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Acad Emerg Med 2019 Feb 14. Epub 2019 Feb 14.

Wellspan York Hospital, Department of Emergency Medicine, 1001 S George Street, York, PA, 17403.

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. Read More

J Vet Intern Med 2019 Feb 14. Epub 2019 Feb 14.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota.

Protein-losing enteropathy, or PLE, is not a disease but a syndrome that develops in numerous disease states of differing etiologies and often involving the lymphatic system, such as lymphangiectasia and lymphangitis in dogs. The pathophysiology of lymphatic disease is incompletely understood, and the disease is challenging to manage. Understanding of PLE mechanisms requires knowledge of lymphatic system structure and function, which are reviewed here. Read More

Cureus 2018 Dec 5;10(12):e3692. Epub 2018 Dec 5.

Surgery, Riverside Community Hospital, Riverside, USA.

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. Read More

Abdom Radiol (NY) 2019 Feb 13. Epub 2019 Feb 13.

Department of Radiology, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75674, Paris, France.

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. Read More

Case Rep Surg 2019 13;2019:2548631. Epub 2019 Jan 13.

National Hospital of Sri Lanka, Sri Lanka.

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. Read More

J Surg Case Rep 2019 Jan 31;2019(1):rjz012. Epub 2019 Jan 31.

Department of Surgery, Western Health, Melbourne, Australia.

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. Read More

J Surg Case Rep 2019 Jan 31;2019(1):rjz005. Epub 2019 Jan 31.

Saint Vincent Hospital, Erie, PA, USA.

Cases of small bowel diverticulitis, excluding Meckel's diverticulitis, are rare. Small bowel diverticular disease has been reported in approximately 0.3-1. Read More

Ann Ital Chir 2018 Sep 28;7. Epub 2018 Sep 28.

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. Read More

Niger J Clin Pract 2019 Feb;22(2):281-284

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, China.

Hernias are one of the most common diseases. The frequency of multiple hernias is much higher than the frequency reported during herniorrhaphy. Multiple hernias may account for some of the so-called recurrences, in which the small hernia may be veiled by the bigger one and omitted. Read More

Dig Dis Sci 2019 Feb 6. Epub 2019 Feb 6.

Division of Gastroenterology and Hepatology, Department of Medicine, William Beaumont Hospital, MOB 602, 3535 West Thirteen Mile Road, Royal Oak, MI, 48073, USA.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, University of Chicago, Chicago, IL.

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). Read More

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Erasmus MC, afd. Ziekenhuisapotheek, Rotterdam.

Background: In recent years, numerous reports have been published on body packers, i.e. people who use their own body to transport drugs. Read More

BMJ Case Rep 2019 Feb 3;12(2). Epub 2019 Feb 3.

Department of General Surgery, Northern Health, Epping, Victoria, Australia.

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. Read More

Gastroenterology 2019 Feb 1. Epub 2019 Feb 1.

Department of Pathology, SUNY Downstate Medical Center, Brooklyn, New York.

Adv Radiat Oncol 2019 Jan-Mar;4(1):57-62. Epub 2018 Sep 14.

Department of Radiation Oncology, UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

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. Read More

J Reprod Infertil 2018 Oct-Dec;19(4):247-249

Department of Pathology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background: Bowel endometriosis affects about 3.8-37% of women with endometriosis diagnosis. Most of the time endometriosis involves the recto-sigmoid. Read More

Medicine (Baltimore) 2019 Feb;98(5):e13984

Department of Surgery, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.

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. Read More

Ter Arkh 2018 Feb;90(2):98-101

N.I. Pirogov City Clinical Hospital №1, Moscow Healthcare Department, Moscow, Russia.

Stomach's output part and small intestine, combining with damaging of the urinary tract is a rare systemic lupus eritematosus (SLE) manifestation. The patient is 32 years old, suffering from SLE with damaged join, blood system, secondary antiphospholipid syndrome with pulmonary embolism in the history and formation of high postembolic pulmonary hypertension on therapy with hydroxychloroquine and low doses of corticosteroids, was hospitalized because of persistent nausea, vomiting, loss of more than 10 kg body weight 1.5 months. Read More

J Coll Physicians Surg Pak 2019 Feb;29(2):181-184

Department of Pathology and Laboratory Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

The importance and frequency of invasive fungal infections in different organs, including the gastrointestinal tract, has increased due to excessive use of aggressive immunosuppressive and immunomodulatory drugs in malignant diseases and organ transplantations as well as increased infections with the human immunodeficiency virus (HIV). Fungal infections in the small intestine or colon are usually part of a disseminated disease process and reach these organs through the bloodstream. Two of the patients were infants 10 and 15 days of age, while one was 23 years old. Read More

JAMA Surg 2019 Jan 30. Epub 2019 Jan 30.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Importance: Adhesive small-bowel obstruction (aSBO) is a potentially chronic, recurring surgical illness. Although guidelines suggest trials of nonoperative management, the long-term association of this approach with recurrence is poorly understood.

