| 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. ( info) |
2/2349. Distal neonatal intestinal obstruction: the choice of contrast material. The use of barium sulfate as the contrast agent of choice in the radiographic evaluation of distal neonatal intestinal obstruction is advocated. The advantages of Gastrografin or other water-soluble contrast materials are far outweighed by their disadvantages, which include the hazards of hypertonic dehydration and the danger of missing the diagnosis of Hirschsprung's disease. Five patients are presented, all of whom had the diagnosis of Hirschsprung's disease missed in the neonatal period with one use of Gastrografin enemas. All five were subsequently admitted to the Surgical Neonatal intensive care Unit, critically ill with enterocolitis of Hirschsprung's disease. ( info) |
3/2349. Bowel entrapment within pelvic fractures: a case report and review of the literature. Bowel entrapment within a pelvic fracture is a rarely reported but potentially fatal complication. diagnosis is often delayed due to difficulty in differentiating entrapment from the more common adynamic ileus. Computed tomography of the abdomen and pelvis with enteric contrast can be useful in making the diagnosis. We report an unusual case of bowel entrapment within a pelvic fracture presenting as a colocutaneous fistula in a patient with no prior symptoms that suggested a bowel injury. This report expands the realm of presentation of this rare occult bowel injury. ( info) |
4/2349. Idiopathic chronic intestinal pseudo-obstruction. Use of central venous nutrition. patients with idiopathic chronic intestinal pseudo-obstruction suffer from malnutrition because of inability to maintain adequate oral intake without the development of obstructive symptoms. We have successfully used central venous nutrition in two patients with this syndrome, both on a short-term and long-term home-maintenance basis. Hyperalimentation can provide adequate nutrition in patients with intestinal pseudo-obstruction until normal bowel function returns or until definitive therapy for this chronic disease is found. ( info) |
5/2349. Richter's hernia: a rare presentation of abdominal tuberculosis. intestinal obstruction due to Richter's hernia has not been reported in abdominal tuberculosis. This 21-year-old man with abdominal tuberculosis presented with small gut obstruction due to Richter's hernia associated with ascites and patent right processus vaginalis (PV). He underwent laparotomy with reduction of Richter's hernia and closure of the PV at the right deep inguinal ring. ( info) |
6/2349. Bowel obstruction caused by dislocation of a suprapubic catheter. In patients with a suprapubic catheter, the differential diagnosis of acute lower abdominal pain must include a possible dislocation of this device. We report a case that illustrates such a complication, leading to bowel obstruction in our patient. ( info) |
7/2349. Transomental strangulation. A rare case of an internal hernia. A case report of a transomental herniation of the small intestine is given. Thirty-six cases of this type of intestinal obstruction are reported in the literature. The history was that of an intestinal obstruction and the diagnosis was settled at laparotomy, as in most of the reported cases. The etiology is obscure by (a) abdominal trauma, (b) inflammation, and (c) congenital defects in the omentum appear to be the most likely. ( info) |
8/2349. 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. ( info) |
9/2349. Congenital alimentary tract abnormalities presenting in adolescence and young adulthood. Intestinal atresias and duplications of the alimentary tract commonly present in the neonatal period or early infancy, but in rare cases they can persist and present de novo during adolescence. We report on these two abdominal congenital anomalies, the clinical presentations of which in adolescence and young adulthood are unique. ( info) |
10/2349. Functional intestinal obstruction due to deficiency of argyrophil neurones in the myenteric plexus. Familial syndrome presenting with short small bowel, malrotation, and pyloric hypertrophy. In 3 infants functional intestinal obstruction, associated with a short small intestine, malrotation, and pyloric hypertrophy, was shown to be due to failure of development of the argyrophil myenteric plexus, with the absence of ongoing peristalsis. 4 infants with similar clinical features have been described previously, and there is evidence for an autosomal recessive mode of inheritance of this syndrome. ( info) |