scholarly journals Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Manash Ranjan Sahoo ◽  
Anil T. Kumar ◽  
Sunil Jaiswal ◽  
Siba Narayan Bhujabal
Keyword(s):  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Feeding Jejunostomy ◽  
Pain Abdomen ◽  
Left Hypochondrium ◽  
Acute Gastric Dilatation ◽  
Gaseous Distension ◽  
Food Particles ◽  
Undigested Food ◽  
Lesser Curvature

Acute gastric dilatation can have multiple etiologies which may lead to ischemia of the stomach. Without proper timely diagnosis and treatment, potentially fatal events such as gastric perforation, haemorrhage, and other serious complications can occur. Here we present a 36-year-old man who came to the casualty with pain abdomen and distension for 2 days. Clinically, abdomen was asymmetrically distended more in the left hypochondrium and epigastrium region. Straight X-ray abdomen showed opacified left hypochondrium with nonspecific gaseous distension of bowel. Exploratory laparotomy revealed dilated stomach with patchy gangrene over lesser curvature and fundic area. About 4 litres of brownish fluid along with semisolid undigested food particles was sucked out (mainly undigested pieces of meat). Limited resection of gangrenous areas and primary repair were done along with feeding jejunostomy. Necrosis of the stomach was confirmed on histopathology. The patient recovered well and was discharged on the tenth postoperative day.

scholarly journals Spontaneous gastric perforation: is it really common?

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Imran Hashim ◽  
Nabila Talat ◽  
Asif Iqbal ◽  
Muhammad Saleem Choudhary ◽  
Naveed Haider ◽  
...  
Keyword(s):  
Gastric Perforation ◽  
Early Recognition ◽  
Exploratory Laparotomy ◽  
Burst Abdomen ◽  
Feeding Jejunostomy ◽  
Neonatal Gastric Perforation ◽  
Threatening Condition ◽  
Life Threatening ◽  
Greater Curvature ◽  
Lesser Curvature

Abstract Background Neonatal gastric perforation (NGP) is a rare, serious, and life-threatening condition which needs early recognition with prompt intervention for better prognosis. Its etiology is not yet well established, but multiple speculations have been put forth for its etiopathogenesis. Few most considered are traumatic, spontaneous, or secondary to inflammatory process like necrotizing enterocolitis. This study describes the etiological and prognostic factors for patients with NGP in our experience at a single center. Results A total of 46 neonates were included. Male gender predominated with M:F being 1.7:1. Most (n=36) neonates presented within 10 days of life whereas 8 neonates presented within 15 days. At presentation, gas under diaphragm was the most common radiologic finding in 25 (54.3%) neonates. On exploratory laparotomy, it was found that greater curvature was involved in maximum number of cases (n=27), followed by lesser curvature and anterior and posterior walls of the stomach. Most of perforations were within 1–5 cm in size. Gastrorrhaphy was done in all cases, and in two cases, feeding jejunostomy was done along with repair for feeding purpose. Finally, spontaneous NGP was diagnosed in 30 (60.8%), and NEC patches on other parts of the intestine were seen in 11 patients. Postoperatively, 28 neonates developed complications in the form of sepsis (n=13), wound infection (n=10), and burst abdomen (n=5). Regarding clinical outcome, 27 (58.7%) were discharged from the hospital whereas 19 (39.3%) patients died. Conclusion Our results show that spontaneous NGP is most commonly associated with NEC in our population, usually affecting the greater curvature. We observed a high mortality rate; however, good ICU care may improve the survival.

