Gastrointestinal: Hepatodiaphragmatic interposition of small bowel loop: A rare cause of Chilaiditi's syndrome

2013 ◽  
Vol 28 (8) ◽  
pp. 1253-1253 ◽  
Author(s):  
S Majumder
Keyword(s):  
Small Bowel ◽  
Bowel Loop ◽  
Small Bowel Loop ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi's Syndrome

scholarly journals Intestinal obstruction due to small bowel herniation through foramen of Winslow: a case report 

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
P. K. B. S. C. Bandara ◽  
A. M. Viraj Rohana ◽  
Aloka Pathirana
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Intestinal Obstruction ◽  
Reflux Disease ◽  
Bowel Loop ◽  
Internal Herniation ◽  
Small Bowel Loop ◽  
Foramen Of Winslow

Abstract Background Intestinal obstruction due to internal herniation of the bowel is a rare clinical entity which is often overlooked in the differential diagnosis of patients with abdominal pain who have no previous history of abdominal surgery. Several sites of bowel internal herniation have been described, amongst which internal herniation through the foramen of Winslow accounts for about 8% of cases. These patients present with nonspecific abdominal pain associated with symptoms of gastroesophageal reflux disease, and hence the diagnosis is often overlooked. The usual symptoms of intestinal obstruction can be delayed, which results in a delay in diagnosis and gangrene of the herniated bowel segment. Abdominal radiographs and computed tomography are helpful in the diagnosis. Open reduction is the management of choice; however, laparoscopic reduction has also been attempted, with good results. Case presentation We report a case of a middle-aged Sri Lankan man who presented with features of gastroesophageal reflux disease, developed features of intestinal obstruction and was found to have a gangrenous small bowel loop which had herniated through the foramen of Winslow. Following needle aspiration and reduction of the herniated small bowel loop, the gangrenous part of the small bowel was resected and an ileoileal anastomosis performed. The large foramen of Winslow was partially closed with interrupted stitches. The patient made an uneventful recovery. Conclusion Since delayed diagnosis of bowel obstruction is detrimental, it is of utmost importance to diagnose it early. Because internal herniation of the small bowel through the foramen of Winslow presents with nonspecific symptoms including features of gastroesophageal reflux disease, as documented in several cases worldwide and also presented by our patient, there should be a high degree of suspicion of internal herniation of the bowel causing bowel obstruction and low threshold for extensive investigation of patients presenting with symptoms of gastroesophageal reflux disease which does not resolve with usual medication.

scholarly journals Gastric remnant perforation due to trocar site herniation after laparoscopic Roux-en-Y gastric bypass

2019 ◽  
Vol 101 (3) ◽  
pp. e88-e90
Author(s):  
R Ebrahimi ◽  
M Kermansaravi ◽  
F Eghbali ◽  
A Pazouki
Keyword(s):  
Gastric Bypass ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Diagnostic Laparoscopy ◽  
Gastric Remnant ◽  
Bowel Loop ◽  
Low Grade ◽  
Small Bowel Loop ◽  
Trocar Site

A 39-year-old woman was admitted with colicky left upper-quadrant pain, dyspnoea, low-grade fever, tachycardia and a subtle left upper-quadrant tenderness without leucocytosis. Computed tomography revealed a distended gastric remnant due to small-bowel loop herniation at the trocar site. The patient underwent a diagnostic laparoscopy as her general condition worsened. Perforation across the staple line was seen and repaired. The postoperative period was uneventful. As a rare complication of laparoscopic Roux-en-Y gastric bypass, small-bowel obstruction is of great importance because it can lead to gastric remnant perforation if not managed correctly. There have been rare reports of trocar site herniation as a cause of small-bowel obstruction following laparoscopic Roux-en-Y gastric bypass. Prompt diagnostic laparoscopy should be considered. This is the first case reported in which the excluded stomach was perforated due to trocar site herniation of the small-bowel loop. It should be noted that the tissue around the perforation is fragile and proper tension should be employed when it is repaired. Generally, an omental patch is not encouraged.

scholarly journals Entero-paraspinous fistula from recurrent spinal metastatic renal cell carcinoma

2015 ◽  
Vol 22 (1) ◽  
pp. 60-63 ◽  
Author(s):  
Ambur Reddy ◽  
Patrick W. Hitchon ◽  
Sami Al-Nafi ◽  
Kent Choi
Keyword(s):  
Renal Cell Carcinoma ◽  
Small Bowel ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Spinal Metastasis ◽  
Metastatic Carcinoma ◽  
Bowel Loop ◽  
Recurrent Tumor ◽  
Small Bowel Loop ◽  
Total Excision

The authors report a case of entero-paraspinous fistula 2 years after T-12 corpectomy and instrumentation for spinal metastasis from renal cell carcinoma. The pathogenesis in the present case seems to have arisen from local recurrence of T-12 metastatic carcinoma in spite of radiation and corpectomy. As a result of previous nephrectomy and anterolateral dissection for the T-12 corpectomy, the jejunum adhered to the surgical site. Recurrent tumor at T-12 invaded the adherent small bowel loop, resulting in a fistulous communication between the small bowel lumen and the spinal wound. Loss of retroperitoneal fat, scarring, and adhesions from previous surgeries contributed to this complication by having the jejunum close to the T-12 corpectomy site, and eventually to its invasion by recurrent tumor. Avoidance of such a complication is difficult; however, total excision of the spinal malignancy, and when possible, creating a barrier cuff of fascia or fat around the spine to protect abdominal contents, are potential solutions.

Strangulation of a Small Bowel Loop Caused by a Defect in the Broad Ligament of the Uterus

1997 ◽  
Vol 17 (5) ◽  
pp. 540-541
Author(s):  
Saleh Al-Sulaimani ◽  
D. Makanjuola ◽  
Mohammed El-Sayed ◽  
Ammar Al-Rikabi
Keyword(s):  
Small Bowel ◽  
Broad Ligament ◽  
Bowel Loop ◽  
Small Bowel Loop

scholarly journals Endo GIA stapler malfunction in a small bowel loop resection

2018 ◽  
Vol 2018 (10) ◽  
Author(s):  
Vinu Perinjelil ◽  
Kwabena Nkansah-Amankra ◽  
Tareq Maraqa ◽  
Leo Mercer ◽  
Gul Sachwani-Daswani
Keyword(s):  
Small Bowel ◽  
Bowel Loop ◽  
Small Bowel Loop
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