scholarly journals Prolonged Intestinal Mucosal Barium Coating due to Ischemic Necrosis

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Vincent H. S. Low
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Mucosal Damage ◽  
Abdominal Radiograph ◽  
Wall Thickening ◽  
Plain Abdominal Radiograph ◽  
Transplantation Surgery ◽  
Abdominal Ct Scan ◽  
Bowel Wall Thickening ◽  
Fluid Collections

A case of a 63-year-old man with small bowel ischemia six weeks after transplantation surgery is presented. Plain abdominal radiograph obtained several days after ingestion of barium shows the sign of prolonged barium coating indicating severe mucosal damage. Abdominal CT scan demonstrates small bowel wall thickening as well as pockets of peritoneal fluid collections. Most critically, CT allows visualization of subtle traces of dense barium within the dependent portions of this fluid indicating bowel perforation.

scholarly journals Plain Abdominal Radiographs: Can we Interpret Them?

2006 ◽  
Vol 88 (1) ◽  
pp. 23-26 ◽  
Author(s):  
C Beverly B Lim ◽  
Vivian Chen ◽  
Allon Barsam ◽  
Jeremy Berger ◽  
Richard A Harrison
Keyword(s):  
Small Bowel ◽  
Large Bowel ◽  
Correct Diagnosis ◽  
Abdominal Radiograph ◽  
Junior Doctors ◽  
Plain Abdominal Radiograph ◽  
Upper Limit ◽  
Diagnostic Role ◽  
Abdominal Radiographs ◽  
Normal Dimension

INTRODUCTION Plain abdominal radiographs commonly form a part of medical assessments. Most of these films are interpreted by the clinicians who order them. Interpretation of these films plays an important diagnostic role and, therefore, influences the decision for admission and subsequent management of these patients. The aim of this study was to find out how well doctors in different specialties and grades interpreted plain abdominal radiographs. MATERIALS AND METHODS A total of 76 doctors from the Departments of Accident & Emergency, Medicine, Surgery and Radiology (17, 32, 23 and 4, respectively) participated in the study which involved giving a diagnosis for each of 14 plain abdominal radiographs (5 ‘normal’ and 9 ‘abnormal’). They were also asked the upper limit of normal dimensions of small bowel and large bowel. One point was awarded for correctly identifying whether a radiograph was normal/abnormal, 1 point for the correct diagnosis and 1 point for the correct bowel dimensions, giving a total score of 30. RESULTS Mean scores out of 30 for specialties were as follows: Accident & Emergency 13.1 (range, 2–22), Medicine 11.2 (range, 2–23), Surgery 15.0 (range, 8–24) and Radiology 17.0 (range, 14–20; P = 0.241). Mean scores out of 30 for different grades of doctors were as follows: pre-registration house officers 10.8 (range, 4–20), senior house officers 13.0 (range, 2–22), registrars/staff grades 13.8 (range, 2–23) and consultants 17.3 (range, 12–24; P = 0.028). Fifteen out of 76 (19.7%) doctors correctly identified the upper limit of normal dimension of small bowel; 24 out of 76 (31.6%) correctly identified the upper limit of normal dimension of large bowel. DISCUSSION The level of seniority positively correlated with skills of plain abdominal radiograph interpretation. A large number of doctors were unable to give the correct upper limit of normal dimensions for small and large bowel. CONCLUSIONS All doctors could benefit from further training in the interpretation of plain abdominal radiographs. This could perhaps take place as formal teaching sessions and be included in induction programmes. Until then, plain abdominal films should ideally be reported by radiologists where there are clinical uncertainties; important management decisions made by junior doctors based on these films should at least be confirmed with a registrar, if not a consultant.

scholarly journals “Meckel’s Diverticulum” – A diagnostic bizarre of abdominal pain in adults

2020 ◽  
Vol 2 ◽  
pp. 58-60
Author(s):  
Vipin Kumar Bakshi ◽  
Manjot Kaur ◽  
Gajendra Bhatti
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Wall Thickening ◽  
Emergency Laparotomy ◽  
Contrast Enhanced ◽  
Antimesenteric Border ◽  
Meckel’S Diverticulitis ◽  
Bowel Wall Thickening ◽  
Subacute Intestinal Obstruction ◽  
Enhanced Computed Tomography

