scholarly journals Tubular Duplication of the Midgut Presenting with Acute Abdomen and Hematochezia: A Case Report from Northern Tanzania

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Ayesiga M. Herman ◽  
David Msuya ◽  
Mwemezi Kaino ◽  
Hilary Shilanaiman ◽  
Joachim Magoma ◽  
...  

Enteric duplication is one of the rare malformations affecting the small intestine more than the other parts of the gastrointestinal tract. It poses a challenge in diagnosis due to nonspecific symptoms that may mimic other pathologies. Furthermore, the management options including total resection, mucosal striping, and internal drainage of the duplicate depend on the presentation of the patient, site, and length of the involved bowel. We present the first documented case of enteric duplication in Tanzania, a 3-year-old male, who was found to have a 90 cm long jejunoileal duplicate. We discuss the presentation and management offered.

2017 ◽  
Vol 45 (12) ◽  
pp. 1137-1141 ◽  
Author(s):  
Takashi Kato ◽  
Shin Ichihara ◽  
Hiroko Gotoda ◽  
Shunji Muraoka ◽  
Terufumi Kubo ◽  
...  

2020 ◽  
Vol 15 (4) ◽  
pp. 110-113
Author(s):  
M.A. Aksel'rov ◽  
◽  
V.N. Evdokimov ◽  
V.V. Svazyan ◽  
T.V. Sergienko ◽  
...  

Considerable attention is currently being paid to the diagnosis and treatment of gastric malformations complicated by its obstruction. This can be attributed to stable incidence of these disorders among other congenital anomalies of the gastrointestinal tract and no clear understanding of the causes and mechanisms underlying the development of this pathology. Gastrointestinal duplications are rare congenital malformations that differ significantly in their appearance, location, size, and clinical manifestations. Their incidence is 1 case per 4,500 autopsies. Duplications can be cystic and diverticular (tubular) and can be located in any part of the gastrointestinal tract from the root of the tongue to the anal canal. The small intestine is affected most frequently, while duplications of the rectum, duodenum, and esophagus are exceedingly rare. In this article, we report two cases of gastrointestinal duplications in children treated using surgery. Key words: neonate, obstruction, developmental malformations, gastric duplication, esophageal duplication, case report


1979 ◽  
Vol 30 (3) ◽  
pp. 503 ◽  
Author(s):  
DP Poppi ◽  
JH Ternouth

The effects of three phosphorus supplements on the metabolism of phosphorus in the gastrointestinal tract of sheep were examined. One group of sheep was fed on a low phosphorus (P-L) diet and three other groups on diets supplemented with monosodium orthophosphate (P-MSOP), meat and bone meal (P-MBM) or bran (P-ORG). The total phosphorus (TP), ultrafilterable phosphorus (UP) and nucleic acid phosphorus (NP) in the digesta were measured. There was a large net secretion of phosphorus into the rumen and the first quarter of the small intestine, and net absorption from the remainder of the small intestine of all sheep. The relative concentration of phosphorus in the omasum suggested considerable omasal secretion and a subsequent abomasal absorption of phosphorus, but this was considered to be largely an artefact. There were no consistent differences between diets in the net secretion and absorption of TP at sites along the gastrointestinal tract. Sheep fed on the P-L diet secreted more phosphorus per unit of phosphorus intake than sheep on the other diets. Most UP was present in the abomasum and cranial small intestine where the pH was lowest. The concentration of UP fell precipitously in the small intestine, which suggested that this was the major form of phosphorus absorbed and that there was a high degree of complex formation at the higher pH. The concentration of NP was relatively constant, and the lowest NP/TP ratios were found in the cranial small intestine. NP formed in the rumen was mainly degraded in the cranial small intestine. NP represented half the TP in the colon of sheep fed on diet P-L. The results indicate that the form of phosphorus supplement did not influence phosphorus metabolism in the gastrointestinal tract.


2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmed Dirweesh ◽  
Muhammad Khan ◽  
Sumera Bukhari ◽  
Cheryl Rimmer ◽  
Robert Shmuts

Xanthomas are localized nonneoplastic lesions within tissues that may manifest as papules, plaques, or nodules. These lesions can be found anywhere along the gastrointestinal tract, commonly in the stomach and colon, and rarely in the small intestine and esophagus. Esophagogastroduodenoscopy (EGD) with biopsy is the gold standard tool for diagnosis. Here, we report a rare case of a lower solitary nodular esophageal xanthoma in an elderly black female. Correspondingly, all cases of esophageal xanthomas reported in the English medical literature were reviewed and presented with the reported case.


