scholarly journals Intestinal Obstruction in Pregnancy: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Shakina Rauff ◽  
Stephen Kin Yong Chang ◽  
Eng Kien Tan
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Fetal Mortality ◽  
Delay In Diagnosis ◽  
Appropriate Treatment ◽  
Prompt Diagnosis ◽  
In Pregnancy

Background. Intestinal obstruction in pregnancy is uncommon. The condition is associated with significant maternal and fetal mortality. The delay in diagnosis is due to nonspecific symptoms and a disinclination to carry out radiologic investigations in pregnancy.Case. A 39-year-old lady at 32 weeks of gestation presented with abdominal pain and nausea. Her symptoms worsened during admission. A computed tomography (CT) scan showed dilated small bowel loops suggestive of intestinal obstruction. She eventually underwent a laparotomy as conservative measures failed.Conclusion. A high index of clinical suspicion is required to diagnose intestinal obstruction in pregnancy. Prompt diagnosis should be made and the appropriate treatment instituted. Surgical intervention should be performed if necessary as further delay only results in increased morbidity and mortality.

scholarly journals Acute Appendicitis in Pregnancy: a Diagnostic and Management Challenge

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Zainur Rashid Z ◽  
Sulaiha SA ◽  
Azmi MN
Keyword(s):  
Acute Appendicitis ◽  
Maternal Death ◽  
Surgical Intervention ◽  
Accurate Diagnosis ◽  
Sonographic Diagnosis ◽  
Appropriate Treatment ◽  
Open Laparotomy ◽  
Management Challenge ◽  
Prompt Diagnosis ◽  
In Pregnancy

Acute appendicitis is the most common extra-uterine surgical emergency encountered during pregnancy, but an accurate diagnosis is still an enigma. Anatomical shifting of the appendix by the enlarging uterus makes the clinical and sonographic diagnosis difficult. Prompt diagnosis and treatment are essential to prevent perforation, which increases the risk of fetal and maternal death. Surgical intervention, either by an open laparotomy or laparoscopy is the most appropriate treatment for appendicitis. This article reviews the epidemiology, clinical diagnosis, investigation, complications and treatment of acute appendicitis in pregnancy.

scholarly journals Midgut Volvulus: A Rare but Fatal Cause of Abdominal Pain in Pregnancy—How Can We Diagnose and Prevent Mortality?

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Eelyn Chong ◽  
David S Liu ◽  
Neil Strugnell ◽  
Vishnupriya Rajagopal ◽  
Krinal K Mori
Keyword(s):  
Abdominal Pain ◽  
Rare Condition ◽  
Definitive Treatment ◽  
Fetal Mortality ◽  
Midgut Volvulus ◽  
Loss Of Life ◽  
Delay In Diagnosis ◽  
Life Threatening ◽  
Low Incidence ◽  
In Pregnancy

Midgut volvulus in pregnancy is rare but life-threatening, resulting in high maternal and fetal mortality. This surgical emergency commonly masquerades as symptoms of pregnancy, which together with its low incidence often leads to delay in diagnosis and definitive treatment. Here, we review the last three decades of the literature, discuss the challenges in managing this rare condition, and raise awareness among clinicians to minimise loss of life.

scholarly journals Ovarian Torsion in a 5-Year Old: A Case Report and Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Bobby K. Desai
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Clinical Suspicion ◽  
Ovarian Torsion ◽  
Surgical Emergencies ◽  
High Clinical Suspicion ◽  
Tract Infections ◽  
Prompt Diagnosis

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.

scholarly journals SMALL BOWEL OBSTRUCTION SECONDARY TO OBTURATOR HERNIA: A PRE-OPERATIVE DIAGNOSIS AT COMPUTED TOMOGRAPHY

2021 ◽  
Vol 6 (1) ◽  
pp. 46-49
Author(s):  
Marlina Tanty Ramli ◽  
Mohd Shukry Mohd Khalid ◽  
Kartini Rahmat
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Obturator Hernia ◽  
Uneventful Recovery ◽  
Presenting Symptoms

Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship-Romberg sign is considered pathognomonic. Early diagnosis and rapid surgical intervention will reduce the high morbidity and mortality associated with undiagnosed obturator hernia. We report a case of a 93-year-old female patient who was admitted to our surgical department with symptoms of intestinal obstruction of 3-days duration. Howship-Romberg sign was negative. Computed tomography (CT) demonstrated the presence of left obturator hernia with proximal small bowel obstruction and no sign of strangulation. The patient had emergency laparotomy post-CT where the incarcerated bowel loop was released and the obstructed bowel was decompressed without any complication. The hernial defect was close with a mesh and the patient had an uneventful recovery post-surgery. In this case, we highlight that diagnosis of obturator hernia must always be considered in elderly patients who present with intestinal obstruction. Urgent CT could establish a rapid pre-operative diagnosis and aids inappropriate surgical intervention planning which is crucial in optimising the outcome.

scholarly journals FMT for chronic intestinal obstruction caused by constrictive pericarditis: a case report

2020 ◽  
Author(s):  
Huan Chen ◽  
ZiJie Wang ◽  
Qing Hu ◽  
Mingming Deng ◽  
MuHan Lü ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Nutritional Status ◽  
Cardiac Function ◽  
Intestinal Obstruction ◽  
Constrictive Pericarditis ◽  
Colonic Mucosa ◽  
Fecal Microbiota Transplantation ◽  
Fecal Microbiota

Abstract A 62-year-old man presented to our department with repeated vomiting, abdominal pain, bloating, and constipation. Echocardiography and computed tomography revealed his thickened pericardium with multiple eggshell-like calcifications, and incomplete intestinal obstruction. Colonoscopy showed extensive focal erosions in the colonic mucosa. After fecal microbiota transplantation, the patient's nutritional status was improved, intestinal obstruction was relieved, and his cardiac function his was restored. This case may provide a new option for the treatment of refractory incomplete intestinal obstruction.

scholarly journals Benign Intracranial Hypertension -Is it Really Benign Always?

2018 ◽  
Vol 10 (1) ◽  
pp. 102-106
Author(s):  
Anita Ganger ◽  
Narahari Kishore Kumar ◽  
Praveen Kumar ◽  
R K Sabharwal ◽  
Amit Khosla ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Adolescent Girls ◽  
Surgical Intervention ◽  
Delayed Diagnosis ◽  
Benign Intracranial Hypertension ◽  
Delay In Diagnosis ◽  
Presenting Symptoms ◽  
Severe Visual Loss ◽  
Visual Damage ◽  
Prompt Diagnosis

Background: In children, benign or idiopathic intracranial hypertension (IIH) is uncommon. The presenting symptoms are usually variable, which attribute to delay in diagnosis. Frequently encountered symptoms include; headache, vomiting, visual impairment, neck pain and diplopia. IIH in pre-pubertal children has distinct characteristics from the adult form. Delayed diagnosis in children usually attributes to the inability in picking subtle visual changes, which can subsequently leads to permanent visual damage.Objective: We report cases of two adolescent girls having IIH who presented with papilloedema, could be managed with lumboperitoneal shunting which resulted in favorable outcomes in terms of improved visual acuity and relief of symptoms.Case: We report two cases of IIH, presented with headache and severe visual loss, which showed non responsiveness to medical management and improved with a lumboperitoneal shunt procedure.Conclusion: In IIH cases, enhanced awareness, prompt diagnosis and treatment are important, to avoid the risk of permanent visual damage. Urgent surgical intervention is essential in patients who do not respond to medical treatment.