A 30-year-old male presented to the emergency room with complaints of periumbilical abdominal pain and vomiting. A contrast-enhanced computed tomography scan of the abdomen revealed subacute intestinal obstruction with dilated small bowel loops and associated bowel wall thickening of mid and distal ileal bowel loops. There was a fairly large small bowel diverticulum arising from the antimesenteric border of distal ileum. Findings were suggestive of small bowel diverticulitis or possibly focal enteritis. The patient was then immediately taken to the operating room for emergency laparotomy and was intra-operatively found to have a thickened Meckel’s diverticulitis with adjacent small bowel obstruction. Meckel’s diverticulectomy was performed in continuity with the adjacent inflamed small bowel. The patient had a stable post-operative course without any complications and was discharged within a week.

scholarly journals Sudden Unexpected Death Associated with Ileocecal Duplication Cyst and Clinical Review

2010 ◽  
Vol 4 ◽  
pp. CMPed.S4850 ◽  
Author(s):  
Y Kashiwagi ◽  
S. Suzuki ◽  
K. Watanabe ◽  
S. Nishimata ◽  
H. Kawashima ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Duplication Cyst ◽  
Multiple Organ ◽  
Watery Diarrhea ◽  
Abdominal Radiograph ◽  
Unexpected Death ◽  
Plain Abdominal Radiograph ◽  
Abdominal Symptoms

Duplications of the alimentary tract are very rare. A one-month-old female presented with symptoms of anorexia, vomiting and continuous watery diarrhea. The plain abdominal radiograph showed thickened intestinal wall and signs of small bowel obstruction. The fevers, vomiting, and continuous wartery diarrhea persisted despite antibiotics, and worsened. The patient failed to respond to medical managements, 27 hours after admission, the patient died due to multiple organ failures. The autopsy was performed, small bowel obstruction due to an ileocecal duplication cyst (3 × 3 cm) was recognized. The ileocecal duplication cyst was attached to the ileum which was changed edematous and necrotic. This potential diagnosis should be borne in mind for a patient who complains of abdominal symptoms with an unknown cause, and duplication cyst should be recognized as a fatal cause in infant.

scholarly journals A clinical study involving anatomical distribution, pathological patterns and differentiation degrees in population with small bowel tumor

2019 ◽  
Vol 6 (7) ◽  
pp. 2401
Author(s):  
Anil Akulwar ◽  
Akshay Akulwar ◽  
Siddarth Rao ◽  
Ravinder Narang
Keyword(s):  
Small Bowel ◽  
Bowel Wall ◽  
Care Center ◽  
Tertiary Care ◽  
Socioeconomic Background ◽  
Wall Thickening ◽  
Palpable Mass ◽  
Female Ratio ◽  
Causative Agents ◽  
Bowel Wall Thickening

Background: Occurrence of tumor of small bowel is very rare but the burden is in growing state in both more and less economically countries because of consumption of tobacco chewing by youngsters.Methods: The present studies include diagnosis and treatment of patients reported at tertiary care center of each districts of Vidarbha region and nearby districts for a schedule of six years.Results: Data refers to female predilection with male to female ratio of 0.75:1. The mean age of incidence for men and women recorded were 35±20.23 and 57±17.91 years respectively. Pain in abdomen was recorded as primary sign in 92.86% cases along with change in bowel habits in 85.71%. Anemia found was related to loss of weight and appetite. Melena and diarrhea were also significant in 65.29 and 14.95% of patients along with presence of mucus in stool in one patient. Pallor and palpable mass in abdomen was characteristic in 42.86% and 14.29% cases. Bowel wall thickening in 71.4% and bowel mass in 28.6% were examined by computer tomography. Intra-abdominal lymphadenopathy along with bowel wall thickening and bowel mass were noticed in one patient. Liver secondary were seen in 3 patients (21.43%). Ileum was most susceptible site of tumor with development of adenocarcinoma malignancy.Conclusions: Improvement in socioeconomic background, literacy and awareness regarding causative agents helps to control percentage of incidence.

scholarly journals A clinical study involving anatomical distribution, pathological patterns and differentiation degrees in population with small bowel tumor

