19,767 results match your criteria Small Bowel Obstruction


A case report and literature review of heterotopic mesenteric ossification.

Int J Surg Case Rep 2021 Apr 27;82:105905. Epub 2021 Apr 27.

Department of General Surgery, Al-Hada Armed Forces Hospital, Taif, Saudi Arabia.

Introduction And Importance: Heterotopic mesenteric ossification is a benign bony tissue growth in the mesentery that mostly follows repetitive or severe abdominal injuries leading to reactive bone formation in the mesentery. There are only 73 cases (51 publications) identified in the literature up to the beginning of 2020.

Case Presentation: 45-year-old Saudi male underwent multiple laparotomies to manage complicated appendicitis which ended with a diverting ileostomy and a colostomy as a mucus fistula. Read More

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Adhesive small bowel obstruction in elderly patients: a single-center analysis of treatment strategies and clinical outcomes.

Scand J Gastroenterol 2021 May 7:1-7. Epub 2021 May 7.

Digestive Surgery Unit, Fondazione Policlinico Agostino Gemelli IRCCS di Roma, Rome, Italy.

Introduction: The incidence of adhesive bowel obstruction (ASBO) progressively increases with age. Strong evidences on the influencing role of age on ASBO clinical course and management are still lacking. Aim of this study is to retrospectively analyze the clinical outcomes of patients older than 65 years of age admitted to a tertiary referral Emergency Department with a diagnosis of ASBO. Read More

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High incidence of potentially preventable emergency department visits after major elective colorectal surgery.

Surg Endosc 2021 May 6. Epub 2021 May 6.

Department of Surgery, McGill University Health Centre, Glen Campus-DS1.3310, 1001 Decarie Boulevard, Montreal, QC, H3G 1A4, Canada.

Introduction: Emergency department (ED) visits after surgery represent a significant cost burden on the healthcare system. Furthermore, many ED visits are related to issues of healthcare delivery services and may be avoidable. Few studies have assessed the reasons for ED visits after colorectal surgery. Read More

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Recurrent intestinal obstruction due to gallstone ileus during same hospital admission: a case report and literature review.

J Surg Case Rep 2021 Apr 30;2021(4):rjab024. Epub 2021 Apr 30.

Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.

Gallstone ileus (GSI) is an uncommon entity that causes obstruction of the intestinal lumen due to gallstones. It affects mainly the elderly with multiple comorbidities, leading to a high mortality rate. In this case, an 81-year-old woman was admitted due to GSI. Read More

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Unexpected internal hernia in a patient with small bowel obstruction: an old surgical axiom.

BMJ Case Rep 2021 May 6;14(5). Epub 2021 May 6.

Department of General Surgery, Ayr Hospital, Ayr, UK.

An 85-year-old man with no previous laparotomies and no herniae presented with a small bowel obstruction. CT imaging did not suggest any obvious cause; however, a transition point at the terminal ileum was noted. At laparotomy, the small bowel was unexpectedly found to be obstructed through a tight anterior hiatal defect. Read More

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Intraperitoneal Barium From Gastrointestinal Perforations: Reassessment of the Prognosis and Long-Term Effects.

AJR Am J Roentgenol 2021 May 6:1-7. Epub 2021 May 6.

Department of Radiology, NorthShore University HealthSystem, Evanston, IL.

The purpose of this study was to reassess the outcome and potential consequences of intraperitoneal barium leakage during radiologic evaluation of the gastrointestinal tract. This retrospective study included 18 patients who had significant intraperitoneal leakage of barium from gastrointestinal perforations that were not suspected or diagnosed before the radiologic procedures. This complication occurred during a barium enema examination in nine patients, an upper gastrointestinal study in seven, and a small bowel series in two patients. Read More

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Small Bowel Video Capsule Endoscope Retention Requiring Surgical Treatment: Detailed Analysis of Etiology and Outcomes in a Large Outpatient Cohort.

J Gastrointest Surg 2021 May 4. Epub 2021 May 4.

Gastrointestinal Associates, PC, 1311 Dowell Springs Blvd, Suite 300, Knoxville, TN, 37909, USA.

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Intrauterine midgut volvulus as a rare cause of intestinal obstruction: a case report.

J Med Case Rep 2021 May 4;15(1):239. Epub 2021 May 4.

Department of Pediatric, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.