Intestinal Obstruction in Pregnancy

1979 ◽  
Vol 24 (1) ◽  
pp. 80-82 ◽  
Author(s):  
B. Milne ◽  
M. S. Johnstone
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Intervention ◽  
Late Pregnancy ◽  
The Other ◽  
Unusual Complication ◽  
The Future ◽  
Term Baby ◽  
In Pregnancy

Intestinal obstruction is an unusual complication of pregnancy, but may be encountered more frequently in the future. Two patients with such a complication are described. Relief of the obstruction was achieved by surgical intervention in one patient and by delivery of a term baby in the other. The management of intestinal obstruction in late pregnancy is discussed.

scholarly journals Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception

2021 ◽  
pp. 501-506
Author(s):  
Zeena Ayad Qiryaqoz ◽  
Urvashi Katiyar ◽  
Saad Shebrain
Keyword(s):  
Abdominal Pain ◽  
Surgical Intervention ◽  
Colon Adenocarcinoma ◽  
Unknown Origin ◽  
Recurrent Abdominal Pain ◽  
Quadrant Pain ◽  
Rare Presentation ◽  
Delay In Diagnosis ◽  
Therapeutic Outcomes ◽  
High Degree

Intussusception in adults is a challenging diagnosis that often requires a high degree of suspicion. In adults presenting with symptoms, almost 90% have underlying neoplasms. Most frequently, the presentation will include nonspecific abdominal pain, vomiting, and mucoid hematochezia. In this case, we present a 39-year-old female with a rare presentation of chronic, recurrent right upper quadrant abdominal pain over a 5-month interval. The misleading presentation with which the patient presented led to a delay in diagnosis and treatment of colon malignancy and serves to advocate for intussusception as a differential for adult patients presenting with obstructive symptoms of unknown origin and recurrent abdominal pain. Such cases should persuade physicians to plan prompt surgical intervention as to not delay optimal diagnostic and therapeutic outcomes.

scholarly journals Inflammation and obstruction of the small intestine due to phytobezoar

2021 ◽  
Author(s):  
Van Trung Hoang ◽  
The Huan Hoang ◽  
Ngoc Trinh Thi Pham ◽  
Vichit Chansomphou ◽  
Duc Thanh Hoang
Keyword(s):  
Computed Tomography ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Rare Entity ◽  
Imaging Studies ◽  
Case Presentation ◽  
Characteristic Imaging

Abstract Background: Bezoar bowel obstruction is a rare entity and remains difficult to detect on imaging studies. Recognition of its characteristic imaging pattern will be useful for diagnosis and management in the setting of intestinal obstruction.Case presentation: We report a 68-year-old female patient who was admitted to the hospital with signs of intestinal obstruction including abdominal pain, nausea, vomiting, and abdominal distention. She was diagnosed with phytobezoar small bowel obstruction on computed tomography (CT) imaging. The patient underwent surgery to confirm the diagnosis and subsequently recovered well.Conclusions: Bezoar is indicated by the sign of floating fat-density debris sign on CT images. It needs to be differentiated from small-bowel feces sign in intestinal obstruction.

scholarly journals Bowel obstruction due to the tightening of a loose bowel adhesion with uterus enlargement during pregnancy

2020 ◽  
Vol 5 (2) ◽  
pp. 109-112
Author(s):  
Ghazi Laamiri ◽  
◽  
Montassar Ghalleb ◽  
Nouha Ben Ammar ◽  
Slim Zribi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Fetal Mortality ◽  
Past Medical History ◽  
Etiological Diagnosis ◽  
Postoperative Course ◽  
History Of

Introduction. Acute intestinal obstruction during pregnancy is a rare digestive surgical emergency. Generally, it is associated with significant maternal and fetal mortality. The diagnosis is difficult, often delaying the therapeutic management. It is reported an exceptional association of acute intestinal obstruction due to a band adhesion that is put into tension as the uterus enlarges. Case Report. A 35 years old Caucasian pregnant woman with a past medical history of appendectomy was examined and found with abdominal pain, severe vomiting, and bowel obstruction. The patient underwent surgery. Per operatively, the obstruction was caused by an adhesion put into tension by the enlargement of the uterus. The postoperative course was uneventful and the patient was discharged on day 2. Conclusions. The etiological diagnosis of acute intestinal obstruction during pregnancy is difficult. Surgery is the cornerstone of the treatment and the management varies depending on the intraoperative findings and the condition of the patient.

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