1/17. adult intussusception secondary to inflammatory fibroid polyp: demonstration by MRI.adult intussusception secondary to inflammatory polyp occurs rarely. Imaging of intussusception on ultrasound, CT and MRI has been previously described. In this report we describe a case of an adult intussusception secondary to inflammatory fibroid polyp. Both the lead point (inflammatory fibroid polyp) and intussusception were depicted on multiplanar MR images. Findings on MRI were confirmed at surgery and histopathological examination.- - - - - - - - - - ranking = 1keywords = fibroid (Clic here for more details about this article) |
2/17. intestinal obstruction caused by an ectopic fallopian tube in a child: case report and literature review.The authors present the case of a prepubertal 14-year-old girl who was admitted for an acute abdominal pain, fever, and vomiting. She was in a poor general state, having recently suffered a weight loss of 5 kg. A plain abdominal x-ray disclosed signs of mechanical ileus. An abdominal ultrasound scan showed a normal uterus, a normal right-sided ovary, but no left ovary. An emergency laparoscopy found a normal uterus with complete absence of the left ovary and salpinx, the upper left dome of the uterus being smooth with no visible horn. The right ovary and salpinx were normal. intestinal obstruction was caused by a strangulating cordlike structure of unclear origin. After converting to a laparotomy, we found an abnormal fallopian tube inserted in the left parieto-colic groove. The tube extended next on the lateral sigmoid mesentery and wrapped itself around the ileum, provoking a local strangulation and an ischemic covered bowel perforation. The bowel perforation was treated by a segmental bowel resection. Careful dissection of the cordlike structure disclosed a true rudimentary fallopian tube with hypotrophic fimbriae and a small distal round structure containing ovarian tissue. These structures were removed entirely. A review of the literature on this rare situation is presented and discussed.- - - - - - - - - - ranking = 6.6597333763381E-5keywords = uterus (Clic here for more details about this article) |
3/17. Hysterosalpingographic diagnosis of Crohn's disease. A case report.A woman presented with abdominal pain, weight loss and a pelvic mass. At the time of laparotomy she had a lower abdominal abscess from perforation of the ileum. Two years later she returned with a tender uterus and purulent cervical discharge. A hysterosalpingogram demonstrated an uteroileal fistula secondary to Crohn's disease, and the patient underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy.- - - - - - - - - - ranking = 2.219911125446E-5keywords = uterus (Clic here for more details about this article) |
4/17. adult intussusception secondary to inflammatory polyps.adult intussusception is a rare entity that may present in the acute and subacute setting principally related to the degree of bowel obstruction. Preoperative diagnosis of this condition may be difficult. The intussusception is usually due to a definable intraluminal lesion, most probably neoplasia, unlike intussusception in children. We present the cases of two adult male patients with intussusception. The first presented with acute small-bowel obstruction secondary to a retrograde ileojejunal intussusception with a pseudopolyp as the lead point. This was possibly due to a retrograde ball-valve effect. The intussuscepting segment was resected. The second patient presented with unexplained chronic diarrhoea and an intussusception occurring within the caecum, as demonstrated at colonoscopy, with a terminal ileal pedunculated fibroid polyp as the lead point. A limited right hemicolectomy was performed. Both patients recovered uneventfully and have remained well. A brief literature review of adult intussusception complements the case reports, with an emphasis on the pathogenesis of inflammatory polyps and recommended surgical management.- - - - - - - - - - ranking = 0.16666666666667keywords = fibroid (Clic here for more details about this article) |
5/17. Coexistence of Crohn's disease and inflammatory fibroid polyp of the small bowel. Report of a case and review of the literature.BACKGROUND/AIM: The Authors report a case of a woman aged 35, with concurrent appearance of Crohns disease and Inflammatory Fibroid Polyp of the terminal ileum. CASE REPORT: The combination of the two disorders was clinically manifested as an obstructive ileus. On the operative table, a 4-cm polypoid mass causing intussusception of the bowel was obvious. The resected specimen of the ileum showed profound distention, several ulcerations and fissures. The histological examination confirmed the diagnosis of Crohn's disease coexisting with an Inflammatory Fibroid Polyp. Immunostaining of the lesion for actin showed focal positivity. However, staining for desmin, CD31, S100-protein, PGM-1 CD34, CD117, and bc1-2, was negative. CONCLUSION: Coexistence of Inflammatory Fibroid Polyp with Crohn's disease causing obstructive ileus could be the first manifestation of the disease. The combination of the two disorders corroborates the reparative character of the lesion. Nevertheless, the exact etiopathogenetic relationship between the two entities remains obscure.- - - - - - - - - - ranking = 0.66666666666667keywords = fibroid (Clic here for more details about this article) |
