Epub 2020 May 14.

Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Background: Long-term complications following pancreatoduodenectomy (PD) can significantly impact quality of life and healthcare utilization. Most reports focus on short-term (within 90 days) PD outcomes; however, the incidence and risk factors for long-term complications (> 90 days) remain to be evaluated. We sought to identify the incidence, outcomes, and risk factors for long-term complications post-PD. Read More

Surg Endosc 2020 May 14. Epub 2020 May 14.

Department of Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.

Background: Adhesions are a major cause of long-term postsurgical complications in abdominal and pelvic surgery. Existing adhesion scores primarily measure morphological characteristics of adhesions that do not necessarily correlate with morbidity. The aim of this study was to develop a clinical adhesion score (CLAS) measuring overall clinical morbidity of adhesion-related complications in abdominal and pelvic surgery. Read More

BMJ Case Rep 2020 May 12;13(5). Epub 2020 May 12.

Department of Nephrology, Queen Elizabeth Hospital Birmingham, Birmingham, UK

Critically ill patients are at risk of developing both acute kidney injury (AKI) and invasive fungal infections (IFIs). Prompt and efficient treatment of the IFI is essential for the survival of the patient. This article examines three distinct clinical situations where liposomal amphotericin B, a broad-spectrum antifungal agent, was successfully used in the setting of AKI. Read More

Gan To Kagaku Ryoho 2020 Apr;47(4):718-721

Dept. of Gastrointestinal Surgery, Hyogo Prefectural Nishinomiya Hospital.

In December 20XX-1, abdominal enhanced CT of a 73-year-old female patient showed a 28mm-in-diameter pancreatic tail cancer with splenic venous invasion. She underwent neoadjuvant GEM/TS-1 combination chemotherapy but abandoned this chemotherapy due to melena and exanthema. She underwent a distal pancreatectomy with lymph node dissemination. Read More

Cureus 2020 Apr 5;12(4):e7547. Epub 2020 Apr 5.

Gastroenterology, Charleston Area Medical Center, Charleston, USA.

Amyloidosis is characterized by extracellular deposition of the amyloid protein. It can affect multiple organ systems but it most commonly affects the heart, kidney and gastrointestinal (GI) tract. It can occur sporadically or in association with other conditions like multiple myeloma, chronic inflammatory diseases, infections etc. Read More

Int J Gynecol Cancer 2020 May 5. Epub 2020 May 5.

Gynecologic Oncology, AC Camargo Cancer Center, Sao Paulo, São Paulo, Brazil.

Objectives: Studies of salvage radiotherapy in locally recurrent endometrial cancer remain limited. The aim of this study was to evaluate the efficacy of salvage radiotherapy for vaginal relapse of endometrial cancer and to explore prognostic factors associated with outcomes.

Methods: We evaluated 30 patients treated with salvage external-beam radiotherapy and/or vaginal brachytherapy for vaginal relapses of endometrial cancer between 2009 and 2018. Read More

Diagnostics (Basel) 2020 May 3;10(5). Epub 2020 May 3.

Department of Radiology, Ospedale del Mare-ASL NA1 Centro, 80147 Naples, Italy.

Ultrasound (US) is highly accurate in the diagnosis of small bowel obstruction (SBO). Because the indications for and timing of surgical intervention for SBO have changed over the past several decades, there is a widespread assumption that the majority of patients with simple SBO may be conservatively managed; in this scenario, staging SBO is crucial. This study evaluated the association between morphological and functional US signs in the diagnosis and staging (simple, decompensated and complicated), and the associations and prevalence of US signs correlated with clinical or surgical outcome. Read More

J Am Coll Radiol 2020 May;17(5S):S305-S314

Specialty Chair, Virginia Commonwealth University Medical Center, Richmond, Virginia.

Small-bowel obstruction is a common cause of abdominal pain and accounts for a significant proportion of hospital admissions. Radiologic imaging plays the key role in the diagnosis and management of small-bowel obstruction as neither patient presentation, the clinical examination, nor laboratory testing are sufficiently sensitive or specific enough to diagnose or guide management. This document focuses on the imaging evaluation of the two most commonly encountered clinical scenarios related to small-bowel obstruction: the acute presentation and the more indolent, low-grade, or intermittent presentation. Read More

Cureus 2020 Mar 31;12(3):e7493. Epub 2020 Mar 31.

Internal Medicine, St. Mary Mercy Hospital, Livonia, USA.

