X-ray Diagnosis of Complete and Partial Acute Intestinal Obstruction

Radiology ◽  
1938 ◽  
Vol 31 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Leon Solis-Cohen ◽  
Samuel Levine
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
X Ray

scholarly journals Sub-Acute Intestinal Obstruction – A Rare Complication in a patient with Autosomal Dominant Polycystic Kidney Disease

2021 ◽  
Vol 4 (03) ◽  
Author(s):  
Nazish Naseer ◽  
Sonia Yaqub
Keyword(s):  
Intestinal Obstruction ◽  
Rare Complication ◽  
Acute Intestinal Obstruction ◽  
Polycystic Kidney ◽  
Radiological Findings ◽  
X Ray ◽  
Distended Abdomen ◽  
X Ray Computed ◽  
Autosomal Dominant Polycystic Kidney ◽  
Tomography Scan

associated with vomiting and constipation. On examination he was an obese, ill looking male with a distended abdomen and bilateral palpable flank masses. Gut sounds were sluggish. Small and large bowel loops were found to be dilated on abdominal x-ray. Computed tomography scan of the abdomen showed grossly enlarged kidneys occupying almost whole of the abdomen pushing small bowel loops anteriorly. Based on clinical and radiological findings a diagnosis of sub-acute intestinal obstruction was made. Patient was managed conservatively (i.e. with NG tube and rectal decompression). This case highlights intestinal obstruction as a rare complication of ADPKD.

scholarly journals Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Gerald Okanandu Udigwe ◽  
George Uchenna Eleje ◽  
Eric Chukwudi Ihekwoaba ◽  
Onyebuchi Izuchukwu Udegbunam ◽  
Richard Obinwanne Egeonu ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Exploratory Laparotomy ◽  
Acute Intestinal Obstruction ◽  
University Teaching ◽  
Successful Outcome ◽  
Management Approach ◽  
Abdominal Pregnancy ◽  
Case Presentation ◽  
X Ray ◽  
Female Baby

Background. Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality. When it is synchronous with abdominal pregnancy, it is even rarer.Case Presentation. A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain. Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus. Plain abdominal X-ray was diagnostic of intestinal obstruction. Conservative treatment was successful till the 34-week gestational age when she had exploratory laparotomy. At surgery, the amniotic sac was intact and the placenta was found to be adherent to the gut. There was also a live female baby with birth weight of 2.3 kg and Apgar scores of 9 and 10 in the 1st and 5th minutes, respectively, with the baby having right clubbed foot. Adhesiolysis and right adnexectomy were done. The mother and her baby were well and were discharged home nine days postoperatively.Conclusion. To the best of our knowledge, this is the first report of abdominal pregnancy as the cause of acute intestinal obstruction in the published literature. Management approach is multidisciplinary.

scholarly journals Acute intestinal obstruction due to gastrointestinal stromal tumours: case report

2020 ◽  
Vol 7 (9) ◽  
pp. 3140
Author(s):  
Kewithinwangbo Newme ◽  
Donkupar Khongwar ◽  
Ranendra Hajong ◽  
Vandana Raphel
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Imaging Studies ◽  
Gastrointestinal Stromal Tumours ◽  
X Ray ◽  
Main Culprit ◽  
Aged Individual ◽  
Rule Out

Gastrointestinal stromal tumours (GIST) as such is a rare disease, but according to some study it may end up to malignant type in approximately 10-30%. Herein we present a 2 cases of GIST who presented with acute intestinal obstruction in emergency department. In imaging studies (X-ray erect abdomen, ultrasonography abdomen), it showed a features of intestinal obstruction but could not rule out the exact mechanism or pathology behind the obstruction. As commonly adhesions is a main culprit behind the cause of acute intestinal obstruction in case of any post-operative patient. So, we try to highlight that in case of any old aged individual and in virgin abdomen GIST should be keep in mind as a cause of intestinal obstruction.

The X-ray Diagnosis of Acute Intestinal Obstruction

1941 ◽  
Vol 14 (157) ◽  
pp. 11-22
Author(s):  
P. B. Ascroft ◽  
Eric Samuel
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
X Ray

scholarly journals Acute intestinal obstruction: small intestine vs. large intestine: an analysis

2017 ◽  
Vol 5 (1) ◽  
pp. 162
Author(s):  
Latika Sharma ◽  
Harshit Srivastava ◽  
Dharmendra Kumar Pipal ◽  
Saurabh Kothari ◽  
Rohit Dhawan ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Geographical Location ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Late Presentation ◽  
Acute Intestinal Obstruction ◽  
X Ray ◽  
Common Causes ◽  
Operative Findings ◽  
Tract Infections