Intraperitoneal Urinary Bladder Rupture as a Cause of Pneumoperitoneum

2021 ◽  
pp. 000313482110257
Author(s):  
Dar Parvez M ◽  
Kour Supreet ◽  
Sharma Ajay ◽  
Kumar Subodh
Keyword(s):  
Urinary Bladder ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Bladder Rupture ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Sudden Rise ◽  
Intraperitoneal Bladder Rupture

The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury; however, in patients with pneumoperitoneum on imaging and normal hollow viscus during the laparotomy, other rare causes of pneumoperitoneum like intraperitoneal urinary bladder rupture should be ruled out. Urinary bladder can rupture either extraperitoneally or intraperitoneally or both. Rupture of the urinary bladder is commonly seen in patients with abdominal trauma; however, pneumoperitoneum is usually not seen in patients with traumatic bladder rupture. Intraperitoneal bladder rupture is usually due to the sudden rise in intra-abdominal pressure following abdominal or pelvic trauma. However, it is a rare cause of pneumoperitoneum and is managed by surgical repair. We present a case of blunt trauma abdomen with pneumoperitoneum due to isolated intraperitoneal bladder rupture who was managed by exploratory laparotomy and primary repair of the urinary bladder.

scholarly journals Primary Papillary Serous Carcinoma of the Peritoneum

2014 ◽  
Vol 8 (2) ◽  
pp. 60-62
Author(s):  
NM Jayakumar ◽  
PS Sangam ◽  
VU Grampurohit ◽  
AF Myagery
Keyword(s):  
Exploratory Laparotomy ◽  
Serous Carcinoma ◽  
Ovarian Malignancy ◽  
Simple Cyst ◽  
Rare Type ◽  
Moderate Amount ◽  
Obstetrics And Gynaecology ◽  
Pain Abdomen ◽  
Eosinophilic Cytoplasm ◽  
Papillary Serous Carcinoma

Primary papillary serous carcinoma of peritoneum (PPSCP) is a rare type of primary peritoneal adenocarcinoma and is clinico-histopathologically indistinguishable from primary ovarian papillary serous carcinoma. A 70 -year- female presented with pain abdomen of 4 months duration. On examination partially mobile vague mass was present in the suprapubic region. Exploratory laparotomy revealed normal right ovary and the left ovary showed simple cyst. Nodular, firm tumour was seen arising from omentum and measured 20x13x9.3 cm. Microscopically tumour was composed of large sheets of polygonal cells having large hyperchromatic and pleomorphic nuclei and moderate amount of eosinophilic cytoplasm forming cribriform pattern and papillae. It has similar prognosis as that of ovarian malignancy. This case of extraovarian papillary serous carcinoma of peritoneum (EPSCP) is presented here for its rarity.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 60-62 DOI: http://dx.doi.org/10.3126/njog.v8i2.9774

scholarly journals Primary Pleomorphic Liposarcoma of Liver: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
P. R. Thippeswamy Naik ◽  
Prem Kumar ◽  
P. Vinod Kumar
Keyword(s):  
Weight Loss ◽  
Male Patient ◽  
Clinical Course ◽  
Exploratory Laparotomy ◽  
Left Lobe ◽  
Review Of The Literature ◽  
Primary Malignancy ◽  
Pleomorphic Liposarcoma ◽  
Pain Abdomen ◽  
Adult Male Patient

Primary liver liposarcoma is a rare disease. The knowledge of the clinical course, management, and prognosis of primary liver liposarcoma are all limited because of its rarity. Twelve cases of primary liposarcoma of the liver have been previously reported. We present the thirteenth case, which occurred in an adult male patient. A 42-year-old male patient came to our outpatient department with complaints of pain abdomen, mass per abdomen, and weight loss. Ultrasonography showed a mass arising from the the left lobe of liver. CT abdomen showed a heterogenous enhancing mass from left lobe of liver with multiple cystic and necrotic areas compressing the stomach and spleen with no evidence of metastasis. Differential diagnosis included adenoma and primary malignancy. Exploratory laparotomy and resection were done. HPE was found to be pleomorphic liposarcoma of liver.

scholarly journals A case report of successful retrieval of missing Cu T from peritoneal cavity in a case of pelvic Tuberculosis

2017 ◽  
Vol 6 (11) ◽  
pp. 5152
Author(s):  
Bratati Moitra ◽  
Megha Bhagat
Keyword(s):  
Case Report ◽  
Peritoneal Cavity ◽  
Severe Pain ◽  
Exploratory Laparotomy ◽  
Rectosigmoid Colon ◽  
Pain Abdomen ◽  
Successful Retrieval