'Intussusception' means invaginating or telescoping and is caused by any condition that disrupts the normal physiological mechanism of intestinal peristalsis. Intussusception is rare in adults with an incidence of two to three cases per population of 1,000,000 annually. The most common cause of intussusception in adults is a neoplasm. Read More

Niger J Clin Pract 2020 May;23(5):741-743

SBU Sisli Etfal Research and Training Hospital General Surgery Clinic Halaskargazi Cad. Etfal Sk., Sisli/Istanbul, Turkey.

Obturator hernia (OH) is a relatively rare pelvic hernia. OH is usually seen in elderly, multiparous females and patients with a low body weight. Obturator hernia accounts for 0. Read More

Clin Gastroenterol Hepatol 2020 Apr 30. Epub 2020 Apr 30.

Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas. Electronic address:

BMJ Case Rep 2020 Apr 29;13(4). Epub 2020 Apr 29.

Department of Surgery, Central Finland Central Hospital, Jyväskylä, Finland.

An internal hernia is defined as a protrusion of an abdominal viscera through the defects of the gastrointestinal mesentery or peritoneum-lined fossa. Sigmoid mesocolic hernias are an uncommon type of internal hernias, accounting for only 6% of all internal hernias. Furthermore, intramesosigmoid hernia is one of the three subtypes of the sigmoid mesocolic hernias. Read More

ANZ J Surg 2020 Apr 30. Epub 2020 Apr 30.

Department of General Surgery, Ng Teng Fong Hospital, National University Health System, Singapore.

Cureus 2020 Mar 30;12(3):e7468. Epub 2020 Mar 30.

Internal Medicine, Texas A&M Health Science Center, Bryan, USA.

A fecalith is a mass of an accumulation of hardened fecal matter that is seen in patients with Chagas disease, Hirschsprung's disease, and inflammatory bowel disease. In this article, we report a case of a 53-year-old female with chronic abdominal pain who was admitted with progressive weight loss, near syncope episode, and serum potassium of 2.6 mg/dL. Read More

Cureus 2020 Mar 29;12(3):e7464. Epub 2020 Mar 29.

Radiology, Dr. Ziauddin Hospital, Karachi, PAK.

Objective To determine the role of multidetector computed tomography (MDCT) with multiplanar (MPR) and curved multiplanar reformations (CMPR) in the detection of the cause of intestinal obstruction. Materials and methods A retrospective analysis of 200 patients with a clinical suspicion of intestinal obstruction referred to the department of radiology, Dr. Ziauddin University Hospital, Clifton campus, from September 2016 to October 2019, was done. Read More

Urologiia 2020 Apr(2):41-45

Federal State-Funded Institution Central Clinical Hospital of the Civil Aviation, Moscow, Russian.

The Purpose Of The Study: a retrospective analysis of the results of patients treatment with ureteral strictures by evaluating the effectiveness of various methods of laparoscopic operations.

Materials And Methods: a retrospective analysis of the treatment of 30 patients operated in the Central Hospital of Civil Aviations from 2013 to the present time with strictures of all departments of the ureters, except the pelvic-ureteral segment (LMS), was performed. The study included 18 women and 12 men. Read More

Am J Case Rep 2020 Apr 29;21:e922830. Epub 2020 Apr 29.

Department of General Surgery, Fundeni Clinical Institute, Bucharest, Romania.

BACKGROUND Although lipomas are common benign tumors of adipose tissue, diffuse lipomas involving the small bowel, large bowel, and mesentery are rare. Multiple non-encapsulated lipomas characterize diffuse intestinal and mesenteric lipomatosis. Intestinal lipomatosis can be asymptomatic or may result in complications such as intussusception, volvulus, intestinal obstruction, or hemorrhage due to mucosal ulceration. Read More

Surg Endosc 2020 Apr 27. Epub 2020 Apr 27.

Department of Surgical Gastroenterology and Minimal Invasive Surgery, Santokba Institute of Digestive Surgical Sciences, Santokba Durlabhji Memorial Hospital and Medical Research Center, Jaipur, Rajasthan, India.

Background: Superior mesentery artery syndrome (SMAS) is a rare vasculo-anatomic occlusive pathologic entity for which a period of conservative medical management is advocated with surgery reserved for nonresponsive cases. We present our management plan that entails a single admission approach and complete rendering of medical and surgical treatment to the patient on a background of the socioeconomic and cultural trends prevalent in this geographic region.

Methods: A retrospective analysis of 22 cases of SMAS admitted in our health care system who underwent a period of preoperative conditioning followed by laparoscopic duodenojejunostomy from September 2009 to June 2019 was performed. Read More

ANZ J Surg 2020 Apr 27. Epub 2020 Apr 27.

Department of Surgery, Monash Health, Melbourne, Victoria, Australia.

ACG Case Rep J 2020 Mar 19;7(3):e00344. Epub 2020 Mar 19.