2018 ◽  
Vol 6 (1) ◽  
pp. 149
Author(s):  
Akshay Akulwar ◽  
Anil Akulwar ◽  
Siddarth Rao ◽  
Ravinder Narang
Keyword(s):  
Small Bowel ◽  
Bowel Wall ◽  
Care Center ◽  
Tertiary Care ◽  
Socioeconomic Background ◽  
Wall Thickening ◽  
Palpable Mass ◽  
Female Ratio ◽  
Causative Agents ◽  
Bowel Wall Thickening

Background: Occurrence of tumor of small bowel is very rare but the burden is in growing state in both more and less economically countries because of consumption of tobacco chewing by youngsters.Methods: These studies include diagnosis and treatment of patients reported at tertiary care center of each districts of Vidarbha region and nearby districts for a schedule of six years.Results: Data refers to female predilection with male to female ratio of 0.75:1. The mean age of incidence for men and women recorded were 35+/-20.23 and 57+/-17.91 years respectively. Pain in abdomen was recorded as primary sign in 92.86% cases along with change in bowel habits in 85.71%. Anemia found was related to loss of weight and appetite. Malena and diarrhea were also significant in 65.29 and 14.95% of patients along with presence of mucus in stool in one patient. Pallor and palpable mass in abdomen were characteristic in 42.86% and 14.29% cases. Bowel wall thickening in 71.4% and bowel mass in 28.6% were examined by computer tomography. Intra-abdominal lymphadenopathy along with bowel wall thickening and bowel mass were noticed in one patient. Liver secondaries were seen in 3 patients (21.43%). Ileum was most susceptible site of tumor with development of adenocarcinoma malignancy.Conclusions: Improvement in socioeconomic background, literacy and awareness regarding causative agents helps to control percentage of incidence.

scholarly journals Small bowel obstruction due to phytobezoar and adhesions following laparoscopic cholecystectomy

2015 ◽  
Vol 3 (2) ◽  
pp. 63
Author(s):  
Nidal Abu jkeim ◽  
Ahmad Al hazmi ◽  
Awad Alawad ◽  
Rashid Ibrahim ◽  
Ahmad Abu damis ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Radiograph ◽  
Plain Abdominal Radiograph ◽  
History Of ◽  
Metallic Clip ◽  
Fluid Levels ◽  
Gallbladder Fossa

<p>We report a case of 51 –year-old female with history of laparoscopic cholecystectomy presented with abdominal pain and diagnosed as small bowel obstruction caused by adhesions. The initial presentation was periumbilical pain with nausea and vomiting. Plain abdominal radiograph showed dilated small bowel loops and multiple air fluid levels. Due to failure of conservative treatment, laparotomy was performed. An open metallic clip was adhering the bowel to the gallbladder fossa causing sharp angulation. A phytobezoar proximal to this angulation was exteriorized through enterotomy. The patient was recovered smoothly and discharged from our hospital.</p>

Accuracy of Computed Tomography in Small Bowel Obstruction

2013 ◽  
Vol 79 (6) ◽  
pp. 641-643 ◽  
Author(s):  
Rebecca E. Barnett ◽  
Jason Younga ◽  
Brady Harris ◽  
Robert C. Keskey ◽  
Daryl Nisbett ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Retrospective Chart Review ◽  
Clinical Findings ◽  
Abdominal Radiograph ◽  
Plain Abdominal Radiograph ◽  
Ischemic Bowel

Small bowel obstruction is a common clinical occurrence, primarily caused by adhesions. The diagnosis is usually made on the clinical findings and the presence of dilated bowel loops on plain abdominal radiograph. Computed tomography (CT) is increasingly used to diagnose the cause and location of the obstruction to aid in the timing of surgical intervention. We used a retrospective chart review to identify patients with a diagnosis of small bowel obstruction between 2009 and 2012. We compared the findings on CT with the findings at operative intervention. Sixty patients had abdominal CT and subsequent surgical intervention. Eighty-three per cent of CTs were correct for small intestine involvement and 80 per cent for colon involvement. The presence of adhesions or perforation was correctly identified in 21 and 50 per cent, respectively. Sixty-four per cent correctly identified a transition point. The presence of a mass was correctly identified in 69 per cent. Twenty per cent of the patients who had ischemic small bowel at surgery were identified on CT. CT has a role in the clinical assessment of patients with small bowel obstruction, identifying with reasonable accuracy the extent of bowel involvement and the presence of masses and transition points. It is less reliable at identifying adhesions, perforations, or ischemic bowel.

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