scholarly journals An Elusive Bullet in the Gastrointestinal Tract: A Rare Case of Bullet Embolism in the Gastrointestinal Tract and a Review of Relevant Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Saptarshi Biswas ◽  
Catherine Price ◽  
Sunil Abrol
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Rare Case ◽  
Gunshot Wound ◽  
Abdominal Cavity ◽  
Relevant Literature ◽  
Distal Colon ◽  
Late Presentation ◽  
Intestinal Lumen ◽  
Unique Case

Bullet embolism within the gastrointestinal system is extremely rare. Such bullet injuries are infrequently covered in the general literature, but the surgeon should be aware of the phenomenon. Smaller caliber bullets are more common in civilian gunshot wound (GSW) events. These bullets are able to tumble through the gastrointestinal tract and cause perforation of the intestinal lumen which is small enough to be easily missed. Bullets retained in the abdominal cavity should not be dismissed as fixed and should be carefully monitored to ensure that they do not embolize within the bowel and cause occult lesions during their migration. We present a unique case wherein a bullet caused a minute perforation in the small bowel, before migrating to the distal colon, which resulted in late presentation of sepsis secondary to peritonitis.

scholarly journals Jejunal Diverticular Perforation Causing Small Bowel Obstruction in a Type 4 Hiatal Hernia: A Rare Case Report of a Nonagenarian Patient and Review of Relevant Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Saptarshi Biswas ◽  
Shekhar Gogna ◽  
Prem Patel
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Epigastric Pain ◽  
Relevant Literature ◽  
Exploratory Laparotomy ◽  
The Past ◽  
Type Iv ◽  
Intestinal Gas ◽  
Mesenteric Side ◽  
Rare Case Report

Type IV paraesophageal hernia (PEH) is very rare and is characterized by the intrathoracic herniation of the abdominal viscera other than the stomach into the chest. We describe a case of a 90-year-old male patient who presented at our emergency department complaining of epigastric pain that he had experienced over the past few hours and getting progressively worse. On the day after admission, his pain became severe. Chest radiography revealed an intrathoracic intestinal gas bubble; emergency exploratory laparotomy identified a type IV PEH with herniation of only the jejunum with perforated diverticula on mesenteric side through a hiatal defect into mediastinum. There are a few published cases of small bowel herniation into the thoracic cavity in the literature. Our patient represents a rare case of an individual diagnosed with type IV PEH with herniation of jejunum with perforated diverticula.

scholarly journals A RARE CASE OF MESENTERIC GASTROINTESTINAL STROMAL TUMOUR (GIST) PRESENTING AS MESENTERIC MASS.

2020 ◽  
pp. 1-2
Author(s):  
Bansil V. Javia ◽  
Hitendra K. Desai ◽  
Neel B. Patel ◽  
Purvesh V. Doshi
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Rare Case ◽  
Gastrointestinal Stromal Tumour ◽  
Good Survival ◽  
Incomplete Resection ◽  
Gastrointestinal Stromal Tumours ◽  
Rare Tumours ◽  
High Incidence ◽  
Mesenteric Mass

Gastrointestinal stromal tumours (GIST) are rare tumours arising from mesenchyme of gastrointestinal tract and overexpress C-kit protein. Mainly seen in stomach and small bowel. Mesenteric GIST are rarely reported as they constitute less than 1% of total GIST. We hereby report such a rare case of GIST arising from mesentery of small bowel and presenting as intra-abdominal mesenteric mass. Good surgical clearance ensures good survival whereas incomplete resection results in a high incidence of recurrences with distant metastasis.

scholarly journals CASE REPORT : RARE CASE OF SMALL BOWEL OBSTRUCTION DUE TO MECKELS DIVERTICULUM

2021 ◽  
Vol 9 (06) ◽  
pp. 641-644
Author(s):  
Simranjit Kaur Dhadiala ◽  
◽  
Abhijit A. Whatkar ◽  
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Rare Congenital Anomaly ◽  
Meckels Diverticulum ◽  
Male To Female

Meckels diverticulum is a rare congenital anomaly of gastrointestinal tract, seen in 2% of population. It was first described by Guilhemus Fabricus Hildonus in 1598. Meckels diverticulum is an anomaly derived from incomplete obliteration of omphalo-mesenteric duct. It is rarely seen in adults, with prevalence of male to female of 2:1. Complications associated with Meckels diverticulum are hemorrhage, inflammation and intestinal obstruction. We present to you a case of 17 year old male with unusual mechanism of small bowel obstruction due to Meckels diverticulum.

scholarly journals Jejuno-jejunal intussusception in adults secondary to submucosal leiomyoma

2005 ◽  
Vol 58 (7-8) ◽  
pp. 405-409
Author(s):  
Miroljub Draskovic ◽  
Sidor Misovic ◽  
Goran Kronja ◽  
Jovan Krsic ◽  
Aleksandar Tomic ◽  
...  
Keyword(s):  
Small Bowel ◽  
Older Patients ◽  
Rare Case ◽  
Histopathological Examination ◽  
Abdominal Discomfort ◽  
Intestinal Lumen ◽  
Treatment Delays ◽  
Surgical Ward ◽  
Recurrent Vomiting ◽  
Bowel Continuity