Department of Gastroenterology, University of Illinois at Chicago, Advocate Christ Medical Center, Oak Lawn, IL.

Eosinophilic enterocolitis is a rare condition representing the least frequent manifestation of eosinophilic gastrointestinal disorders. We report a 49-year-old man who presented with abdominal pain, diarrhea, and intractable vomiting for 2 weeks. Abdominal computed tomography demonstrated gastric wall thickening with mural wall thickening of the small intestine and colon. Read More

ACG Case Rep J 2020 Mar 16;7(3):e00338. Epub 2020 Mar 16.

Division of Gastroenterology, Hepatology and Nutrition, Jackson Memorial Hospital, Miami, FL.

Appendiceal mucinous neoplasms are rarely diagnosed in pediatric patients. We present a 16-year-old adolescent boy with severe Crohn's disease who was not on maintenance medication for his underlying diagnosis. He was referred for nutritional optimization and small bowel obstruction. Read More

Cureus 2020 Mar 24;12(3):e7397. Epub 2020 Mar 24.

General Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

A Spigelian hernia is a very rare hernia, making up approximately 0.1% of all abdominal wall hernias. This hernia goes through a defect in the Spigelian fascia which is the part of the transversus abdominis aponeurosis lateral to the rectus muscle, often at the level of the arcuate line, where the fascia is widest and weakest. Read More

World J Gastroenterol 2020 Apr;26(14):1674-1682

Department of Gastrointestinal Surgery, Weihai Central Hospital, Weihai 264200, Shandong Province, China.

Background: Gastrointestinal hemangiomas are rare benign tumors. According to the size of the affected vessels, hemangiomas are histologically classified into cavernous, capillary, or mixed-type tumors, with the cavernous type being the most common and racemose hemangiomas being very rare in the clinic. Melena of uncertain origin and anemia are the main clinical manifestations, and other presentations are rare. Read More

Ann R Coll Surg Engl 2020 Apr 24:e1-e3. Epub 2020 Apr 24.

Rio Hortega University Hospital, Valladolid, Spain.

Small bowel obstruction from internal hernias is a familiar pathology for the surgeon, with an incidence of 0.5-5.8%. Read More

Int J Surg Case Rep 2020 Apr 4;70:1-4. Epub 2020 Apr 4.

Department of Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD, Australia.

Introduction: Paraduodenal hernias are the most common type of internal hernia but a rare cause of bowel obstruction. Given the high risk of incarceration, obstruction and associated mortality, surgical repair is recommended.

Presentation Of Case: We present a novel technique for laparoscopic repair of paraduodenal hernia using biosynthetic mesh to reinforce suture closure of the hernia defect. Read More

Curr Opin Obstet Gynecol 2020 Apr 18. Epub 2020 Apr 18.

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, Delaware, USA.

Purpose Of Review: To review current topical hemostatic agent use and how it pertains to gynecologic surgery.

Recent Findings: Recent literature suggests some benefit of topical hemostatic agents (THA). THAs confer reduced bleeding and shorter operating room time in women undergoing hysterectomy for cancer and in abdominal myomectomy. Read More

Fed Pract 2020 Mar;37(3):125-127

is a Medical Student at Baylor College of Medicine in Houston, Texas. is Deputy Chief Medical Officer of Veterans Integrated Service Network 16 in Houston, Texas.

Finding the cause of small bowel obstructions can lead to the discovery of important and treatable underlying disease. Read More

J Emerg Med 2020 Apr 18. Epub 2020 Apr 18.

Department of Pediatrics, University of California, San Francisco, San Francisco, California; Department of Emergency Medicine, University of California, San Francisco, San Francisco, California.

Background: Abdominal pain is a common presenting symptom with a broad array of potential etiologies. Meckel diverticulum (MD), the most common congenital gastrointestinal malformation, classically presents with painless gastrointestinal bleeding. However, it can also lead to diverticulitis, intussusception, or obstruction, manifesting as abdominal pain. Read More

Dig Liver Dis 2020 Apr 17. Epub 2020 Apr 17.

Department of Gastroenterology, Changhua Christian Hospital, Changhua, Taiwan.

Ultraschall Med 2020 Apr 20. Epub 2020 Apr 20.

Haukeland University Hospital, National Centre for Ultrasound in Gastroenterology, Bergen, Norway.

An interdisciplinary group of European experts summarizes the value of gastrointestinal ultrasound (GIUS) in the management of three time-critical causes of acute abdomen: bowel obstruction, gastrointestinal perforation and acute ischemic bowel disease. Based on an extensive literature review, statements for a targeted diagnostic strategy in these intestinal emergencies are presented. GIUS is best established in case of small bowel obstruction. Read More