130 results match your criteria ileus intraoperatively


Cecal bascule - A rare cause of cecal volvulus after cesarean section.

Int J Surg Case Rep 2021 Jul 3;85:106168. Epub 2021 Jul 3.

Montefiore Medical Center and the Albert Einstein College of Medicine Department of Surgery, Bronx, NY, USA.

Introduction And Importance: Cecal bascule is a rare form of a cecal volvulus characterized by an anterior and superiorly displaced cecum in turn causing compression of the ascending colon that can result in a large bowel obstruction. We report a case of cecal bascule in a newly postpartum patient, with emphasis on clinical presentation, radiologic findings and treatment.

Case Presentation: A 37-year-old female who underwent an uncomplicated c-section and bilateral salpingectomy developed severe abdominal pain, vomiting, and peritonitis 12 h after surgery. Read More

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Recurrent spontaneous small bowel perforations with a rare pathology: non-familial visceral myopathy.

BMJ Case Rep 2021 May 13;14(5). Epub 2021 May 13.

Department of Surgery, Hackensack University Medical Center, Hackensack, New Jersey, USA.

Visceral myopathy is a rare, often misdiagnosed disease characterised by abnormalities in the gastrointestinal smooth muscle layer. Its clinical presentation includes pseudo-obstruction, intestinal dysmotility and spontaneous perforation. We report an atypical case of a 51-year-old man with a history of recurrent small bowel perforations who presented with an acute abdomen. Read More

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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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The role of ketamine in opioid-free spinal deformity surgery: is it possible and beneficial?

J Spine Surg 2021 Mar;7(1):55-61

The Och Spine Hospital, NewYork-Presbyterian/Columbia University Medical Center, New York, NY, USA.

Background: As the opioid epidemic in the United States has continued to gain momentum in recent years, the current study aims to explore the efficacy of ketamine in a traditionally challenging setting regarding pain control, and contribute toward developing an opioid-free intraoperative pain protocol in spinal deformity surgery.

Methods: Fifty-four patients who underwent spinal deformity surgery between January 1, 2017 and December 31, 2017 by one senior surgeon were included. Demographic data and preoperative opioid use was collected. Read More

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A case of idiopathic myointimal hyperplasia of the mesenteric veins presenting with small bowel obstruction.

Surg Case Rep 2021 Jan 13;7(1):17. Epub 2021 Jan 13.

Department of Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan.

Background: Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a rare ischemic bowel disease with venous occlusion resulting from the proliferation of smooth muscles in the venous intima. In most patients, the disease affects rectosigmoid colon and causes persistent abdominal pain and hematochezia, which is similar to inflammatory bowel disease (IBD). In addition, it is difficult to make a precise diagnosis of IMHMV without surgery. Read More

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January 2021

A unique presentation of perforated duodenal ulcer in a postpartum woman: a case report.

J Surg Case Rep 2020 Dec 17;2020(12):rjaa459. Epub 2020 Dec 17.

Department of Surgery, Jersey Shore University Medical Center, Neptune City, NJ, USA.

Gallbladder disease and peptic ulcer disease (PUD) can present very similarly, and misdiagnosis can often result because of conflicting symptoms. PUD in pregnancy is relatively rare, in part due to the changes in estrogen and progesterone levels. We present a case of a postpartum female, post operation Day 5, with signs/symptoms, physical exam and laboratory work consistent with acute cholecystitis that was found to have a perforated duodenal ulcer intraoperatively. Read More

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December 2020

The impact of obesity on perioperative complications in patients undergoing anterior lumbar interbody fusion.

J Neurosurg Spine 2020 Apr 24:1-10. Epub 2020 Apr 24.

1Department of Neurological Surgery, University of California, San Francisco.

Objective: Anterior approaches to the lumbar spine provide wide exposure that facilitates placement of large grafts with high fusion rates. There are limited data on the effects of obesity on perioperative complications.

Methods: Data from consecutive patients undergoing anterior lumbar interbody fusion (ALIF) from 2007 to 2016 at a single academic center were analyzed. Read More

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Unusual Presentation of Recurrent Gallstone Ileus: A Case Report and Literature Review.

Case Rep Gastrointest Med 2019 3;2019:8907068. Epub 2019 Oct 3.

West Virginia University, Department of Surgery, Morgantown, WV, USA.

