scholarly journals A Rare Cause of Intestinal Obstruction in Infants: Ileum Duplication Cyst and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Mehmet Serif Arslan ◽  
Erol Basuguy ◽  
Hikmet Zeytun ◽  
Serkan Arslan ◽  
Bahattin Aydogdu ◽  
...  
Keyword(s):  
Literature Review ◽  
Intestinal Obstruction ◽  
Male Patient ◽  
Pediatric Surgery ◽  
Clinical Symptoms ◽  
Abdominal Distension ◽  
Duplication Cyst ◽  
Oral Feeding ◽  
Imaging Method ◽  
History Of

Cases of neonatal gastrointestinal system (GIS) obstruction are quite complex for pediatric surgery clinics. A rare cause of intestinal obstruction is the duplication cyst (DC). A three-day-old male patient presented at our clinic with a history of abdominal distension and bilious vomiting on the second day following birth. Although pathology had not yet been determined from observation and examination, surgery was performed when the patient could not tolerate oral feeding. An ileal DC forming an incomplete obstruction was observed. Ileoileal anastomosis was performed on the patient. Because DCs can present with different clinical symptoms, it is quite difficult to diagnose them in neonate patients. Lacking an imaging method that can provide an exact diagnosis, the diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment.

scholarly journals Ileal duplication cyst: a rare cause of intestinal obstruction in infants

2020 ◽  
Vol 7 (3) ◽  
pp. 713
Author(s):  
Aniruddha Basak ◽  
Arindam Ghosh ◽  
Prafulla Kumar Mishra
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Symptoms ◽  
Primary Anastomosis ◽  
Duplication Cyst ◽  
Imaging Method ◽  
Diagnostic Dilemma ◽  
X Ray ◽  
Post Operative Period ◽  
Ileal Duplication

Ileal duplication cyst (IDC) is a rare congenital anomaly where there is an abnormal portion of intestine attached to or intrinsic with the normal bowel. A 6-month-old male child presented with obstipation and bilious vomiting at emergency. X-ray abdomen showed multiple air fluid level suggestive of intestinal obstruction. Laparotomy was performed. Diagnosis of IDC was made and resection with primary anastomosis was done. Post-operative period was uneventful, and patient did well during 3 month follow-up checkup. IDC is a rare cause of intestinal obstruction which can present with different clinical symptoms posing a diagnostic dilemma. Diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment where imaging method is unavailable for exact diagnosis.

scholarly journals Case Report: Pediatric pharmacobezoar with subacute intestinal obstruction

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1037
Author(s):  
Mahnaz Hakeem ◽  
Heeramani Lohana ◽  
Sarwat Urooj ◽  
Sheraz Ahmed
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Acute Intestinal Obstruction ◽  
Rare Entity ◽  
Persistent Vomiting ◽  
Delay In Diagnosis ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
High Index Of Suspicion

Bezoars are an undigested mass causing an intraluminal obstruction in children.  Pharmacobezoars are formed from medicines or their vehicle, considered as a less frequent type observed in children. Our objective is to report a relatively rare entity as a potential cause of intestinal obstruction in children.  Here we report a case of 13-year-old girl with a history of herbal medicine intake who presented with persistent vomiting and abdominal distension. She was diagnosed with acute intestinal obstruction and managed conservatively without any complications. The patient became stable within two days so was discharged home. We found that ineffective history could lead to a delay in diagnosis and management. Clinicians should have a high index of suspicion for pica and psychiatric disorders, especially in adolescent children.

scholarly journals Intratracheal myiasis followed by tracheal-esophageal fistula: report of a rare case and literature review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Wendi Huang ◽  
Chao Zeng ◽  
Weidong Song ◽  
Ping Xu
Keyword(s):  
Literature Review ◽  
Clinical Features ◽  
Male Patient ◽  
Stent Placement ◽  
Rare Case ◽  
Healthcare Providers ◽  
Living Environment ◽  
Esophageal Fistula ◽  
Case Presentation ◽  
History Of

Abstract Background To enhance awareness of the clinical features and prevention of endotracheal myiasis. Case presentation A case of intratracheal myiasis is reported. A 61-year-old male patient with a history of laryngectomy was admitted to hospital due to tracheostomal hemorrhage of 3 h duration. Intratracheal myiasis was confirmed by bronchoscopy, and the patient underwent bronchoscopic intervention, which was complicated by a tracheal-esophageal fistula and resolved by endotracheal stenting. Twenty months after stent placement, the fistula had not healed. Conclusion Intratracheal myiasis has serious complications and is difficult to treat. For post-tracheostomy patients, healthcare providers and caregivers should pay attention to the care and monitoring of wounds and maintenance of a tidy, clean living environment to prevent intratracheal myiasis.

scholarly journals Intestinal Obstruction: An Overview of Aetiology, Evaluation and Management