Objective: To compare the incidence of recurrence of aSBO in patients undergoing operative management at their first admission compared with nonoperative management. Read More

J Surg Case Rep 2019 Jan 24;2019(1):rjz009. Epub 2019 Jan 24.

Department of Surgery, Bathurst Base Hospital, West Bathurst, NSW, Australia.

Intestinal volvulus is a rare complication following laparoscopic surgery. We present the case of a young boy who had developed a small bowel obstruction following laparoscopic appendicectomy for perforated appendicitis. He had no evidence of any congenital malrotation on initial laparoscopy, yet was subsequently found to have a midgut volvulus requiring emergency laparotomy. Read More

BMJ Case Rep 2019 Jan 28;12(1). Epub 2019 Jan 28.

Departments of Gastroenterology and Metabolism, Nagoya City University, Nagoya, Japan.

We describe a case of intestinal obstruction caused by a small bowel adenocarcinoma misdiagnosed as psychogenic disorder. A woman in her 40s was admitted to Nagoya City University Hospital with fatigue, anorexia, nausea and vomiting. CT, oesophagogastroduodenoscopy and colonoscopy revealed no signs of organic abnormality in her gastrointestinal tract. Read More

J Gastroenterol Hepatol 2019 Jan 28. Epub 2019 Jan 28.

Department of Gastroenterology and Hepatology, Graduate School of Medicine, Mie University, Tsu, Japan.

Gan To Kagaku Ryoho 2018 Dec;45(13):1809-1811

Dept. of Surgery, Takaoka City Hospital.

A 61-year-old woman presented to our hospital with abdominal distension. Abdominal CT showed massive ascites and disseminated peritoneal nodules. The patient was diagnosed with primary peritoneal cancer based on ascites and disseminated peritoneal nodules following laparoscopic surgery(initial operation). Read More

ANZ J Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Surgery, Wollongong Hospital, Wollongong, New South Wales, Australia.

Int J Surg Case Rep 2019 Jan 21;55:62-65. Epub 2019 Jan 21.

Caboolture Hospital, 120 McKean Street, 4510 Queenland, Australia. Electronic address:

Introduction: Severe acute pancreatitis is associated with high morbidity and mortality. This is a result of the development of pancreatic and extra-pancreatic necrosis with subsequent infection which can lead to multiorgan failure. Complications include localized ileus, abscess formation, mechanical obstruction, rupture and perforation into the gastrointestinal tract and fistula formation (Aldridge et al. Read More

Mol Clin Oncol 2019 Feb 5;10(2):235-238. Epub 2018 Dec 5.

Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Kawaguchi, Saitama 333-0833, Japan.

Primary adenosquamous cell carcinoma (ASCC) arising from the ileum is an exceptionally rare malignant neoplasm exhibiting mixed glandular and squamous differentiation. The clinicopathological characteristics of ASCC have not been clearly determined due to its rarity. We herein report a case of a 74-year-old man with a successfully treated ASCC of the ileum. Read More

Obes Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, Faculty of Medicine and Health, Örebro University, SE-70185, Örebro, Sweden.

Background: Routine closure of mesenteric defects is generally considered standard part of laparoscopic gastric bypass surgery today. Controversy still exists regarding the optimal method for mesenteric defects closure. The objective was to compare different methods for mesenteric defects handling in laparoscopic gastric bypass surgery. Read More

Inflamm Bowel Dis 2019 Jan 18. Epub 2019 Jan 18.

Division ofPediatric Surgery, Mayo Clinic, Rochester Minnesota, USA.

Background: Restorative proctocolectomy and ileal pouch anal anastomosis (IPAA) has become the procedures of choice for restoration of intestinal continuity in ulcerative colitis or familial adenomatous polyposis. This systematic review aims to assess short-term postoperative and long-term functional outcomes in pediatric patients undergoing IPAA.

Methods: A literature search was performed for all publications of pediatric IPAA in which short- and long-term outcomes were reported. Read More

Turk J Gastroenterol 2019 Jan 22. Epub 2019 Jan 22.

Department of Pediatric Surgery, Izmir Katip Çelebi University - SBU Tepecik Training and Research Hospital, İzmir, Turkey.

Background/aims: Pediatric intestinal pseudo-obstruction (PIPO) is a severe disorder of gut motility. In this rare and difficult-to-manage disease, complex treatment method, such as intestinal transplantation, is sometimes needed. This study evaluated the management and follow-up results of patients with PIPO who received treatment at our center. Read More

Iran J Med Sci 2019 Jan;44(1):70-73

Department of General Surgery, General Hospital of Drama, Greece.