Introduction Intussusception is the invagionation of a segment of the intestine into itself. It is a serous condition that most commonly affects infants and children, but can also occur in adults. Intussusception in adults is usually caused by tumors, benign or malignant. Early diagnosis is essential to avoid treatment delays, which can increase morbidity and mortality. In older patients and adolescents the diagnosis can be complicated due to lower incidence and variable subacute symptoms. Case report We report a rare case of a 27-year-old patient with increasing abdominal discomfort over several weeks. The patient experienced increasing colics, recurrent vomiting, dehydration and weight loss. Finally he was transferred to the surgical ward of our hospital. Intussusception of the small bowel was diagnosed by CT examination. Laparotomy revealed a jejunojejunal intussusception caused by a small bowel tumor. Conclusion The tumor in the jejunum, almost completely obstructed the intestinal lumen and it was resected and bowel continuity was restored. Histopathological examination revealed a submucosal leiomyoma of the jejunum.

scholarly journals Intestinal liposarcoma: an unusual cause for peritonitis

2020 ◽  
Vol 7 (11) ◽  
pp. 3821
Author(s):  
Siddartha Gowthaman ◽  
Ramanathan Manickam
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Soft Tissue Sarcomas ◽  
The Body ◽  
Tumour Mass ◽  
Unique Case ◽  
Elderly Female ◽  
The Past ◽  
Clinical Presentations ◽  
Primary Small Bowel

Liposarcoma is the commonest type of soft tissue sarcomas which can occur in any part of the body, most commonly involving the limbs and retroperitoneum but it rarely involves small bowel. Only very few cases had been reported of liposarcoma involving small intestine in the past. The clinical presentations of this type of tumour arising from small bowel are nonspecific mostly during the initial stages of the disease and because of this the disease is often diagnosed at advanced stage. We report a very rare case of primary small bowel liposarcoma of ileum which had spontaneously perforated leading to peritonitis in an elderly female who underwent laparotomy, the tumour mass is resected with adequate margins and primary bowel anastomosis was done. The patient was followed up for a year with no complication. Although the liposarcomas occurring in the gastrointestinal tract leading to intestinal perforation is extremely rare. This unique case represents an important learning point for all clinicians and pathologists.

scholarly journals Heterotopic gastric mucosa in jejunum: A rare case report.

JMS SKIMS ◽  
2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Jan Mohammad Rather ◽  
Sobia Manzoor ◽  
Rauf Ahmad Wani
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Gastric Mucosa ◽  
Rare Case ◽  
Incidental Finding ◽  
Congenital Disorder ◽  
Heterotopic Gastric Mucosa ◽  
Rare Case Report

Heterotopic gastric mucosa (HGM) has been described as an incidental finding in various parts of gastrointestinal tract. HGM of the small bowel is a congenital disorder with variable manifestations like bleeding, obstruction or perforation, penetration into adjacent organs, and fistulization. We present a case of a 55 year old female being evaluated for anemia associated with recurrent episodes of diarrhoea and dyspepsia. The cause was found to be HGM in thejejunum.

scholarly journals Splenosis: A Rare Etiology for Bowel Obstruction—A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
George Younan ◽  
Edward Wills ◽  
Gordon Hafner
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Blood Vessel ◽  
Bowel Obstruction ◽  
Gunshot Wound ◽  
Bowel Resection ◽  
Abdominal Cavity ◽  
Small Bowel Mesentery ◽  
Review Of The Literature ◽  
Left Abdomen

Splenosis is a historically uncommon etiology for bowel obstruction. Autotransplanted splenic tissues following surgery or trauma of the spleen are known to occur in multiple locations of the abdominal cavity and pelvis. The small bowel mesentery is a blood vessel-rich environment for growth of splenic fragments. We present a case of a 36-year-old male patient who sustained a gunshot wound to his left abdomen requiring a splenectomy and bowel resection fifteen years prior to his presentation with small bowel obstruction requiring exploration, adhesiolysis, and resection of the mesenteric splenic deposit. Our aim in this report is to provide awareness of splenosis as an etiology for bowel obstruction, especially with increased incidence and survival following abdominal traumas requiring splenectomies. We also stress on the importance of history and physical examination to include splenosis on the list of differential diagnoses for bowel obstruction.

scholarly journals A late presentation of an unnoticed iatrogenic jejuna! perforation with abdominal drain tube following total abdominal hysterectomy: A rare case report

2019 ◽  
Vol 21 (1) ◽  
pp. 42-44
Author(s):  
Md Sumon Rahman ◽  
Tarafder Habibullah ◽  
Md Khalilur Rahman ◽  
Md Ibrahim Siddique
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Abdominal Cavity ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Late Presentation ◽  
Drain Tube ◽  
Great Caution ◽  
Abdominal Drain ◽  
Rare Case Report

Surgical drains are commonly placed in abdominal cavity to assess abdominal fluid or bloodcollections following major abdominal surgery. Whatever the purpose of drain placementeither therapeutic or prophylactic it must deserve a great caution while penetrating throughthe parietal wall. This case report documents one patient with serious iatrogenic complicationaroused from abdominal drain tube following an open total abdominal hysterectomy procedure. Journal of Surgical Sciences (2017) Vol. 21 (1) :42-44

scholarly journals A Rare Case of Large Impacted Stone in Jejunum Causing Obstruction in a Patient of Gallstone Ileus

2020 ◽  
Vol 27 (1) ◽  
pp. E202014
Author(s):  
Dawood Iqbal Wani ◽  
Satish Parihar ◽  
Ankit Prabhakar ◽  
Nasib Chand Digra ◽  
Ab Hamid Wani
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Rare Complication ◽  
Gallstone Ileus ◽  
Therapeutic Management ◽  
Intestinal Lumen ◽  
Impacted Stone

Gallstone ileus is a rare complication of cholelithiasis that occurs as a result of occlusion of the intestinal lumen by a large sized gallstone accounting for 1-4% cases of small bowel obstruction. The aim of this work is to introduce a case report that emphasize the diagnostic and therapeutic management of gallstone ileus with an enterolith impacted in jejunum (an uncommon site).

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