1/200. Pericardial injury following severe sepsis from faecal peritonitis--a case report on the use of continuous cardiac output monitoring.We report on a case of a 43-year-old man who developed reversible myocardial depression and pericarditis related to severe sepsis secondary to rectosigmoid colonic perforation. The management of this patient was aided by the use of a continuous thermodilution cardiac output catheter and monitor, recently introduced in clinical practice.- - - - - - - - - - ranking = 1keywords = colonic (Clic here for more details about this article) |
2/200. Isolated colonic tuberculous perforation as a rare cause of peritonitis: report of a case.We present herein the rare case of a patient who developed peritonitis due to colonic tuberculosis with perforation. The patient was successfully treated by resectional surgery with delayed restoration of bowel continuity and antitubercular therapy.- - - - - - - - - - ranking = 5keywords = colonic (Clic here for more details about this article) |
3/200. Colonoscopic perforation: its emergency treatment.One of the accepted complications of colonoscopy is perforation. This is known to occur in greater frequency in patients having undergone previous pelvic or colonic surgery, as well as patients suffering from diverticulosis. A case is presented of colonic perforation during diagnostic examination in an area of adhesions secondary to pelvic surgery. Immediately after the perforation, the patient entered into vascular collapse and respiratory distress, with a distended abdomen. The introduction of a large bore intravenous catheter into the abdominal cavity with the release of the pneumoperitoneum resulted in an instantaneous return of vital signs and the patient subsequently underwent surgery and recovered. It is felt that this method of emergency treatment can be life-saving in a patient perforating during colonoscopy.- - - - - - - - - - ranking = 2keywords = colonic (Clic here for more details about this article) |
4/200. Sigmoid colon perforation due to geophagia.Geophagia can be a problem in mentally handicapped patients. This case report presents a 71-year-old mentally handicapped women who had to be operated in emergency for colonic perforation due to geophagia.- - - - - - - - - - ranking = 1keywords = colonic (Clic here for more details about this article) |
5/200. life-threatening perineal gangrene from rectal perforation following colonic hydrotherapy: a case report.Alternative medicine is widely publicized in singapore. To date there are few reports of complications arising as a result of such treatments. However, there is no legislation as yet governing alternative medicine practitioners. We present an unusual case of a patient who developed life-threatening perineal gangrene as a result of rectal perforation following colonic hydrotherapy.- - - - - - - - - - ranking = 5keywords = colonic (Clic here for more details about this article) |
6/200. Perforation of jejunal diverticulum: case report and review of literature.We report the case of a 90-year-old woman, previously diagnosed with jejunal and colonic diverticula, who presented with left lower quadrant abdominal pain suggesting either colonic diverticulitis or ischemic colitis. A computed tomography scan revealed a perforated jejunal diverticulum with abscess formation. The patient promptly was treated surgically without complications. A review of the literature indicates the rarity of perforation of jejunal diverticula and the difficulty of early diagnosis. We discuss the etiology, pathogenesis, diagnosis, and management of this rare entity. It is important for primary care physicians to be familiar with this disease. Delay in work-up often results in catastrophic consequences.- - - - - - - - - - ranking = 2keywords = colonic (Clic here for more details about this article) |
7/200. fecal impaction causing megarectum-producing colorectal catastrophes. A report of two cases.PURPOSE: Massive fecal impaction leading to surgical catastrophes has rarely been reported. We present 2 such patients to remind physicians that neglected accumulation of fecal matter in the rectum may lead to ischemia and perforation of the colon and rectum. methods: Report of 2 patients and a medline search of the literature. RESULTS: In the 1st case massive fecal impaction produced an abdominal compartment syndrome and rectal necrosis. In the 2nd patient fecal impaction resulted in colonic obstruction and ischemia. In both, an operation was life-saving. CONCLUSION: Neglected fecal impaction may lead to a megarectum causing an abdominal compartment syndrome and colorectal obstruction, perforation or necrosis. Measures to prevent fecal impaction are of paramount importance and prompt manual disimpaction before the above complications develop is mandatory. Appropriate operative treatment may be life-saving.- - - - - - - - - - ranking = 1keywords = colonic (Clic here for more details about this article) |
8/200. Cologastric fistula and colonic perforation as a complication of percutaneous endoscopic gastrostomy.Cologastric fistula has rarely been reported as a complication of percutaneous endoscopic gastrostomy (PEG). We encountered a patient in whom this problem went unrecognized for 2 years. After the initial PEG tube was changed, the second PEG tube was advanced into the colon, causing severe diarrhea. When a third PEG tube was inserted, acute peritonitis occurred because of colonic perforation. We discuss the mechanism of this complication and technical points related to its prevention.- - - - - - - - - - ranking = 5keywords = colonic (Clic here for more details about this article) |
9/200. Acute presentation of transverse colon injury following percutaneous endoscopic gastrostomy tube placement: case report and review of current management.We describe a case of a patient who had a percutaneous endoscopic gastrostomy (PEG) tube placed for enteral access. The patient's medical history was remarkable for chronic malnutrition, coronary artery disease, coronary bypass surgery, and severe esophageal dysmotility. We discuss the patient&'s course through treatment and we review the management options for patients that sustain colonic injury related to PEG placement. We conclude that colonic injury can be difficult to diagnose in the acute setting and that diagnosis may be facilitated by abdominal computerized tomographic (CT) scanning.- - - - - - - - - - ranking = 2keywords = colonic (Clic here for more details about this article) |
10/200. Isolated colonic injury following blunt abdominal trauma.A case of delayed diagnosis of colonic injury after blunt abdominal trauma leading to faecal peritonitis is presented. Diagnostic problems and possibilities as well as treatment of these injuries are reviewed. The key to diagnosis remains the serial clinical and ultrasound examinations.- - - - - - - - - - ranking = 5keywords = colonic (Clic here for more details about this article) |
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