Background: Gallstone ileus (GSI) is a rare form of small bowel obstruction (SBO) in patients with cholelithiasis, which is often poorly managed. Enhanced abdominal computed tomography (CT) with contrast is considered the most helpful diagnostic tool, as it is highly sensitive, specific, and accurate. We report an interesting case of recurrent GSI that was not detected by CT but diagnosed intraoperatively. Read More

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October 2019

Potential Association Between Perioperative Fluid Management and Occurrence of Postoperative Ileus.

Dis Colon Rectum 2020 01;63(1):68-74

Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Postoperative ileus remains an issue after colorectal surgery delaying recovery and increasing the length of hospital stay and costs.

Objective: The purpose of this study was to analyze the impact of perioperative fluid management on ileus occurrence after colorectal surgery within a fully implemented enhanced recovery pathway.

Design: This was a retrospective cohort study of a prospectively maintained institutional database. Read More

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January 2020

Gallstone ileus managed with enterolithotomy.

BMJ Case Rep 2019 Oct 13;12(10). Epub 2019 Oct 13.

Wexham Park Hospital, Slough, UK.

Although gallstone disease is classically associated with the inflammatory sequela of cholecystitis, other presentations include gallstone ileus, Mirizzi syndrome, Bouveret syndrome and gallstone ileus. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula into the gastrointestinal tract and causes obstruction, usually at the ileocaecal valve. It represents an uncommon complication of cholelithiasis, accounting for 1%-4% of all cases of mechanical bowel obstruction and 25% of all cases in individuals aged >65 years. Read More

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October 2019

An emergency case of small bowel obstruction due to multiple gallstones in a limited resource setting.

Int J Surg Case Rep 2019 23;63:104-107. Epub 2019 Sep 23.

Department of Radiology - Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr Sardjito Hospital, Yogyakarta 55281, Indonesia. Electronic address:

Introduction: Gallstone ileus is an uncommon intestinal obstruction caused by impaction of gallstones passing through the cholecysto-intestinal fistula. Diagnosis of gallstone ileus remains a major challenge because the symptoms and signs are unspecific and the recommended laboratory examinations are not always available particularly in limited health resource settings including in Indonesia. In addition, treatment of choice is still debatable involving enterolithotomy only with or without additional cholecystectomy and fistula repair in one or two-stage surgery. Read More

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September 2019

Adult intussusception associated with mesenteric Meckel's diverticulum and antimesenteric ileal polyp.

BMJ Case Rep 2019 Sep 18;12(9). Epub 2019 Sep 18.

Department of General Surgery, Whipps Cross University Hospital, London, UK.

Meckel's diverticulum is the most common congenital abnormality affecting the gastrointestinal tract, affecting 4% of the general population. It is classically located on the antimesenteric border of the ileum within 100 cm of the ileocaecal valve. Complications may include haemorrhage, bowel obstruction, diverticulitis, perforation and malignancy. Read More

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September 2019

Acute colonic pseudo-obstruction in elderly Report of a case.

Ann Ital Chir 2019 May 5;8. Epub 2019 May 5.

A case of acute colonic obstruction in an elderly patient is presented, with a brief discussion about peculiar aspects to pseudo-obstruction and particularly chronic idiopathic intestinal pseudo-obstruction (CIIP), in which it was classified by pathologists. Clinical and therapeutic implications of this classification are also discussed. In authors'opinion, interesting aspects of the reported case are represented by the acute presentation, without previous symptoms at medical history and above all by the evidence of a recto-sigmoid junction intraoperatively palpable mass, mimicking ring-like neoplastic disease. Read More

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[A Case of Encapsulated Peritoneal Sclerosis Associated with a Ventriculo-Peritoneal Shunt].

No Shinkei Geka 2019 Feb;47(2):211-216

Department of Neurosurgery, Osaka Prefecture Saiseikai Noe Hospital.

We experienced a case of encapsulated peritoneal sclerosis(EPS)that developed as a result of peritoneal deterioration induced by ventriculo-peritoneal(VP)shunting. The patient was a 48-year-old man who underwent VP shunting five times since 1 month of age. Six months after the last operation, abdominal symptoms developed and the patient was hospitalized. Read More

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February 2019

[A Case of Complete Response to Computed Tomography-Guided Celiac Plexus Neurolysis of Pain Associated with Postoperative Recurrence of Colon Cancer].

Gan To Kagaku Ryoho 2018 Dec;45(13):1877-1879

Dept. of Surgery, Ogikubo Hospital.