2013 ◽  
Vol 3 (1) ◽  
pp. 47-49
Author(s):  
Tapash Kumar Maitra ◽  
Sharmistha Roy ◽  
Samiron Kumar Mondal ◽  
Noor -Al-Alam

Gastro Intestinal Stromal Tumor (GIST) are a type of neoplasm arising from the embryological mesoderm of GastroIntestinal Tract. But they can also arise from extra intestinal sites. The incidence1 of site of origin of GIST is - Oesophagus 5% Stomach 50% Small intestine 25% Colon & rectum 10%, Extr-intestinal (Mesenchyme, GB,Pancreas) 10%.We present here a case of GIST attaining enormous size, having all classical histological features of GIST arising from the mesentery which is a relatively rare site. Birdem Med J 2013; 3(1): 47-49 DOI: http://dx.doi.org/10.3329/birdem.v3i1.17127


2014 ◽  
Vol 9 (1) ◽  
pp. 187-190 ◽  
Author(s):  
HUI QIU ◽  
LIMEI YUAN ◽  
YANGWEN OU ◽  
YAN ZHU ◽  
CONGHUA XIE ◽  
...  

2019 ◽  
Vol 21 (1) ◽  
pp. 36-38
Author(s):  
Maj Md Nasir Uddin ◽  
Sayed Md Abu taleb ◽  
Col S MA Al Muaid ◽  
Maj Monowar Morsed

CD is characterised by a chronic full thickness inflammatory process that can affect any part ofthe gastrointestinal tract from the lips to the anal margin. We present a case of acute abdomenadmitted in CMH Rangpur. Exploratory laparotomy was performed and diseased resectedsegments were confirmed as Crohn's Disease on histopathology. Journal of Surgical Sciences (2017) Vol. 21 (1) :36-38


2019 ◽  
Vol 6 (9) ◽  
pp. 3433
Author(s):  
Kamal Raj M. ◽  
V. Venkatachalam ◽  
Manasa A.

Diverticular disease though being a common entity in large bowel is recently noted to occur more proximally as well. In the jejunum, the mucosal outpouchings, called as pseudo-diverticulae, occurs with an incidence of 0.5-1.5%.Diagnosed incidentally as majority of them remain asymptomatic. When they are symptomatic, dyspepsia and bloating, recurrent abdominal cramping, malabsorption and megaloblastic anemia occurs. On occasions it is not uncommon for patients to present with hemorrhage, infections, obstruction or perforation. Perforation, being a rare presentation occurs in less than 6% of the cases. We present a case of a 70 year old male, who presented as acute abdomen, found to have isolated jejunal diverticular perforation intraoperatively.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Daichi Momosaka ◽  
Yasuhiro Ushijima ◽  
Akihiro Nishie ◽  
Yoshiki Asayama ◽  
Kousei Ishigami ◽  
...  

Enteric duplication cysts lacking anatomic association with the gastrointestinal tract are called isolated enteric duplication cysts (IEDCs). We present an atypical case of a retroperitoneal IEDC with a tortuous tubular complex shape that enfolded the surrounding retroperitoneal fat and mimicked a retroperitoneal teratoma. Multiplanar reconstruction images should be used to evaluate such a lesion correctly. A tortuous tubular complex shape could be a key finding to differentiate from other retroperitoneal cysts.


BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chi Li ◽  
Chee-Chien Yong ◽  
Domelle Dave Encarnacion

Abstract Background Foreign body ingestion is a scenario occasionally encountered in the emergency room. Pediatric and psychiatric patients are the two most common populations suffering from accidental or in some cases intentional ingestion of foreign bodies. Commonly, majority of cases require no specific treatment and the swallowed objects pass through the digestive tract spontaneously without causing any significant complications. Less than 1% of the cases complicates with gastrointestinal tract perforation, which are often caused by sharp objects, which warrants surgical intervention. The average time from foreign body ingestion to development of perforation was noted at 10.4 days in previous reports. These cases often present in rapidly progressing peritonitis and are subsequently managed by emergent laparotomy. In this case report, we describe an accidental chopstick ingestion of a patient who initially was misdiagnosed and remained asymptomatic for nine months, then presented with acute abdomen. Case presentation A 27-year-old man accidentally ingested a wooden chopstick and sought consult at a clinic. Negative abdominal plain film misled the physician to believe ingested chopstick was digested into fragments and passed out unnoticed. The patient presented acute abdomen caused by duodenal perforation nine months later and was subsequently treated with emergency laparotomy with primary duodenorrhaphy. Conclusions Negative plain films are not sufficient to conclude a conservative treatment in foreign body ingestion. Computed tomography scan or endoscopic examinations should be done to rule out retained foreign body within gastrointestinal tract.


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