scholarly journals Case of Incarcerated Femoral Hernia Treated with Laparoscopic Surgery after Groin Hernia Repair

2021 ◽  
pp. 35-40
Author(s):  
Yuki Tsuchiya ◽  
Hirotaka Momose ◽  
Kazumasa Kure ◽  
Hisashi Ro ◽  
Rina Takahashi ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Femoral Hernia ◽  
Groin Hernia ◽  
Femoral Vein ◽  
Computed Tomography Scan ◽  
Left Groin ◽  
Femoral Ring ◽  
Necrotic Bowel ◽  
Tomography Scan

An 81-year-old man was brought to our hospital due to a suspicion of left incarcerated femoral hernia. He was previously diagnosed with incarcerated left groin hernia and was treated using the mesh plug method 1 month back at another hospital. Abdominal computed tomography scan revealed small bowel obstruction, incarcerated bowel, and compression of the left femoral vein. Thus, the patient was diagnosed with incarcerated femoral hernia. An emergency laparoscopic surgery was then performed, and we found that the small bowel was incarcerated into the let femoral ring and was necrotic. However, there was no recurrence of left inguinal hernia. The small necrotic bowel was resected and the femoral ring was repaired. The patient was discharged 8 days after the surgery, and there was no recurrence of femoral hernia after 1 year.

scholarly journals Acute Small Bowel Perforation Caused by Obstruction of a Novel Tag-Less AgileTM Patency Capsule

2018 ◽  
Vol 12 (2) ◽  
pp. 337-343 ◽  
Author(s):  
Katsuji Sawai ◽  
Takanori Goi ◽  
Yumi  Takegawa ◽  
Yoshihiko Ozaki ◽  
Seiichi  Taguchi ◽  
...  
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Pathological Examination ◽  
Small Bowel Perforation ◽  
Computed Tomography Scan ◽  
Patency Capsule ◽  
Severe Peritonitis ◽  
Transmural Inflammation ◽  
Multiple Ulcers ◽  
Tomography Scan

A 74-year-old man visited our hospital complaining of abdominal pain. An abdominal computed tomography scan showed multiple wall thickness of the small bowel. Capsule endoscopy was recommended for further evaluation, and patency capsule examination was performed. Eighteen hours after patency capsule ingestion, he experienced small bowel perforation with severe peritonitis caused by intestinal pressure rising because of the patency capsule trapped in his terminal ileum. An ileocolic resection was performed, including the removal of the sclerotic ileum as an emergency surgery. A pathological examination showed transmural inflammation and multiple ulcers with perforation of the small intestine, consistent with Crohn’s disease. Here, we report a rare and valuable case of novel tag-less AgileTM patency capsule (Given Imaging Ltd., Yoqneam, Israel) retention leading to small bowel perforation.

scholarly journals Small bowel cancer diagnosis: role of nuclear magnetic resonance

2015 ◽  
Vol 9 (3) ◽  
Author(s):  
Alessandro Morotti ◽  
Dario Gned ◽  
Leonardo Di Martino ◽  
Claudia Vaccheris ◽  
Salvatore Lia ◽  
...  
Keyword(s):  
Nuclear Magnetic Resonance ◽  
Magnetic Resonance ◽  
Small Bowel ◽  
High Sensitivity ◽  
Modern Medicine ◽  
Bowel Cancer ◽  
Computed Tomography Scan ◽  
Tomography Scan ◽  
Nuclear Magnetic

The diagnosis of small intestine tumors is challenging. Even in the era of modern medicine, standard approaches including echography, computed tomography-scan and conventional endoscopy are unable to reveal small bowel lesions. Video-capsule has substantially improved the evaluation of small bowel; however this procedure cannot be proposed to all patients and in particular to those experiencing intestine sub-occlusion. Nuclear magnetic resonance (NRM) of the abdomen is an additional diagnostic approach that offers high sensitivity in the identification of small bowel lesions. Here, we describe a case of small bowel neoplasia indentified with NRM of the abdomen.

scholarly journals Small bowel perforation after low-velocity trauma: a case report

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
S Sinz ◽  
L Benigno ◽  
M A Zadnikar ◽  
M E Biraima-Steinemann
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Diagnostic Laparoscopy ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Computed Tomography Scan ◽  
Low Velocity ◽  
Tomography Scan

Abstract We report the case of a 63-year-old patient with a low-velocity abdominal trauma and bowel perforation. The patient slipped on a wet floor and fell down the stairs. On admission, the patient complained about abdominal pain. A computed tomography scan showed traumatic hematoma of the jejunum in the left upper quadrant and a small amount of intra-abdominal air. Also rib fractures on the left side were diagnosed. We performed a diagnostic laparoscopy and found a bowel perforation, which was manually repaired.