The patient was a man in his 40s, who had undergone laparoscopic ileocecal resection with lymph node dissection(D3)for cecal cancer in January 2012. Histopathological examination of the resected specimens had revealed StageⅡ primary tumor with subserosal invasion and positive metastasis in 1-3 regional lymph nodes(pT2[SS]n1[+]). The pathological stage was Ⅲa(fStage Ⅲa), and the tumor showed RAS gene mutation. Read More

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December 2018

[Clinical analysis of perioperative electrolyte imbalance in 999 patients undergoing gastrointestinal surgery].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Dec;21(12):1427-1432

Department of Anesthesia, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China,

Objective: To investigate the perioperative electrolyte imbalance in patients undergoing gastrointestinal surgery.

Methods: Retrospective case analysis was used in this study. Patients who underwent gastrointestinal surgery under general anesthesia at the Sixth Affiliated Hospital of Sun Yat-sen University from January to April 2018 were selected through electronic medical records system. Read More

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December 2018

Continuous intravenous perioperative lidocaine infusion for postoperative pain and recovery in adults.

Cochrane Database Syst Rev 2018 06 4;6:CD009642. Epub 2018 Jun 4.

Department of Anaesthesia and Critical Care, University of Würzburg, Oberduerrbacher Str. 6, Würzburg, Germany.

Background: The management of postoperative pain and recovery is still unsatisfactory in a number of cases in clinical practice. Opioids used for postoperative analgesia are frequently associated with adverse effects, including nausea and constipation, preventing smooth postoperative recovery. Not all patients are suitable for, and benefit from, epidural analgesia that is used to improve postoperative recovery. Read More

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[Early diagnosis and treatment of anastomotic leak after rectal cancer surgery].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Apirl 25;21(4):388-394

Department of Gastrointestinal Surgery, West China hospital, Sichuan University, Chengdu 610041, China.

Anastomotic leakage is the most common major complication after mid-low rectal cancer surgery. Due to lack of knowledge regarding the virtual mechanisms of anastomotic leakage, not much can be done to prevent its development. The aim of the present review was to discuss the prevention, early diagnosis, and treatment of anastomotic leakage after rectal cancer surgery. Read More

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October 2018

Total Laparoscopic Hysterectomy and Bilateral Salpingo-Oophorectomy for a 6095-g Myomatous Uterus in a Patient of the Jehovah's Witness Faith.

J Minim Invasive Gynecol 2019 01 5;26(1):25-28. Epub 2018 Mar 5.

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina.

Study Objective: To demonstrate techniques for addressing the unique challenges for a minimally invasive approach to hysterectomy presented by a massive myomatous uterus.

Design: Technical video of an operation demonstrating the methods used to perform hysterectomy in this setting, highlighting such aspects as port placement (Fig. 1), uterine manipulation (Fig. Read More

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January 2019

Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy.

Case Rep Gastroenterol 2017 Sep-Dec;11(3):643-646. Epub 2017 Oct 30.

Department of Hepatobiliary and Pancreatic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.

The development of an internal hernia into the Treitz fossa after pancreaticoduodenectomy has not been previously reported. We herein present such a case with a brief review of the literature. A 43-year-old man who had undergone pancreaticoduodenectomy with reconstruction of the digestive tract by the Child method at our hospital 7 months previously presented with abdominal pain. Read More

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October 2017

Robot-assisted laparoscopic megaureter tapering with ureteral reimplantation: Tips and tricks.

J Pediatr Urol 2017 Dec 12;13(6):637-638. Epub 2017 Oct 12.

Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. Electronic address:

Objective: The aim was to demonstrate surgical techniques used in pediatric robot-assisted laparoscopic megaureter tapering (RALMT) with ureteral reimplantation. We report on our preliminary experience.

Methods: We reviewed video of patients who underwent RALMT with ureteral reimplantation between August 2012 and November 2015. Read More

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December 2017

Role of heart-rate variability in preoperative assessment of physiological reserves in patients undergoing major abdominal surgery.

Ther Clin Risk Manag 2017 19;13:1223-1231. Epub 2017 Sep 19.

Department of Anesthesiology and Intensive Care Medicine, University Hospital Olomouc, Olomouc, Czech Republic.

Background: Major abdominal surgery (MAS) is associated with increased morbidity and mortality. The main objective of our study was to evaluate the predictive value of heart-rate variability (HRV) concerning development of postoperative complications in patients undergoing MAS. The secondary objectives were to identify the relationship of HRV and use of vasoactive drugs during anesthesia, intensive care unit length of stay (ICU-LOS), and hospital length of stay (H-LOS). Read More

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September 2017

Feasibility of dexmedetomidine as sole analgesic agent during robotic urological surgery: A pilot study.