Background: Intrauterine midgut volvulus is a very rare, life-threatening condition, and prenatal diagnosis is difficult. In this article, we present a case of midgut volvulus followed by a pre-diagnosis of antenatal jejunal atresia.

Case Presentation: A 1-day-old Turkish male baby, who was followed with a diagnosis of antenatal jejunal atresia, with a birth weight of 3600 g, delivered by cesarean section at 38 weeks of gestation from a 19-year-old mother in her fourth pregnancy, was taken to the newborn intensive care unit. Read More

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Intestinal mucormycosis in an adult with H1N1 pneumonia on extracorporeal membrane oxygenation.

Ann Card Anaesth 2021 Jan-Mar;24(1):92-94

Department of General Medicine, Apollo Multi.Speciality Hospital, Sheshadripuram, Bangalore, Karnataka, India.

Gastrointestinal mucormycosis involving ileum is a very rare phenomenon. We present a case of 52-year-old male, known case of diabetes mellitus requiring extracorporeal membrane oxygenation (ECMO) for H1N1 pneumonia with severe acute respiratory distress syndrome (ARDS). The patient had small bowel obstruction with impending perforation requiring emergency bowel resection and ileostomy. Read More

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Five-millimeter Trocar Site Hernia with a Parastomal Hernia Sac: A Case Report.

J Anus Rectum Colon 2021 28;5(2):197-201. Epub 2021 Apr 28.

Department of Gastroenterological Surgery, Yokohama City University Graduate School Medicine, Yokohama, Japan.

Here, we report our experience with a 5-mm trocar site hernia (TSH) near a stoma. This is the first report describing the relationship between TSH and extraperitoneal colostomy. A 72-year-old man underwent laparoscopic abdominoperineal resection with extraperitoneal sigmoid colostomy and partial hepatectomy for rectal cancer accompanied by synchronous liver metastasis (pT3N1aM1a Stage IVA Union for International Cancer Control [UICC] 8th edition). Read More

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Cecal bascule with secondary gastric outlet obstruction in addition to a large bowel closed obstruction: A case report.

Radiol Case Rep 2021 Jun 14;16(6):1469-1472. Epub 2021 Apr 14.

Radiology Department, Hospital Universitario Marqués de Valdecilla, Avda Valdecilla sn 39008, Santander, Spain.

We present a case of cecal bascule in a 60-year-old woman with abdominal pain and vomiting. Imaging tests revealed a cecal bascule causing mechanic obstruction of the stomach. Besides a small bowel dilatation was not seen, the distended cecum was extrinsically obstructing the antrum and therefore, the gastric outlet. Read More

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Preperitoneal herniation as a complication of tansabdominal preperitoneal patch plasty: a report of two cases.

BMC Surg 2021 May 1;21(1):227. Epub 2021 May 1.

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, No. 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China.

Background: Preperitoneal herniation is a rare complication after transabdominal preperitoneal patch plasty (TAPP) and may be caused by inadequate peritoneal closure. We herein report two cases of postoperative small bowel obstruction due to preperitoneal herniation through a disrupted peritoneum.

Case Presentation: Two men in their 70s were admitted to our center because of small bowel obstruction after TAPP. Read More

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Retro-Ileal Conduit Small Bowel Internal Herniation After Radical Cystectomy: A Surgical Complication.

Cureus 2021 Mar 27;13(3):e14142. Epub 2021 Mar 27.

General Surgery, All India Institute of Medical Sciences, Rishikesh, IND.

Intestinal obstruction is one of the most important cause of acute abdomen. An internal herniation is an uncommon yet relevant clinical entity causing an acute intestinal obstruction that can occur after major bowel surgery. Here, we describe a case of acute intestinal obstruction caused by internal herniation in a patient with muscle-invasive urinary bladder carcinoma who underwent robot-assisted radical cystectomy with an ileal conduit. Read More

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Caecal volvulus and jejunostomy: challenging diagnostic.

J Surg Case Rep 2021 Apr 24;2021(4):rjab148. Epub 2021 Apr 24.

General Surgery Department, Hospital del Mar, Barcelona, Spain.

Caecal volvulus represent the 20-40% of colonic volvulus, being the second most frequent localization. It causes intestinal occlusion symptomatology (nausea, vomiting, abdominal distension). We present a case of 45-year-old women with feeding jejunostomy tube due to connatal anoxia. Read More

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Endoscopic lithotripsy for Bouveret syndrome complicated by small bowel obstruction secondary to gallstone fragments.