Bolus ileus-an occasional cause of small bowel obstruction-case report

2017 ◽  
Vol 5 (12) ◽  
pp. 5447
Author(s):  
Jurij Janež
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Computed Tomography Scan ◽  
Food Bolus ◽  
Postoperative Course ◽  
Pathological Conditions ◽  
Tomography Scan

A food bolus can be an occasional cause of small bowel obstruction. Especially older and senile patients are at higher risk for developing a bolus ileus. Certain pathological conditions are associated with a higher risk for developing a bolus ileus, such as duodenal and small bowel diverticula. In this paper is presented a case of a 68-year-old female patient with food bolus, that caused a mehanical small bowel obstruction. The abdominal computed tomography scan before surgery did not show the precise cause of intestinal obstruction. During surgery we found a big grape in the distal ileum, which was removed through enterotomy. Further postoperative course was uneventful.

scholarly journals Volvulus of ileum: A rare case of small bowel obstruction and the effectiveness of abdominal ultrasound imaging for the diagnosis

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Bajhat Barakat ◽  
Raffaele Pezzilli
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Imaging Modality ◽  
Abdominal Ultrasound ◽  
Computed Tomography Scan ◽  
Mesenteric Lymph Nodes ◽  
Abdominal Ultrasonography ◽  
Primary Type ◽  
Tomography Scan ◽  
Secondary Type

Primary type small bowel volvulus is observed mainly in children and young adults, whereas the secondary type is usually found between the ages of 40 and 90 years and is mainly due to adhesions after previous surgery: tumors and mesenteric lymph nodes can also be responsible for the secondary type. Diagnosis is difficult and the computed tomography scan is the most relevant imaging modality. For this reason we believe that the case presented in which diagnosis was primary made by abdominal ultrasonography and then confirmed first by computed tomography scan and definitively by surgical exploration is worth reporting.

scholarly journals FEMORAL HERNIA MASQUERADING AS ACUTE GROIN PAIN: A DIAGNOSTIC AND SURGICAL CHALLENGE

2020 ◽  
pp. 1-2
Author(s):  
Swapnil Sen
Keyword(s):  
Femoral Hernia ◽  
Groin Hernia ◽  
Groin Pain ◽  
Single Case ◽  
Tertiary Care ◽  
Inguinal Ligament ◽  
Eastern India ◽  
Unexplained Pain ◽  
Ectopic Testis ◽  
Femoral Ring

Femoral hernia is a type of groin hernia, where the content protrudes through the femoral ring. Common contents in femoral hernias are, preperitoneal fat and small bowel, in some rare cases, sac containing an appendix, Meckel's diverticulum, ectopic testis, and stomach are reported.1 A femoral hernia presents as a mass or bulge below the inguinal ligament. Sometimes, femoral hernia presents as a bulge over the inguinal canal. In this case, the femoral hernia still exits inferior to the inguinal ligament through the femoral canal but ascends in a cephalad direction.2 Sometimes, femoral hernias may present in an occult manner with unexplained pain in the groin. We report a single case of Richter’s type strangulated femoral hernia at a tertiary care apex institution of Eastern India. This case of femoral herniation presented atypically as groin pain without any swelling initially. This was followed by swelling with pain at the groin above the inguinal ligament after a few days.

scholarly journals Abdominal Cocoon Syndrome: Two Cases of an Anatomical Abnormality

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Apostolos Sovatzidis ◽  
Eirini Nikolaidou ◽  
Anastasios Katsourakis ◽  
Iosif Chatzis ◽  
George Noussios
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Gold Standard ◽  
Clinical Suspicion ◽  
Internal Herniation ◽  
Computed Tomography Scan ◽  
Abdominal Cocoon ◽  
Encapsulating Peritonitis ◽  
Surgical Clinic ◽  
Tomography Scan

Introduction. Idiopathic sclerosing encapsulating peritonitis or abdominal cocoon syndrome (ACS) is a rare anatomical deformity characterized by the partial or complete encasement of the small intestine with fibrotic peritoneum. 193 cases have been described worldwide. The aim of this study is to present two cases of ACS successfully treated at the Surgical Clinic of the Agios Dimitrios General Hospital in Thessaloniki, Greece.Presentation of Cases. Two men (55 and 54 years old) presented to the emergency department complaining of abdominal pain, distension, constipation, nausea, and vomiting. Neither of these patients had any previous operations. The computed tomography scan of the first patient showed considerable distension of the small bowel, suggestive of internal herniation. The second case showed distention of the jejunum with no obvious cause. Both patients underwent emergency surgery. Intraoperatively, it was found that a fibrous membrane had completely covered the small intestine of the first patient and the jejunum and part of the large intestine of the second patient. Adhesiolysis and partial excision of the membrane were performed in both cases.Discussion. ACS is a rare cause of small bowel obstruction. Although conservative management with immunosuppressants and steroids has been described, surgical treatment is the gold standard.Conclusion. Preoperative clinical suspicion of this disease can help determine the diagnosis and protect surgeons from intraoperative “surprises”.

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