The incidence of missing IUCD is 0.5-2%. Usually the cause is either expulsion or perforation of uterus. Sometimes the perforated IUCD remains asymptomatic for years and found incidentally later. We are hereby presenting a case of 35 years female P3 L3 who had Cu T insertion 3 years back. She was asymptomatic for more than 2 and ½ years and then presented with severe pain abdomen for which she was evaluated and exploratory laparotomy was done and Cu T was found embedded in the serosa of rectosigmoid colon which was covered by dense omental adhesions

scholarly journals Mesenteroaxial Gastric Volvulus: A Case Report

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Sampanna Pandey ◽  
Madhav Paudel ◽  
Anuj Parajuli ◽  
Roshan Ghimire ◽  
Asmita Neupane
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Primary Repair ◽  
Wedge Resection ◽  
Gastric Volvulus ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Atypical Presentation ◽  
Surgical Exploration ◽  
Low Threshold

Gastric volvulus is defined as an abnormal rotation of the stomach. Classical textbook presentation may not always be present. Meticulous assessment and broadened differential diagnosis are thus crucial. Various types have been described in literature. Low threshold for detection with aggressive resuscitation and immediate surgical exploration on suspected incarceration or perforation are mandatory. We report a case of 16-years-female who had atypical presentation of mesenteroaxial gastric volvulus. Emergency exploratory laparotomy with wedge resection and primary repair of stomach with anterolateral gastropexy was performed. She had uneventful recovery with discharge on fifth postoperative day.

Large Gastric Mesenteric Cyst: Case Report and Literature Review

2005 ◽  
Vol 71 (7) ◽  
pp. 571-573 ◽  
Author(s):  
Mohammed Hassan ◽  
Nick Dobrilovic ◽  
Joel Korelitz
Keyword(s):  
Exploratory Laparotomy ◽  
Postoperative Recovery ◽  
Cystic Mass ◽  
Mesenteric Cyst ◽  
White Female ◽  
Initial Examination ◽  
Lower Quadrant ◽  
Mesenteric Cysts ◽  
Histopathologic Evaluation ◽  
Lesser Curvature

The case is a 33-year-old white female presenting with a 3-day history of abdominal pain. On initial examination, she was found to have significant right lower quadrant tenderness. Workup included computed tomography, which demonstrated a large cystic mass appearing to be of ovarian origin. The patient required an exploratory laparotomy, at which time she was found to have a large cyst involving the lesser curvature of her stomach. The cyst was successfully resected, and the patient had a rapid postoperative recovery with complete resolution of symptoms. Histopathologic evaluation of the specimen identified a mesenteric cyst. Mesenteric cysts are uncommon; gastric involvement is exceedingly rare. A review of the literature is presented.

scholarly journals A Rare Case of an Advanced Gastric Adenocarcinoma in a Teenage Syrian Boy

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Baraa Daboul ◽  
Ahmad Ghazal ◽  
Ayham Al Halak ◽  
Sabah Hayed ◽  
Yasmin Najjar
Keyword(s):  
Gastric Cancer ◽  
Gastric Adenocarcinoma ◽  
Rare Case ◽  
Palliative Therapy ◽  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
Feeding Jejunostomy ◽  
Multiple Biopsies ◽  
Advanced Gastric Adenocarcinoma ◽  
To Receive

In this report, we describe a case of a gastric cancer in young age group with delayed diagnosis and poor prognosis. We report a rare case of a 16-year-old teenager with an advanced moderately differentiated gastric adenocarcinoma without any relevant history. He presented mainly with dysphagia, postprandial vomiting, and eventually hematemesis. On exploratory laparotomy, the tumor was in advanced stage, the excision was not performed, multiple biopsies and a feeding jejunostomy were done, and the patient was referred to receive a palliative therapy. Reporting such cases introduces a better understanding of the relation between gastric cancer and young ages.