J Surg Case Rep 2021 Apr 19;2021(4):rjab118. Epub 2021 Apr 19.

Department of Upper Gastrointestinal Surgery, Concord Repatriation General Hospital, Hospital Rd, Concord, New South Wales, Australia.

Bouveret syndrome is a rare complication of cholecystitis, in which impaction of a gallstone creates a cholecystoduodenal fistula leading to gastric outlet obstruction. We report a case of a 90-year-old female who presented with nausea and vomiting on a background of previous necrotic cholecystitis managed conservatively. Computed tomography of the abdomen demonstrated a large gallstone impacted in the third part of the duodenum leading to gastric outlet obstruction. Read More

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Superior mesenteric artery syndrome caused by acute weight loss in a 16-year-old polytrauma patient: A rare case report and review of the literature.

Ann Med Surg (Lond) 2021 May 10;65:102284. Epub 2021 Apr 10.

Department of Radiology, Kabul University of Medical Sciences, Kabul, Afghanistan.

Introduction: Superior mesenteric artery syndrome is a rare entity, caused by compression of the duodenum between the superior mesenteric artery and the aorta.

Case Presentation: A 16-year-old male in the inpatient service of our hospital complained of vomiting for two weeks. The patient had a long hospital stay in our center for the management of trauma-related complications, which resulted in significant weight loss despite the parenteral nutrition as he was unable for taking the enteral nutrition due to severe facial traumatic injury. Read More

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Right paraduodenal hernia with extensive bowel gangrene treated with staged surgery: a Bogota bag followed by resection in a low-resource setting.

BMJ Case Rep 2021 Apr 28;14(4). Epub 2021 Apr 28.

Department of Anatomy, Makunda Christian Leprosy and General Hospital, Karimganj, India.

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Read More

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Endoscopic coloenterostomy for treatment of malignant small-bowel obstruction: troubleshooting and management of complications.

Endoscopy 2021 Apr 28. Epub 2021 Apr 28.

Department of Gastroenterology and Hepatology, Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.

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Gallstone Ileus Treated by Incidental Meckel's Diverticulectomy.

Cureus 2021 Mar 24;13(3):e14078. Epub 2021 Mar 24.

Department of Surgery, West Virginia University, Martinsburg, USA.

Gallstone ileus is an uncommon cause of intestinal obstruction in the elderly. It is typically recognized on computed tomography by the presence of pneumobilia and a gallstone in the right iliac fossa. Nonetheless, it is important to consider that gallstone ileus may represent the presentation of another pathology rather than an entity on its own. Read More

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Traumatic damage to the liver capsule: an unusual cause of small bowel obstruction.

BMJ Case Rep 2021 Apr 26;14(4). Epub 2021 Apr 26.

General Surgery, Worthing Hospital, Worthing, West Sussex, UK.

A 61-year-old man presented to the emergency department with severe abdominal pain. Three months prior to presentation, he had sustained blunt trauma to his right side while cycling, but had not sought medical attention. On admission, a CT scan showed small bowel obstruction (SBO) and he underwent an emergency open laparotomy. Read More

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Unhappy new year: mochi-induced small bowel obstruction.

BMJ Case Rep 2021 Apr 27;14(4). Epub 2021 Apr 27.

Department of Internal Medicine, Suwa Central Hospital, Chino, Nagano, Japan.

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An artificial intelligence deep learning model for identification of small bowel obstruction on plain abdominal radiographs.

Br J Radiol 2021 Apr 27:20201407. Epub 2021 Apr 27.

The Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.

Objectives: Small bowel obstruction is a common surgical emergency which can lead to bowel necrosis, perforation and death. Plain abdominal X-rays are frequently used as a first-line test but the availability of immediate expert radiological review is variable. The aim was to investigate the feasibility of using a deep learning model for automated identification of small bowel obstruction. Read More

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Idiopathic ileal volvulus with multiple concomitant infections in a starving man.

Malays J Pathol 2021 Apr;43(1):81-85

Hospital Raja Permaisuri Bainun, Department of Forensic Medicine, Ipoh, Perak Darul Ridzuan, Malaysia.

Background: Small bowel volvulus is defined as the torsion of the small intestine, potentially leading to bowel obstruction, gangrene and perforation. It is a rare condition, especially in adults.