Background: Bowel obstruction is one of the most common causes of acute abdomen and also a common surgical emergency.The causes of IO vary significantly depending on geographical location. The aim of this study was to identify the etiology, clinical presentation, management and outcomes of patients with acute mechanical IO presenting in Jodhpur, Rajasthan.Methods: A prospective study was conducted at Mahatma Gandhi Hospital and Mathura Das Mathur Hospital (associated with Dr. SN Medical College), Jodhpur, Rajasthan. 100 patients with acute intestinal obstruction were admitted and evaluated. Blood routine, X-Ray abdomen, USG abdomen and CECT (if required) were done. A pre-operative diagnosis was made. Intra-operative findings and Post-operative complications were noted and follow up was done till the patient was discharged from the hospital.Results: A total of 69 male and 31 female patients, presented with acute mechanical IO during the period of the study. Mean patient age was 48.5 years with peak incidence in those aged 31-45 years. The foremost signs and symptoms were abdominal distension (88%), obstipation (87%), abdominal pain (81%) and nausea/ vomiting (47%). Adhesions and bands (29%), hernia (13%), neoplasm (9%) and pseudo-obstruction (8%) were the leading causes of intestinal obstruction. The sensitivity of X-ray and USG in present study was 67% and 75% respectively. Most common complication associated was wound infection (17%) followed by paralytic ileus (7%) and respiratory tract infections (6%). Late presentation was associated with poor prognosis. 4 patients expired before surgery. Post-operative mortality was associated with 6 patients and was more common in cases which presented with gangrenous bowel.Conclusions: The most common causes of IO in this study were adhesions and bands, hernia, neoplasm and pseudo-obstruction. Presence of bowel gangrene was associated with higher morbidity and mortality.

scholarly journals Clinical study of acute intestinal obstruction in tertiary care centre

2017 ◽  
Vol 4 (9) ◽  
pp. 2903
Author(s):  
Vikas M. Daddenavar ◽  
Pramod Mirji ◽  
Ishwar Kalburgi
Keyword(s):  
Intestinal Obstruction ◽  
Tertiary Care ◽  
Age Distribution ◽  
Age Groups ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Tertiary Care Centre ◽  
X Ray ◽  
Main Complaint ◽  
Pain Abdomen

Background: Acute intestinal obstruction is one of common abdominal emergencies and is associated with significant morbidity and mortality, especially if it progresses to bowel ischemia. The aim of this study is to analyse various modes of presentation of acute intestinal obstruction in both children and adult age group, etiopathogenesis, various therapeutic modalities of treatment and to accomplish operative management and anticipate the post-operative complication.Methods: Fifty consecutive patients of all age groups presenting with acute intestinal obstruction were admitted in SN Medical College HSK hospital were taken randomly and managed between February 2013 to February 2016. A detailed examination was done as per proforma after admission. Plain X-ray erect abdomen was done in all cases except inguinal hernias with obstruction.Results: Mean age distribution was 35.4 years. Incidence in male was more compared to female. Pain abdomen was found in 39 (78%), vomiting in 35 (70%), distension abdomen in 29 (58%) and constipation in 26 (52%) patients as main complaint. Commonest cause was postoperative adhesions. Mean duration of stay in hospital was between 1-5 weeks (average 2 weeks).Conclusions: All age groups were involved. More commonly found in males than females. Main complaint was pain abdomen followed by vomiting, distension and constipation. Plain X-ray abdomen and ultrasonography were important. Pathology ranged from simple bands to malignant obstruction. Postoperative adhesions were the commonest cause of obstruction. Earlier the presentation better the outcome was found.

scholarly journals Clinical study of bowel obstruction in relation to etiological factors

2017 ◽  
Vol 4 (2) ◽  
pp. 485 ◽  
Author(s):  
Pradeep Kumar Chitumalla ◽  
Naresh Kumar Vemulapally ◽  
Surya Narayana Reddy
Keyword(s):  
Intestinal Obstruction ◽  
Age Distribution ◽  
Age Groups ◽  
Operative Management ◽  
Acute Intestinal Obstruction ◽  
Female Population ◽  
X Ray ◽  
Adult Age ◽  
Abdominal Emergency ◽  
Therapeutic Modalities

Background: Acute intestinal obstruction is one of common abdominal emergency and is associated with significant morbidity and mortality, especially if it progresses to bowel ischemia. The aims of this study was to analyse various modes of presentation of acute intestinal obstruction in both children and adult age group, etiopathogenesis, various therapeutic modalities of treatment and to accomplish operative management and anticipate the post operative complications.Methods: 50 consecutive patients of all age groups presenting with acute intestinal obstruction were admitted were taken randomly and managed between October 2013 to September 2015.Out of these 50 cases, 36 were male, 14 were female, patients with subacute intestinal obstruction and patients with paralytic ileus were excluded in this study. Plain X-ray erect abdomen was done in all cases. Ultrasonography was done only in those patients whose X-ray finding was inconclusive. CT as a modality also included for work up.Results: Mean age distribution was 35.4years and the standard deviation measured 24.57. Incidence in male (36) was more as compared to female population (14). Pain abdomen was found in 45(90%) patients, vomiting in 35(70%) patients, distension abdomen in 34 (68%) patients and constipation in 30 (60%) patients were noted as many patients had coincidence of symptoms. Commonest cause of acute intestinal obstruction noted was postoperative adhesions.Conclusions: Postoperative adhesions were the commonest cause of obstruction. Earlier the presentation, the better the outcome was found.

scholarly journals X-RAY DIAGNOSIS OF ACUTE INTESTINAL OBSTRUCTION

BMJ ◽  
1935 ◽  
Vol 2 (3911) ◽  
pp. 1197-1240 ◽  
Author(s):  
D. H. Patey ◽  
P. B. Ascroft
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
X Ray
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