6/17. adult ileal intussusception: an unusual emergency condition.adult intussusception occurs infrequently and differs from the childhood condition in its presentation, cause, and treatment. Nonspecific symptoms can delay diagnosis; most cases are diagnosed at emergency laparotomy. Increased use of computed tomographic scanning to evaluate patients with abdominal pain can enhance reliable preoperative diagnosis. Treatment entails simple bowel resection in most cases. Reduction is controversial, especially in cases of colonic intussusception. This report describes the diagnosis and management of a case of adult ileal intussusception caused by an inflammatory fibroid polyp-a rare lesion of the gastrointestinal tract.- - - - - - - - - - ranking = 0.16666666666667keywords = fibroid (Clic here for more details about this article) |
7/17. Simultaneous laparoscopic treatment for rectosigmoid and ileal endometriosis.endometriosis is common in women of childbearing age, while severe intestinal endometriosis requiring bowel resection is relatively rare. Intestinal endometriosis has recently been managed laparoscopically. We report the case of a 38-year-old patient with rectosigmoid and ileal endometriosis who was successfully treated by laparoscopic bowel resections. The patient had first presented at age 34 years with a chief complaint of rectal bleeding and lower abdominal pain related to the menstrual cycle. She underwent laparoscopic surgery and was diagnosed with severe endometriosis involving the rectosigmoid colon. Although an additional laparoscopic surgery had been planned, she did not return to the hospital. When she was 38 years old, she presented again with the same symptoms. magnetic resonance imaging revealed a low intensity mass between the uterus and the rectosigmoid colon. A barium enema showed a stenotic site in the rectosigmoid colon. After hormone therapy, she underwent laparoscopic surgery. The anterior wall of the rectosigmoid colon adhered firmly to the corpus of the uterus, and another stenotic site was identified at the terminal ileum. The rectosigmoid colon and ileum were partially resected under laparoscopy. The postoperative course was uneventful and she was freed of symptoms. Laparoscopic treatment for patients with severe endometriosis of the bowel has becomes feasible and safe.- - - - - - - - - - ranking = 4.4398222508921E-5keywords = uterus (Clic here for more details about this article) |
8/17. Internal herniation through the broad ligament. Case report.Two cases of internal herniation through a defect in the broad ligament of the uterus are described. This rare condition should be borne in mind when a middle-aged woman presents with colicky lower abdominal pain. The etiology is unknown, but both congenital and acquired origins have been proposed.- - - - - - - - - - ranking = 2.219911125446E-5keywords = uterus (Clic here for more details about this article) |
9/17. Falciform ligament aperture causing intestinal strangulation.In rare cases intestinal obstruction may be caused by herniation of small bowel through a defect in the falciform ligament. Such a case was that of a 28-year-old woman who had a 26-week twin pregnancy. She had acute upper abdominal pain. The diagnosis was acute appendicitis, but at operation a loop of ileum was found to have passed through an aperture in the falciform ligament. The loop was gangrenous and required resection. Her course was complicated by delivery of two infants on the day after operation; one died within a few hours and the other 4 months later. The patient recovered after a second operation 2 weeks later for small bowel obstruction due to adhesions. Only six other patients with this anomaly have been reported. Two were neonates. Three patients died. This complication of pregnancy has not been described before. Dislocation of the small intestine by the enlarged uterus may have contributed to the herniation. Prompt operation is mandatory in this condition as in any case of closed-loop bowel obstruction.- - - - - - - - - - ranking = 2.219911125446E-5keywords = uterus (Clic here for more details about this article) |
10/17. Inflammatory pseudotumor of the ileum. A report of a multifocal, transmural lesion with regional lymph node involvement.Inflammatory pseudotumor (inflammatory fibroid polyp) of the ileum is a rare, usually solitary and polypoid lesion that frequently presents clinically as small-intestinal intussusception and obstruction. Regional lymph nodes are usually not involved. We describe an inflammatory pseudotumor of the ileum that was multifocal, not polypoid, and involved one regional lymph node. Grossly, two circumferential transmural nodules were separated by 8.5 cm of normal ileum. Microscopically, the lesion extended through the muscularis propria into peri-intestinal adipose tissue and involved one noncontiguous regional lymph node. The pseudotumor was composed of highly vascularized stroma with a mixture of spindle cells and chronic inflammatory cells including numerous eosinophils, lymphocytes, plasma cells, histiocytes, neutrophils, and multinucleated giant cells forming small granulomas. Immunohistochemically, the majority of spindle cells reacted with vimentin but not smooth-muscle, endothelial, or lymphoid markers. Ultrastructurally, the spindle cells had abundant rough endoplasmic reticulum, cytoplasmic filaments, and dense bodies consistent with myofibroblasts, plump endothelial cells (some with weibel-palade bodies), and chronic inflammatory cells. We prefer the term inflammatory pseudotumor to inflammatory fibroid polyp for the lesion in this case, since it was not polypoid and shared many histologic features with inflammatory pseudotumors arising at sites other than the gastrointestinal tract.- - - - - - - - - - ranking = 0.33333333333333keywords = fibroid (Clic here for more details about this article) |
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