scholarly journals Blind Pouch Syndrome-Associated Enterolithiasis Successfully Treated with Colonoscopy

2020 ◽  
Vol 14 (3) ◽  
pp. 527-533
Author(s):  
Kimitoshi Kubo ◽  
Masato Suzuoki ◽  
Noriko Kimura ◽  
Norishige Maiya ◽  
Soichiro Matsuda ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Anastomotic Ulcer ◽  
First Report ◽  
Blind Pouch ◽  
Radiological Features ◽  
End To End

Enterolithiasis associated with blind pouch syndrome secondary to functional end-to-end anastomosis is rare, and its endoscopic and radiological features remain poorly described. A 72-year-old woman was admitted to our hospital for abdominal pain and difficulty defecating. Colonoscopy (CS) with Gastrografin revealed a 10 × 8 cm calculus, an anastomotic ulcer, a blind pouch, and an end-to-end anastomosis in the transverse colon. The calculus was successfully crushed and removed with snares and alligator forceps through CS during the ensuing 4-day period. To our knowledge, this is the first report describing the endoscopic and radiological features of blind pouch syndrome-associated enterolithiasis successfully treated with CS.

scholarly journals Postpolypectomy Electrocoagulation Syndrome: A Mimicker of Colonic Perforation

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Brian C. Benson ◽  
Jonathan J. Myers ◽  
Jeffrey T. Laczek
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Ct Imaging ◽  
Colonic Perforation ◽  
Colon Wall ◽  
Free Air

Postpolypectomy electrocoagulation syndrome is a rare complication of polypectomy with electrocautery and is characterized by a transmural burn of the colon wall. Patients typically present within 12 hours after the procedure with symptoms mimicking colonic perforation. Presented is the case of a 56-year-old man who developed abdominal pain six hours after colonoscopy during which polypectomy was performed using snare cautery. CT imaging of the abdomen revealed circumferential thickening of the wall of the transverse colon without evidence of free air. The patient was treated conservatively as an outpatient and had resolution of his pain over the following four days. Recognition of the diagnosis and understanding of the treatment are important to avoid unnecessary exploratory laparotomy or hospitalization.

Streptococcus Peritonitis with Urticaria

1992 ◽  
Vol 12 (2) ◽  
pp. 214-215 ◽  
Author(s):  
Angela Edward ◽  
Karl Nolph
Keyword(s):  
Abdominal Pain ◽  
Peritoneal Dialysis ◽  
Nausea And Vomiting ◽  
White Female ◽  
First Episode ◽  
First Report ◽  
Peritoneal Infection ◽  
Peritoneal Dialysis Effluent

Peritonitis following urticaria on two occasions in a 46-year-old white female treated with CAPD for nine years is reported. On both occasions an episode of urticaria and pruritis occurred 24 hr before the dialysate became cloudy, and the patient experienced abdominal pain, nausea, and vomiting. The culture of the peritoneal dialysis effluent grew gamma Streptococcus with the first episode. To our knowledge this is the first report of CAPD peritonitis preceded by urticaria where the skin findings were most likely related to the peritoneal infection.

scholarly journals Polycythaemia Vera with Abdominal Pain - An Unusual Association

2012 ◽  
Vol 13 (2) ◽  
pp. 252-255
Author(s):  
Binoy Krishna Tarafder ◽  
Mohammad Ashik Imran Khan ◽  
Mrinmay Kumar Poddar ◽  
Estakur Rahman ◽  
Md Amiruzzaman ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Peptic Ulceration ◽  
Polycythaemia Vera ◽  
Atypical Presentation ◽  
Middle Aged ◽  
First Report ◽  
Unusual Association

Polycythaemia vera is difficult disease to diagnose when it has an atypical presentation. Here we present a case where a middle aged man who presented to us with abdominal pain and recurrent peptic ulceration and was later diagnosed as a case of polycythaemia vera. To best of our knowledge this is the first report of such association from Bangladesh. DOI: http://dx.doi.org/10.3329/jom.v13i2.12774 J Medicine 2012; 13 : 252-255

scholarly journals Two Cases of Severe Ulcerative Colitis with Colonic Dilatation Resolved with Tacrolimus Therapy