J Anaesthesiol Clin Pharmacol 2017 Apr-Jun;33(2):187-192

Department of Urology, All India Institute of Medical Sciences, New Delhi, India.

Background And Aims: Opioid-free anesthesia decreases postoperative nausea and vomiting, emergence agitation, prolonged sedation, ileus, and urinary retention. The feasibility of the use of dexmedetomidine as sole analgesic agent has been shown in patients undergoing bariatric and gynecological laparoscopic surgery. We explored its use for robotic urological surgery. Read More

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Retrocecal hernia preoperatively diagnosed by computed tomography: A case report.

Int J Surg Case Rep 2017 28;37:186-188. Epub 2017 Jun 28.

Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan. Electronic address:

Introduction: Retrocecal hernia is a rare type of pericecal hernia. Because it is difficult to diagnose preoperatively, it is often treated with emergency operation.

Case Presentation: An 83-year-old male patient experienced sudden abdominal pain. Read More

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Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery: A Randomized Controlled Trial.

Anesthesiology 2017 07;127(1):36-49

From the Department of Anesthesia (J.C.G.-I., A.T., D.M., F.C., G.B.), Department of Surgery (B.L.S., A.S.L., P.C., N.P., L.S.F.), and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, Department of Surgery (N.P., L.S.F.), McGill University Health Centre, Montreal, Quebec, Canada.

Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Read More

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[Beginning of continuous wound infusion with local anesthetics : With special emphasis on the contributions from Walter Capelle and Ewald Fulde].

Anaesthesist 2017 Jul;66(7):518-529

Klinik für Anästhesiologie, Intensiv- und Schmerzmedizin, Diakoniekrankenhaus Friederikenstift, Hannover, Deutschland.

Wound infusion with local anesthetics is a proven and safe analgesic procedure for modern perioperative patient care. Even the pioneers of local anesthesia practiced wound analgesia and emphasized the shortcomings of "single-shot" wound infusions. At the same time, they drew attention to the importance of long-lasting pain relief to prevent sequelae, especially after upper abdominal surgery with pneumonia, embolic events or postoperative ileus. Read More

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Feasibility of umbilical loop ileostomy in overweight and obese patients with rectal cancer during laparoscopic surgery: Preliminary results.

Asian J Endosc Surg 2017 Feb;10(1):79-82

Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.

We examined the feasibility of umbilical diverting ileostomy for overweight and obese patients with rectal cancer undergoing laparoscopic surgery. Four patients who were overweight or obese (BMI > 27 kg/m ) were initially scheduled for the creation of a conventional loop ileostomy. Intraoperatively, however, this was considered too complicated because of thick subcutaneous fat, bulky mesentery, or both. Read More

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February 2017

Bowel obstruction without history of laparotomy: Clinical analysis of 70 patients.

Pediatr Int 2016 Nov 15;58(11):1205-1210. Epub 2016 Aug 15.

Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Background: Determining the cause of bowel obstruction without a history of laparotomy (BO without HL) is difficult and can result in delay of treatment and development of a potentially life-threatening situation. We herein investigated the clinical characteristics of pediatric patients who underwent laparotomy due to BO without HL.

Methods: All surgical pediatric patients aged <16 age who were diagnosed with BO without HL between January 2004 and September 2014 were included. Read More

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November 2016

Laparoscopic Management of Adhesive Small Bowel Obstruction.

Acta Inform Med 2016 Feb 2;24(1):69-71. Epub 2016 Feb 2.

Clinic for Cardiovascular disease, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.

Introduction: Adhesions are the reason for bowel obstruction in 80% of the cases. In well selected patients the adhesive ileus laparoscopic treatment has multiple advantages which include the shorter hospitalization period, earlier food taking, and less postoperative morbidity rate.

Case Report: Here we have a patient in the age of 35 hospitalized at the clinic due to occlusive symptoms. Read More

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February 2016

[Laparoscopic Surgery for Adult Intussusception Due to Rectal Cancer--A Case Report].

Gan To Kagaku Ryoho 2015 Nov;42(12):2294-6

Dept. of Gastroenterological Surgery, Iseikai Hospital.

An 87-year-old woman with the chief complaint of bloody stool was referred to our hospital from an institution for the aged. The abdomen was soft and flat, and a tumor was not palpable on digital rectal examination. Tumor markers were within normal ranges. Read More

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November 2015