scholarly journals Non-Occlusive Small Bowel Necrosis in Association with Feeding Jejunostomy After Elective Upper Gastrointestinal Surgery

2009 ◽  
Vol 91 (6) ◽  
pp. 477-482 ◽  
Author(s):  
Duncan RC Spalding ◽  
Kasim A Behranwala ◽  
Peter Straker ◽  
Jeremy N Thompson ◽  
Robin CN Williamson
Keyword(s):  
Small Bowel ◽  
Enteral Feeding ◽  
Gastrointestinal Surgery ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Surgical Patient ◽  
Bowel Necrosis ◽  
Feeding Jejunostomy ◽  
Small Bowel Necrosis ◽  
Upper Gastrointestinal

INTRODUCTION Non-occlusive small bowel necrosis (NOSBN) has been associated with early postoperative enteral feeding. The purpose of this study was to determine the incidence of this complication in an elective upper gastrointestinal (GI) surgical patient population and the influence of both patient selection and type of feeding jejunostomy (FJ) inserted, based on the experience of two surgical units in affiliated hospitals. PATIENTS AND METHODS The records were reviewed of 524 consecutive patients who underwent elective upper GI operations with insertion of a FJ for benign or malignant disease between 1997 and 2006. One unit routinely inserted needle catheter jejunostomies (NCJ), whilst the other selectively inserted tube jejunostomies (TJ). RESULTS Six cases of NOSBN were identified over 120 months in 524 patients (1.15%), with no difference in incidence between routine NCJ (n = 5; 1.16%) and selective TJ (n = 1; 1.06%). Median rate of feeding at time of diagnosis was 105 ml/h (range, 75–125 ml/h), and diagnosis was made at a median of 6 days (range, 4–18 days) postoperatively. All patients developed abdominal distension, hypotension and tachycardia in the 24 h before re-exploratory laparotomy. Five patients died and one patient survived. CONCLUSIONS The understanding of the pathophysiology of NOSBN is still rudimentary; nevertheless, its 1% incidence in the present study does call into question its routine postoperative use especially in those at high risk with an open abdomen, planned repeat laparotomies or marked bowel oedema. Patients should be fully resuscitated before initiating any enteral feeding, and feeding should be interrupted if there is any evidence of feed intolerance.

scholarly journals A Case Report on Yolk Sac Tumour in Pregnancy

2021 ◽  
Vol 6 (2) ◽  
pp. 286-288
Author(s):  
Deepika Kapil ◽  
Uday Mahajan
Keyword(s):  
Exploratory Laparotomy ◽  
Fresh Frozen Plasma ◽  
Yolk Sac ◽  
Ovarian Mass ◽  
Pain Abdomen ◽  
Fresh Frozen ◽  
Yolk Sac Tumour ◽  
Histopathology Examination ◽  
Frozen Plasma ◽  
In Pregnancy

We present a case of 29-year-old female with chief complaint of amenorrhea since 2-months and pain abdomen for 15 days There was a sudden worsening in the condition of patient as Hb of patient fell from 9.6 g/dl to 6 g/dl and ascites of the patient increased. Hence, the patient was decided for exploratory laparotomy after giving 2 blood transfusions. On opening the abdomen, there was about 3 liter of ascitic fluid which was hemorrhagic. Caking of omentum with dense adhesions of omentum with uterus and ascending and transverse colon was present. Grossly tumor was smooth surfaced with no superficial vessels over it. There were multiple papillary excrescences seen on the surface of tumor. Left tube could not be visualized due to large ovarian mass right tube and ovary was normal. TAH with BSO with total omentectomy was done. Three units of fresh frozen plasma and three units of whole blood were given during surgery. On histopathology examination, it was confirmed as yolk sac tumour. Conclusion: There should be further discussion regarding the management of advanced yolk sac tumours in pregnancy Keywords: Yolk Sac Tumour, Pregnancy, Amenorrhea.

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