1/295. Separate sac of peritoneum: a case of an unusual cause of intestinal obstruction.Internal hernia is a rare condition. These hernias are classified in different categories, depending on the location of its orifice. It should be considered in cases of acute intestinal obstruction, particularly in the absence of an external hernia or in the absence of history of previous abdominal surgery. The authors report a unique case of obstruction of the small bowel, that was almost entirely wrapped in a separate peritoneal sac.- - - - - - - - - - ranking = 1keywords = obstruction (Clic here for more details about this article) |
2/295. Acute small bowel obstruction due to ileal endometriosis: a case report and literature review.A young women presented with non-resolving acute small bowel obstruction and was found to have a stricture in the distal ileum at laparotomy. Histologically this was due to endometriosis. Resection of the involved segment gave excellent results.- - - - - - - - - - ranking = 0.83333333333333keywords = obstruction (Clic here for more details about this article) |
3/295. The Rapunzel syndrome (trichobezoar) causing atypical intussusception in a child: a case report.The Rapunzel syndrome (trichobezoar) occurs when gastrointestinal obstruction is produced by a rare manifestation of a trichobezoar with a long tail that extends to or beyond the ileocecal valve. A case history of a 7-year-old girl is described. This is the eleventh patient with Rapunzel syndrome reported in the literature. The epidemiology, clinical features, diagnosis, complications, treatment, and literature are reviewed briefly.- - - - - - - - - - ranking = 0.16666666666667keywords = obstruction (Clic here for more details about this article) |
4/295. carcinoid tumor of the ileum with intestinal obstruction.An 83 year-old female presenting with intestinal obstruction due to a carcinoid tumor of the small intestine is herein reported. The intra-operative findings revealed a stenotic lesion and ischemic changes of the ileum. A segmental jejunotomy was performed and a submucosal tumor was recognized as a causal lesion. Histopathological investigation demonstrated the features of carcinoid tumor.- - - - - - - - - - ranking = 0.83333333333333keywords = obstruction (Clic here for more details about this article) |
5/295. Ileosigmoid knotting in a 6-year-old child.Ileosigmoid knotting occurs when the ileum wraps around the base of an elongated sigmoid colon, thus producing two closed-loop obstructions with the possibility of ischemia and necrosis of either the ileum or sigmoid colon. It occurs more commonly in African, Asian, and Middle Eastern countries, although there have been three Americans previously reported with this problem. The 6-year-old child presented here is the youngest person ever reported with ileosigmoid knotting.- - - - - - - - - - ranking = 0.16666666666667keywords = obstruction (Clic here for more details about this article) |
6/295. Postoperative intussusception in childhood: case report.An eight year old female had laparotomy for general peritonitis due to acute appendicitis. Postoperative course was uneventful until the seventh day when abdominal pain, and distension and vomiting ensued which did not respond to conservative management. At repeat laparotomy, an ileoileal intussusception was found and reduced without difficulty. intussusception is an uncommon but important cause of postoperative intestinal obstruction. Since the typical features of intussusception are usually absent and radiology frequently unhelpful, a high index of clinical suspicion is necessary for early diagnosis and treatment to avoid strangulation and perforation.- - - - - - - - - - ranking = 0.16666666666667keywords = obstruction (Clic here for more details about this article) |
7/295. Small bowel obstruction in a peritoneal defect after laparoscopic Burch procedure.With expansion of laparoscopic surgery, the gynecologic surgeon faces a new set of complications not encountered in open surgery and completely related to the laparoscopic approach. A rare complication occurred after laparoscopic Burch colposuspension performed in a patient with genuine stress urinary incontinence. Although the fascial incision at the right lower quadrant cannula insertion site was closed, a loop of small bowel herniated through the nonclosed peritoneal defect and caused intestinal obstruction 9 days after surgery. For cannula insertion sites 10-mm and greater, we recommend suturing peritoneal defects at the time of fascial closure. (J Am Assoc Gynecol Laparosc 6(3):343-345, 1999)- - - - - - - - - - ranking = 0.83333333333333keywords = obstruction (Clic here for more details about this article) |
8/295. Retained surgical sponge: an unusual cause of malabsorption.Retained surgical sponge is an unpleasant surprise in clinical practice. Intraluminal migration of the retained sponge, though rare, can lead to intestinal obstruction and other complications. We describe two cases of retained surgical sponge, both following gynaecological surgery, presenting several years after surgery with features of subacute intestinal obstruction, malabsorption and several years after surgery with features of subacute intestinal obstruction, malabsorption and sever hypoproteinemia which reverted after surgical removal.- - - - - - - - - - ranking = 0.5keywords = obstruction (Clic here for more details about this article) |
9/295. intussusception in preterm infants: case report and literature review.intussusception is an extremely rare disorder in preterm infants. An infant of 29 weeks gestational age with this condition is reported and a retrospective analysis of 17 previously reported cases presented. In the reviewed preterm infants, risk factors for intussusception seemed to be multifactorial. Clinical features included severe abdominal distension (17/17), gastric aspirates (13/17), commonly bilious, bloody stools (10/17) and rarely a palpable abdominal mass (5/17). Diagnostic features were signs of small bowel obstruction on the abdominal radiographs. signs and symptoms were similar to those seen in necrotizing enterocolitis, therefore difficulties in establishing a correct diagnosis led to an average delay of 7 days between the onset of symptoms and abdominal surgery, increasing the risk of developing a compromised bowel. CONCLUSION: The differential diagnosis of an intussusception should be considered in preterm infants with acute abdominal distension and tenderness.- - - - - - - - - - ranking = 0.16666666666667keywords = obstruction (Clic here for more details about this article) |
10/295. Clinical and pathologic overlap in nonsteroidal anti-inflammatory drug-related small bowel diaphragm disease and the neuromuscular and vascular hamartoma of the small bowel.diaphragm disease (DD) is a radiographically subtle cause of small bowel obstruction and is part of the spectrum of diseases associated with nonsteroidal anti-inflammatory drug injury. The neuromuscular and vascular hamartoma (NMVH) is a nonepithelial hamartomatous, submucosally based proliferation of mature submucosal elements capable of causing small bowel obstruction. The authors report two patients in whom the clinical setting and gross pathology are that of DD, but the histologic characterization is identical to that described for NMVH. It is probable that in some patients the two diseases overlap so that some patients readily fit the criteria for both entities.- - - - - - - - - - ranking = 0.33333333333333keywords = obstruction (Clic here for more details about this article) |
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