2019 ◽  
Vol 17 (2) ◽  
pp. 89-95
Author(s):  
ABM Khurshid Alam ◽  
Kazi Lsrat Jahan ◽  
Mohammad Ali
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Symptoms ◽  
Abdominal Distension ◽  
Initial Study ◽  
Abdominal Adhesions ◽  
Radiologic Imaging ◽  
Vascular Compromise ◽  
Intestinal Decompression ◽  
Bowel Rest ◽  
Bowel Decompression

Intestinal obstruction occurs when there is an interruption in the forward flow of intestinal contents. This interruption can occur at any point along the length of the gastrointestinal tract, and clinical symptoms often depend on the level of obstruction. Intestinal obstruction is most commonly caused by intra-abdominal adhesions, malignancy, or intestinal herniation. The clinical presentation generally includes colicky abdominal pain, vomiting, abdominal distension and constipation. Radiologic imaging can confirm the diagnosis. Although radiography is often the initial study, non-contrast computed tomography is recommended if the index of suspicion is high or if suspicion persists despite negative radiography. Management of uncomplicated obstructions includes fluid resuscitation with correction of metabolic derangements, intestinal decompression, and bowel rest. Evidence of vascular compromise or perforation, or failure to resolve with adequate bowel decompression is an indication for surgical intervention. Journal of Surgical Sciences (2013) Vol. 17 (2): 89-95

scholarly journals Gastric trichobezoar: Food for thought

2013 ◽  
Vol 17 (1) ◽  
pp. 19-20 ◽  
Author(s):  
Narisha Maharaj ◽  
Pumersha Naidoo ◽  
Vanesha Naidu ◽  
Jaynund Maharajh
Keyword(s):  
Intestinal Obstruction ◽  
Adolescent Girl ◽  
Intestinal Tract ◽  
Abdominal Distension ◽  
Foreign Material ◽  
Gastric Trichobezoar ◽  
History Of ◽  
Gastro Intestinal Tract

A bezoar is an agglomeration of food or indigestible foreign material in the gastro-intestinal tract. It is an uncommon cause of abdominal symptomatology and can result in intestinal obstruction. This report is of an adolescent girl with a history of abdominal distension and trichophagia.

scholarly journals A Case of Intestinal Obstruction in Pregnancy Diagnosed by MRI and Treated by Intravenous Hyperalimentation

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Atsushi Daimon ◽  
Yoshito Terai ◽  
Yoko Nagayasu ◽  
Atsuko Okamoto ◽  
Takumi Sano ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Rare Complication ◽  
Oral Intake ◽  
Abdominal Distension ◽  
Pelvic Surgery ◽  
Intravenous Hyperalimentation ◽  
Abdominal Symptoms ◽  
Starting Point ◽  
History Of ◽  
In Pregnancy

Intestinal obstruction in pregnancy is rare and is mainly caused by prior pelvic surgery. We herein report a case of intestinal obstruction in a pregnant female with a history of laparoscopic myomectomy, who presented with hypogastric pain, abdominal distension, and vomiting at 26 weeks of gestation. A simple intestinal obstruction was diagnosed by MRI. Conservative treatments, including intravenous hyperalimentation and the placement of an ileus tube, were provided and her abdominal symptoms improved for 14 days. After restarting oral intake, she had no abdominal symptoms. She gave birth to a 2,146 g female infant by caesarean section at 37 weeks and 1 day of gestation. Although an area of cicatrization, which was thought to have been the starting point of the occlusion that caused the intestinal obstruction, was found, the excision of the small intestine was not necessary. Her postoperative course was uneventful. Intestinal obstruction requires a prompt diagnosis and aggressive intervention may be necessary to minimize the morbidity and mortality associated with this rare complication of pregnancy. MRI can be safely used during pregnancy to diagnose intestinal obstruction and intravenous hyperalimentation may improve the maternal and fetal prognoses.

scholarly journals Acute Abdomen and Perforated Bowel with a Rare Pathology: Nonfamilial Visceral Myopathy

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Jakob Burcharth ◽  
Caroline Olsen ◽  
Jacob Rosenberg
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Colonic Obstruction ◽  
Abdominal Distension ◽  
Gastrointestinal Diseases ◽  
Sigmoid Volvulus ◽  
Prior History ◽  
Visceral Myopathy ◽  
Abdominal Ct Scan ◽  
History Of

Visceral myopathy is a rare chronic disease affecting the peristalsis of the bowel causing intermittent pseudoobstruction. We report an atypical case of an eighty-nine-year-old woman with no prior history of abdominal illness who was admitted to our hospital with 2 days of increasing nausea, abdominal distension, and abdominal pain. On arrival at the hospital, she was critically ill. Abdominal X-ray showed distended loops of the colon and liquid levels resembling colonic obstruction. A subsequent abdominal CT scan confirmed the colonic obstruction. A suspicion of sigmoid volvulus was raised, that is why a barium enema was performed but no lower colonic obstruction could be confirmed. Acute laparotomy showed perforated cecum without intestinal obstruction. Postoperatively, the patient became septic which was fatal for the patient. Pathology gave the diagnosis visceral myopathy. It is very difficult to make the diagnosis clinically and radiologically since visceral myopathy mimics other more common gastrointestinal diseases. It is important to consider visceral myopathy as a possible diagnosis in cases with recurrent episodes of abdominal pain, vomiting, and abdominal distension, but without actual intestinal obstruction.