Case Presentation: A 30-year-old man was retrieved from the jungle with severe weight loss and abdominal symptoms. Read More

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Duodenal Obstruction in a Patient Previously Treated With EndoVascular Aneurysm Sealing System Repair.

Vasc Endovascular Surg 2021 Apr 27:15385744211012566. Epub 2021 Apr 27.

Department of Surgery, San Giovanni di Dio Hospital, Gorizia, Italy.

The Nellix® endovascular aneurysm sealing system (EVAS) is a relatively novel approach for the treatment of abdominal aortic aneurysms (AAAs). We present herein a case of duodenal obstruction (DO) which occurred following an EVAS treatment for the repair of an AAA. A 77-year old man was admitted to our hospital with acute abdominal pain and recurrent vomiting. Read More

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Late Complication of Congenital Diaphragmatic Hernia Repair: Recurrent Small Bowel Obstruction.

Pediatr Emerg Care 2021 Jan 15. Epub 2021 Jan 15.

From the *Faculty of Medicine, University of Toronto, Toronto †Faculty of Health Sciences, McMaster University, Hamilton ‡Department of Pediatrics, Faculty of Medicine, Hospital for Sick Children, University of Toronto, Toronto, Canada §Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.

Congenital diaphragmatic hernia (CDH) is associated with high early mortality. However, advances in newborn care have led to improved survival into adolescence and early adulthood. We report a 17-year-old adolescent boy with recurrent small bowel obstruction after CDH repair at 2 days of age. Read More

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January 2021

Bouveret Syndrome: A Rare Form of Gallstone Ileus.

Cureus 2021 Mar 22;13(3):e14042. Epub 2021 Mar 22.

Internal Medicine, Lewis Gale Medical Center, Salem, USA.

Bouveret's syndrome is a rare variant of gallstone ileus characterized by a gastric outlet obstruction due to the impaction of a gallstone lodged in the duodenum, resulting from a cholecystoduodenal fistula. It accounts for only one to three percent of cases of gallstone ileus. We examine a case of Bouveret syndrome in an elderly Japanese female who presented with vomiting and decreased oral intake. Read More

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Intestinal obstruction and ischemia by necrotic annular Meckel's diverticulum: Case report and review of the literature.

Int J Surg Case Rep 2021 Apr 20;82:105897. Epub 2021 Apr 20.

General Surgery Department, San Salvatore Hospital, Paternò, Catania, Italy.

Introduction And Importance: Meckel's diverticulum (MD) is a vestigial remnant of the omphalomesenteric duct, representing the most common congenital malformation of the gastrointestinal tract. Diagnosis of MD is a challenge because of its rarity and frequent asymptomaticity. Radiological exams generally aren't useful for its diagnosis. Read More

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Mucinous Rectal Adenocarcinoma in a Urutu Snake (Bothrops alternatus).

J Comp Pathol 2021 Apr 3;184:56-59. Epub 2021 Mar 3.

Setor de Patologia Veterinária, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

A 15-year-old captive female Urutu snake (Bothrops alternatus) was presented with anorexia, apathy, dehydration, pale mucous membranes and marked enlargement of the caudal third of the coelomic cavity. Radiographs and ultrasonography were suggestive of faecal impaction or neoplasia. Post-mortem findings consisted of solid faecal impaction of the intestines, secondary to obstruction caused by a rectal tumour. Read More

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Bouveret syndrome: a rare cause of gastric outlet obstruction.

BMJ Case Rep 2021 Apr 22;14(4). Epub 2021 Apr 22.

Department of General Surgery, Barking Havering and Redbridge University Hospitals NHS Trust, Romford, UK.

Bouveret syndrome is a rare cause of gastric outlet obstruction. It is characterised by the presence of an obstructing gallstone in the pylorus or proximal duodenum, which has travelled to its obstructing position via an acquired fistula. Our case involves a 73-year-old man presenting to the acute surgical take with a 2-day history of right-sided abdominal pain and vomiting. Read More

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Phytobezoar: A train can hide another.

Int J Surg Case Rep 2021 Apr 23;81:105814. Epub 2021 Mar 23.

Department of General Surgery, Jendouba Hospital, Tunisia; Tunis El Manar University, Tunisia.

Introduction And Importance: Acute bowel obstruction is a life-threatening condition; late or incomplete management worsens the prognosis. Bezoars are a rare etiology of this disease, and the diagnosis can be confusing. This study aims to present and discuss a very rare case of concomitant bezoars. Read More

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