Bezoars are rare conditions of mechanical intestinal occlusion. Among the various types of bezoars, phytobezoars and trichobezoars are the most common types. Symptoms are usually indistinguishable from other more common entities; therefore, it may be difficult to reach a correct diagnosis. Read More

BMC Gastroenterol 2019 Jan 21;19(1):12. Epub 2019 Jan 21.

Department of Hematology, Kobe City Hospital Organization, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, 650-0047, Japan.

Background: Encapsulating peritoneal sclerosis (EPS) is a chronic clinical syndrome of acute or subacute gastrointestinal obstruction seen mainly in patients undergoing peritoneal dialysis. Although there are a few reports on EPS developing in non-peritoneal dialysis patients, it has not been reported in patients undergoing allogeneic haematopoietic stem cell transplantation (HSCT). Here, we report a case of EPS after a second HSCT. Read More

Turk J Surg 2018 Dec 1;34(4):331-333. Epub 2018 Dec 1.

Department of General Surgery, Afyon State Hospital, Afyon, Turkey.

One of the causes of invagination in adults is primary small bowel lymphoma. Primary small bowel lymphomas are rare, present themselves with complications due to diagnostic difficulties, and are diagnosed only after surgical intervention. In case of invagination, one of the complications of these tumors, namely primary small bowel lymphoma, should also be considered as a cause in the diagnosis. Read More

Case Rep Surg 2018 19;2018:8965930. Epub 2018 Dec 19.

New York Presbyterian-Queens, 56-45 Main Street, Flushing NY 11355, USA.

Primary enterolithiasis is a relatively uncommon but important cause of small bowel obstruction. We present a case of a 69-year-old male with a history of laparoscopic Roux-en-Y gastric bypass and asymptomatic duodenal diverticulum diagnosed with small bowel obstruction. CT imaging showed an obstruction distal to the jejunojejunostomy, and surgical intervention was warranted. Read More

J Clin Anesth 2019 Jan 17;56:1-2. Epub 2019 Jan 17.

Department of Pediatric Anesthesiology at Westchester Medical Center, New York Medical College, Valhalla, NY, United States of America.

Dig Endosc 2019 Jan 17. Epub 2019 Jan 17.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.

Small-bowel capsule endoscopy (SBCE) is used widely because of its non-invasive and patient-friendly nature. SBCE can visualize entire small-intestinal mucosa and facilitate detection of small-intestinal abnormalities. In this review article, we focus on the current status of SBCE. Read More

Jpn J Radiol 2019 Jan 16. Epub 2019 Jan 16.

Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-cho, Abeno-ku, Osaka, Osaka, 545-8585, Japan.

Purpose: Rice cakes have not been recognized as a cause of small bowel obstruction (SBO) worldwide. We compared clinical and CT findings of rice cake SBO versus SBO due to bezoars, the most common cause of food-induced SBO.

Methods: Twenty-four patients with rice cake SBO (n = 17) or bezoar SBO (n = 7) were retrospectively evaluated for clinical findings and the following multi-detector CT (MDCT) features: identification of the transition zone, presence of intraluminal lesions, degree of obstruction, and length and attenuation of obstructing materials. Read More

Neonatology 2019 Jan 15;115(3):211-216. Epub 2019 Jan 15.

Background: Milk curd obstruction as a cause of intestinal obstruction has been known since 1959, but has nearly disappeared. However, in recent years it has experienced a revival in small premature infants.

Objective: The aim of this study was to evaluate the clinical characteristics of milk curd obstruction (lactobezoar) in preterm infants. Read More

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):534-537

Department of Gastroenterology, AZ Klina, Brasschaat, Belgium.

Meckel's diverticulum is the most common congenital gastrointestinal malformation and may present with bleeding, obstruction and diverticulitis. Symptomatic Meckel's diverticulum is associated with age <50 years, male gender, diverticular length > 2 cm and ectopic mucosa. Formation of enteroliths is a rare complication of Meckel's diverticulum and the majority of stones will remain in the diverticulum. Read More

J Invest Surg 2019 Jan 15:1-6. Epub 2019 Jan 15.

b Department of General Surgery , West Suffolk Hospital , Bury Saint Edmunds , UK.

Introduction: Colorectal cancer (CRC) is the second commonest malignancy related death in Western Europe with incidence increasing in young adults. 31% of UK patients with CRC present as emergencies. We compare the incidence, characteristics, management and outcomes in two cohorts presenting as CRC emergencies; under-50 and over-50 years old. Read More

Case Rep Gastrointest Med 2018 13;2018:1304519. Epub 2018 Dec 13.

Department of Acute Care Surgery, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka 593-8304, Japan.

