1/31. Cecal volvulus in pregnancy.Colonic volvulus is an important entity to consider in any pregnant patient with abdominal pain. X-ray and colonoscopy can be useful to obtain the earliest diagnosis, leading to surgical intervention if necessary. Limited use of x-rays with shielding of the fetus is of minimal risk and useful for early diagnosis of volvulus. colonoscopy may confirm or exclude the diagnosis of colonic volvulus, detect mucosal ischemia, and avoid the requirement for emergency surgery by reducing the volvulus in cases in which ischemia is not present. If surgery is necessary for a cecal volvulus, cecostomy is a viable option because of a low rate of morbidity and subsequent volvulus recurrence.- - - - - - - - - - ranking = 1keywords = volvulus (Clic here for more details about this article) |
2/31. Gangrenous sigmoid volvulus in a pregnant woman.A rare case of gangrenous sigmoid volvulus in a pregnant woman causing intestinal obstruction is reported. The patient had intrauterine foetal death. Laparatomy for resection of sigmoid colon and hysterotomy for removal of dead foetus was carried out. Terminal iliac colostomy with closure of rectal stump was done in the first surgery. The patient underwent colorectal anastomosis 2 months after the first operation and recovered uneventfully.- - - - - - - - - - ranking = 0.5keywords = volvulus (Clic here for more details about this article) |
3/31. Malrotation of the gut manifested during pregnancy.The diagnosis of intestinal obstruction during pregnancy poses problems, as vomiting which is an important symptom of the obstruction can be attributed to hyperemesis of pregnancy and radiological investigation are avoided during this period. A case of intestinal obstruction due to volvulus resulting from congenital malrotation of the gut is reported here. The patient first presented during pregnancy. The case emphasises the need for thorough investigations in a case of persistent vomiting in pregnancy.- - - - - - - - - - ranking = 0.1keywords = volvulus (Clic here for more details about this article) |
4/31. hyperemesis gravidarum with gastric carcinoma.A 24-year-old multiparous female presented with a diagnosis of hyperemesis gravidarum and was found to have a gastric carcinoma. She underwent a gastric resection for carcinoma of the stomach and is alive and well 2 years after gastrectomy. x-rays, gastroscopy, and surgery were done while she was pregnant.- - - - - - - - - - ranking = 6.1744909743857E-5keywords = stomach (Clic here for more details about this article) |
5/31. Postcesarean small bowel volvulus. Case report and review of the literature.Volvulus is an uncommon cause of bowel obstruction during pregnancy. We present an unusual case in which cesarean delivery at 26 weeks of gestation was complicated by volvulus of the small bowel 1 week following delivery. At laparotomy, detorsion of the loop of the terminal ileum sufficed, and bowel resection was not required. We review the literature pertaining to volvulus of the bowel during pregnancy and discuss recent new diagnostic imaging modalities for midgut volvulus, which may assist early noninvasive diagnosis of this condition.- - - - - - - - - - ranking = 0.7keywords = volvulus (Clic here for more details about this article) |
6/31. Midgut volvulus following cesarean section.Total midgut volvulus and gangrene due to a congenitally elongated mesentery in a 27-year-old primipara occurred 3 days after cesarean section. All of the small bowel distal to the duodenum except for 12 inches of jejunum was resected, and the patient survived. This case and the literature concerning volvulus in pregnancy are reviewed here, and suggestions for prevention and treatment are made.- - - - - - - - - - ranking = 0.6keywords = volvulus (Clic here for more details about this article) |
7/31. Laparoscopic treatment of Bochdalek hernia without the use of a mesh.Bochdalek hernia is a rare pathology. The preoperative diagnosis is difficult, and few reports are available regarding its treatment. Herein we report the case of a 25-year-old woman referred for symptoms of dyspepsia, dysphagia, and thoracic pain exacerbated by pregnancy. Preoperative radiography, EGD, and CT scan revealed a paraesophageal hiatal hernia. Laparoscopic exploration showed the complete thoracic migration of the stomach through a left posterolateral diaphragmatic foramen. The diagnosis of a Bochdalek hernia was then made. The diaphragmatic defect was repaired without inserting a prosthesis, using five separate non-reabsorbable stitches (Rieder technique). The procedure was completed with a Nissen-Rossetti fundoplication. The duration of the procedure was 150 min. Hospital stay was 12 days. There were no complications. Postoperative Gastrografin radiography of the esophagus and stomach showed a normal-shaped fundoplication and confirmed the subdiaphragmatic location of the stomach. We conclude that the laparoscopic approach represents the gold standard for the diagnosis and treatment of Bochdalek hernia and any associated complications.- - - - - - - - - - ranking = 0.00018523472923157keywords = stomach (Clic here for more details about this article) |
8/31. gastric outlet obstruction caused by a heterotopic pancreas in a pregnant woman: report of a case.A 26-year-old Japanese woman who was 23 weeks pregnant presented with nausea, vomiting, and abdominal pain. Gastroduodenal endoscopic examination revealed an oval-shaped submucosal tumor obstructing the gastric outlet at the prepyloric area in the stomach. magnetic resonance imaging showed a 5-cm cystic tumor and we suspected a degenerated gastrointestinal stromal tumor. No other radiological tests were done because of the associated risks to the fetus. Distal gastrectomy was performed and a histological diagnosis of heterotopic pancreas was confirmed. The patient had an uneventful postoperative course and was discharged 19 days after her operation. She delivered a healthy, full-term male infant 3 months later. This case of an ectopic pancreas obstructing the gastric outlet in a pregnant woman is reported and discussed due to its rarity.- - - - - - - - - - ranking = 6.1744909743857E-5keywords = stomach (Clic here for more details about this article) |
9/31. Caecal volvulus in pregnancy: is delay in diagnosis avoidable?intestinal volvulus is not an uncommon cause of obstruction in pregnancy. Diagnosis is often delayed due to poor knowledge of the condition and a hesitation to use abdominal x-rays in a pregnant patient. Here, two cases of caecal volvulus in pregnancy are reported. Proper diagnosis and early treatment of the condition is emphasized.- - - - - - - - - - ranking = 0.6keywords = volvulus (Clic here for more details about this article) |
10/31. prenatal diagnosis of intrathoracic stomach (gastric herniation).Intrathoracic stomach is a rare and serious congenital abnormality. The anomaly may be complicated by gastric volvulus and can lead to ischemic gastric infarction in the neonate. If diagnosed antenatally, neonatal management can be planned in advance so as to reduce morbidity. This anomaly must be differentiated from the more common congenital diaphragmatic hernia, as associated pulmonary hypoplasia is common in the latter and rare with gastric herniation. We report an infant born to a mother with Marfan's syndrome with the antenatal diagnosis of intrathoracic stomach. The ultrasound and magnetic resonance imaging features of this congenital abnormality are described. A review of the literature would indicate that this is the first case report of gastric volvulus diagnosed in utero.- - - - - - - - - - ranking = 0.20037046945846keywords = volvulus, stomach (Clic here for more details about this article) |
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