scholarly journals Rare case of midgut volvulus with malrotation in an elderly patient

2019 ◽  
Vol 7 (1) ◽  
pp. 303
Author(s):  
Mezhuneituo Raleng ◽  
Anant Prakash Pore ◽  
Vickey Katheria ◽  
Worshim Khamrang ◽  
R. S. Wungramthing
Keyword(s):  
Elderly Patient ◽  
Intestinal Obstruction ◽  
Conservative Management ◽  
Rare Case ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Midgut Volvulus ◽  
History Of ◽  
Subacute Intestinal Obstruction

A 70 year old male who was under treatment for lymphoma, presented with a 2 day old history of not passing stool, flatus, associated with vomiting and abdominal distension. Patient was diagnosed as subacute intestinal obstruction and put on conservative management. However since his condition worsen exploratory laparotomy was performed. On laparotomy a midgut volvulus was detected and subsequently de-rotation of small gut was done. Through this paper we would like to stress out the difficulties in diagnosis and the challenges that we faced. 

Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

2015 ◽  
Vol 100 (7-8) ◽  
pp. 1194-1198 ◽  
Author(s):  
Naotake Funamizu ◽  
Tomotaka Kumamoto ◽  
Atsushi Watanabe ◽  
Tomoyoshi Okamoto ◽  
Katsuhiko Yanaga
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Distension ◽  
Dietary History ◽  
Japanese Female ◽  
Old Japanese ◽  
History Of ◽  
Patient’S History

Owing to their rare occurrence, persimmon bezoars are often overlooked as a cause of small bowel obstruction. We herein report a small bowel obstruction in a 67-year-old Japanese female who regularly consumed persimmons in autumn. The patient presented to our hospital with typical complaints of abdominal distension with pain for 2 days. Based on the patient's history of a cesarean section 34 years ago, we initially diagnosed her with small bowel obstruction resulting from adhesions and placed an ileus tube. At first, the patient rejected the operation in spite of our recommendation. After 10 days, because the ileus tube was unable to relieve the obstruction, finally surgery was scheduled. Upon releasing the obstruction by partial resection of the small bowel, we found an impacted bezoar without any evidence of adhesions. After stone analysis, we first realized her regular persimmon intake. This case serves as an important reminder to obtain dietary history in order to investigate all possible causes of small bowel obstruction when intestinal obstruction is suspected.

scholarly journals Trichobezoar: presenting as primary Intestinal obstruction

2015 ◽  
Vol 1 (1) ◽  
pp. 4-6
Author(s):  
KC Madhushankar ◽  
K Manjunath ◽  
B Saiprasad ◽  
M Saishayam
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Abdominal Mass ◽  
Gastrointestinal Symptoms ◽  
Laparoscopic Approach ◽  
Abdominal Distension ◽  
Rapunzel Syndrome ◽  
Rare Type ◽  
Pain Abdomen ◽  
History Of

ABSTRACT Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague ranging from abdominal mass to gastrointestinal symptoms. Bezoars are usually confined to the stomach which is seen in individuals with psychiatric illness, like trichotillomania, trichophagia and gastric dysmotility. Long standing bezoars may extend into the small intestine leading to a condition known as Rapunzel syndrome. Trichobezoars presenting primarily as intestinal obstruction is very rare. Diagnosis can be established by endoscopy, ultrasonography and computed tomography scan. Treatment includes improvement of general condition and removal of bezoar by laparoscopic approach or laparotomy. Psychiatric consultation is necessary to treat and prevent relapse. We present the case of a 6 years old girl, where the trichobezoar was not suspected at all, especially with negative history of trichophagia and trichotillomania. This girl presented with history of intermittent pain abdomen since 3 months and recent onset severe pain abdomen with abdominal distension and vomiting. Skiagram of abdomen revealed dilated small bowel loops with multiple air fluid levels suggestive of intestinal obstruction. Even ultrasonogram of abdomen was also inconclusive for cause of obstruction. At laparotomy, dilated small bowel loops with multiple interbowel adhesions were seen. A hard mass measuring 5 × 6 cm was seen at distal jejunum causing distal obstruction with pressure necrosis over bowel wall. Enterotomy was done which revealed trichobezoar which was removed en masse. Resection and anastomosis of necrosed jejunum was done. Patient recovered completely after the procedure. How to cite this article Madhushankar KC, Manjunath K, Saiprasad B, Saishayam M. Trichobezoar: Presenting as Primary Intestinal Obstruction. J Med Sci 2015;1(1):4-6.

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