An unusual case of herniation of small bowel through an iatrogenic defect of the falciform ligament

2002 ◽  
Vol 12 (3) ◽  
pp. 531-533 ◽  
Author(s):  
S. Sourtzis ◽  
C. Canizares ◽  
J. Thibeau ◽  
P. Philippart ◽  
N. Damry
Keyword(s):  
Small Bowel ◽  
Unusual Case ◽  
Falciform Ligament ◽  
Iatrogenic Defect

scholarly journals Small bowel obstruction via herniation through an iatrogenic defect of the falciform ligament following laparoscopic cholecystectomy

2015 ◽  
Vol 97 (6) ◽  
pp. e93-e95 ◽  
Author(s):  
K Dusu ◽  
S Dindyal ◽  
V Gadhvi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Diagnostic Laparoscopy ◽  
Congenital Abnormalities ◽  
Falciform Ligament ◽  
Acute Small Bowel Obstruction ◽  
Laparoscopic Techniques ◽  
Iatrogenic Defect

Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a falciform ligament defect has emerged over the last decade. In this case, a 50-year-old patient presented with signs of acute small bowel obstruction 10 days after a laparoscopic cholecystectomy. On diagnostic laparoscopy, part of the jejunum was found to have herniated through an opening in the falciform ligament. This was likely to have been caused by trauma during the cholecystectomy. Following relief of the obstruction, the defect was closed with polyglactin sutures.

563 A Rare Case of Small Bowel Obstruction Secondary to Peritoneal Encapsulation, Congenital Adhesional Band and Gallstone Ileus

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Gungadin ◽  
A Taib ◽  
M Ahmed ◽  
A Sultana
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Case Presentation ◽  
Peritoneal Encapsulation ◽  
History Of ◽  
Gall Stone Ileus

Abstract Introduction Small bowel obstruction can be caused by multiple factors. We describe an unusual case of small bowel obstruction secondary to three rare factors: gallstone ileus, peritoneal encapsulation and congenital adhesional band. Case Presentation A seventy-nine-year-old male presented with a four-day history of obstipation and abdominal pain. CT abdomen pelvis revealed small bowel obstruction secondary to gallstone ileus. The patient was managed by laparotomy. The intraoperative findings revealed the presence of a congenital peritoneal encapsulation with an adhesional band and gallstone proximal to the ileo-caecal valve. Although there was some dusky small bowel, this recovered following the release of the band. Discussion Peritoneal Encapsulation is a rare congenital pathology resulting in the formation of an accessory peritoneal membrane around the small bowel. This condition is asymptomatic and rarely presents as small bowel obstruction. The diagnosis is often made at laparotomy. There are less than 60 cases reported in literature. Gallstone ileus is another rare entity caused by an inflamed gallbladder adhering to part of the bowel resulting in a fistula. Conclusions The rarity of these conditions mean that they are poorly understood. A combination of this triad of gall stone ileus in the presence of peritoneal encapsulation and congenital band has not been reported before. Knowledge of this would raise awareness, facilitate diagnosis and management of patients.

scholarly journals Massive Obscure Overt Gastrointestinal Bleed: An Unusual Cause diagnosed by Capsule Endoscopy

2012 ◽  
Vol 46 (1) ◽  
pp. 37-39 ◽  
Author(s):  
Surjeet Singh ◽  
Chalapathi Rao ◽  
Surinder S Rana ◽  
Amit Bhauwala ◽  
Kartar Singh ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Unusual Case ◽  
Tropical Countries ◽  
Gastrointestinal Bleed ◽  
Common Causes

ABSTRACT Common causes for obscure overt gastrointestinal bleeding originating from the small bowel include small bowel angioectasias, Crohn's disease, ulcers and tumors. In tropical countries, intestinal ulcerations secondary to tuberculosis and parasitic infestations have also been described as causes of gastrointestinal bleeding. We present a very unusual case of massive obscure overt gastrointestinal bleeding due to massive hookworm infestation of the small bowel that was diagnosed by capsule endoscopy and successfully treated with oral albendazole. How to cite this article Rao C, Sharma A, Rana SS, Bhauwala A, Singh S, Singh K, Bhasin DK. Massive Obscure Overt Gastrointestinal Bleed: An Unusual Cause diagnosed by Capsule Endoscopy. J Postgrad Med Edu Res 2012;46(1):37-39.

scholarly journals Unusual case of a small bowel leiomyoma presenting as an adnexal mass

2018 ◽  
pp. bcr-2018-225320
Author(s):  
Chye Lee Kho ◽  
Luke Toh ◽  
Kim Teng Tan
Keyword(s):  
Small Bowel ◽  
Unusual Case ◽  
Adnexal Mass

scholarly journals An unusual case of small bowel obstruction

2020 ◽  
Author(s):  
Thomas Worland ◽  
Ashley Bloom ◽  
Marcus Robertson
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case

scholarly journals Unusual case of a large small-bowel enteroenteric fistula successfully closed using purse-string sutures

Endoscopy ◽  
2020 ◽  
Vol 52 (11) ◽  
pp. E422-E423
Author(s):  
Jun Yao ◽  
Li-sheng Wang ◽  
De-feng Li ◽  
Su-zhu Zhu ◽  
Zheng-lei Xu
Keyword(s):  
Small Bowel ◽  
Unusual Case ◽  
Purse String

Small Bowel Obstruction by Wireless Enteroscopic Capsule and Unrecognized Intestinal Stricture

2006 ◽  
Vol 72 (12) ◽  
pp. 1216-1217
Author(s):  
Hadi Najafian ◽  
Camille Eyvazzadeh
Keyword(s):  
Small Bowel ◽  
Physical Examination ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Bowel Resection ◽  
Anastomotic Stricture ◽  
History Of ◽  
Resection And Anastomosis

The wireless enteroscopy capsule (WEC) was approved for noninvasive visualization of small bowel. We report an unusual case of a previously healthy man with history of bowel resection and anastomosis who developed small bowel obstruction after ingestion of a WCE. At operation, an anastomotic stricture site was noted and the WEC was proximal to this stricture, causing obstruction. This case emphasizes the importance of a good history and physical examination, as well as vigilant follow-up and retrieval of WEC.

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