Small bowel obstruction due to ingested foreign bodies is rare in adults. A 48-year-old male visited our hospital with abdominal pain and vomiting. Computed tomography revealed intestinal obstruction by a 3 × 4 cm apple-shaped foreign body. Read More

Dev Period Med 2018 ;22(4):358-363

Department of General Pathomorphology, Medical University of Białystok, Białystok, Poland.

The aim of this paper is a clinical and anatomopathological demonstration of a malignant lesion, a gastrointestinal neuroectodermal tumor (GNET), as an exceedingly rare cause of ileus in the pediatric population. Specifically, we present the case of a 12-year-old boy who showed dramatic weight loss, hypochromic anemia, fever, dehydration, exaggerated granulation of the terminal ileum, and mechanical ileus due to the obstruction by an intramural tumor of the small intestine. A 50cm-long part of the small intestine with pathological stricture was surgically removed, sampled and routinely fixed and stained with hematoxylin and eosin. Read More

J Trauma Acute Care Surg 2019 Jan 10. Epub 2019 Jan 10.

Trauma Service, Scripps Mercy Hospital, San Diego, California.

Background: Although adhesive small bowel obstruction (ASBO) is frequently managed non-operatively, little is known regarding outcomes on readmission following this approach. Using a large population-based dataset, we evaluated risk factors for operative intervention and mortality at readmission in patients with ASBO who were initially managed non-operatively.

Methods: ASBO patients were identified in the California Office of Statewide Health Planning and Development 2007-2014 patient discharge database. Read More

J Surg Case Rep 2019 Jan 8;2019(1):rjy342. Epub 2019 Jan 8.

Section of Burns and Trauma, MedStar Washington Hospital Center, and Department of Surgery, Georgetown University School of Medicine.

Internal hernia is a rare cause of small bowel obstruction; even more rare is one that occurs through a sigmoid epiploica defect. There have been only two previously reported cases from this etiology, but both were without the advantage of high-resolution imaging. We report the first color representation of this pathology, along with the first video recording of the internal hernia reduction. Read More

Case Rep Gastroenterol 2018 Sep-Dec;12(3):709-714. Epub 2018 Nov 28.

Department of Medicine, BronxCare Hospital Center, Bronx, New York, USA.

A 42-year-old man presented to the emergency room with complaints of periumbilical abdominal pain. A contrast-enhanced computed tomography revealed mucosal thickening in the small bowel of the right abdomen. There was a fairly large small bowel diverticulum associated with this segment. Read More

Malawi Med J 2018 06;30(2):90-93

Radiology Department, University of Ilorin Teaching Hospital.

Background: Adhesive bowel obstruction (ABO) costs billions of dollars in developed countries. Cost is unknown in developing countries. This depends on the type of management and duration of hospital stay. Read More

Gastroenterology Res 2018 Dec 17;11(6):436-440. Epub 2018 Dec 17.

Department of Anatomic Pathology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Avenue, Brooklyn, NY 11201, USA.

We describe a case of a 31-year-old man who presented with a 3-year history of worsening upper abdominal pain, nausea, and vomiting: symptoms that were resistant to medical treatment and unexplained despite a thorough diagnostic evaluation. Then, an upper gastrointestinal series with small bowel follow-through showed proximal duodenal dilation and distal decompression of the duodenum, suggestive of a partial duodenal obstruction. An abdominal computed tomography (CT) scan revealed a transition point in the distal duodenum. Read More

Am J Surg 2019 Jan 3. Epub 2019 Jan 3.

The University of Texas at Austin, Dell Medical School, Department of Surgery & Perioperative Care, 1313 Red River Street, Austin, TX, 78701, USA. Electronic address:

Background: One of the most common reasons for admission to a surgical service is for a partial small bowel obstruction. There is considerable variation in management. Several studies suggest that the use of diatrizoate (Gastrografin), a hyperosmolar contrast agent, can be helpful as a diagnostic agent as well as possibly therapeutic, reducing the need for operative intervention. Read More

J Minim Access Surg 2019 Jan 4. Epub 2019 Jan 4.

Department of General Surgery, Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, London, England.

A Meckel's diverticulum (MD) is a congenital abnormality of the gastrointestinal tract which is estimated to be present in 2% of the population. Gastrointestinal stromal tumours (GISTs) are rare, soft-tissue tumours which represent 0.1%-3% of all gastrointestinal tumours. Read More

J Int Med Res 2019 Feb 8;47(2):1043-1051. Epub 2019 Jan 8.

1 Department of Orthopaedic Surgery, Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu, Zhejiang Province, China.

Traumatic incarceration of the small bowel accompanied by vertebral fractures and dislocation is rare and usually misdiagnosed until laparotomy. This report presents a rare case of jejunum entrapment between lumbar spine fractures. A 43-year-old man was clamped between two railway tracks on the upper abdomen and lower back. Read More