2015 ◽  
Vol 9 (2) ◽  
pp. 272-277
Author(s):  
Ryohei Hayashi ◽  
Yoshitaka Ueno ◽  
Shinji Tanaka ◽  
Shintaro Sagami ◽  
Kenta Nagai ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Abdominal Pain ◽  
Corticosteroid Therapy ◽  
Transverse Colon ◽  
Intestinal Tract ◽  
Rescue Therapy ◽  
Severe Ulcerative Colitis ◽  
X Ray ◽  
Emergency Colectomy ◽  
Tacrolimus Therapy

We report 2 cases of ulcerative colitis (UC) with intestinal tract dilatation treated with tacrolimus. They were 53- and 64-year-old males, who had been admitted to local hospitals for increasing severity of their UC symptoms. Treatment for severe UC was immediately started, but both cases were refractory to corticosteroid therapy; they were then transferred to our hospital. When they were referred to our hospital, they had frequent bloody diarrhea, fever, severe abdominal pain, and even dilatation of the transverse colon on abdominal X-ray test. They were treated with oral tacrolimus medication, and their symptoms improved immediately. Dilatation of the transverse colon was improved on plain X-ray at 2 weeks after starting therapy, and emergency colectomy could be avoided. These 2 cases may suggest that tacrolimus is effective for UC with colonic dilatation as a rescue therapy.

scholarly journals Successful laparoscopic approach for idiopathic adult colo-colonic intussusception: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kyota Tatsuta ◽  
Mayu Sakata ◽  
Kosuke Sugiyama ◽  
Toshiya Akai ◽  
Katsunori Suzuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Transverse Colon ◽  
Bowel Wall ◽  
Malignant Tumors ◽  
Abdominal Cavity ◽  
Laparoscopic Approach ◽  
Laparoscopic Procedure ◽  
Adult Intussusception ◽  
Surgical Reduction

Abstract Background Adult intussusception is recognized as an abdominal emergency. More than 90% of adult patients with intussusception have distinct causes that are related to benign or malignant tumors. In contrast, idiopathic intussusceptions, which are observed in children, are rare conditions in adult. Especially, colo-colonic idiopathic intussusceptions are rare among them. Surgery is traditionally considered the primary treatment option. Recently, laparoscopic surgery has been reported to be safe and feasible. However, laparoscopic surgical reduction, which is a common procedure in pediatric surgery, is not common in adult intussusception. Case presentation We report a 34-year-old man who presented with sudden abdominal pain. Computed tomography revealed the target sign in the transverse colon. There was no evidence of bowel obstruction, bowel wall edema, or tumor. We diagnosed idiopathic intussusception and selected laparoscopic procedure because of the strong abdominal pain experienced by the patient. There were no signs of perforation, bowel wall ischemia, or tumor in abdominal cavity. We confirmed idiopathic colo-colonic anterograde intussusception. Laparoscopic surgical reduction was achieved by a combination of delicate direct pressure on the anal side of the transverse colon and gentle pulling on the oral side. The patient’s postoperative course was uneventful. Conclusions We achieved successful surgical reduction laparoscopically because of an accurate preoperative diagnosis based on characteristic computed tomography features and appropriate surgical technique. Laparoscopic procedure and surgical reduction is considered to be an effective treatment strategy for adult idiopathic intussusceptions with severe symptoms.

scholarly journals Volvulus of the liver with intrathoracic herniation

2014 ◽  
Vol 96 (7) ◽  
pp. e27-e29 ◽  
Author(s):  
G Moussa ◽  
PM Thomson ◽  
A Bohra
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Abdominal Cavity ◽  
Liver Perfusion ◽  
Previous History ◽  
Interesting Case ◽  
Oval Window ◽  
Uneventful Recovery ◽  
Pericardial Window ◽  
History Of

Introduction We present a rare case of a liver volvulus, stomach and transverse colon herniating through the diaphragm. This scenario has not been reported previously. We discuss the presentation and management of this interesting case. Case history A 65-year-old woman with a history of sarcoidosis and recurrent pericardial effusions, treated previously with a subxiphoid pericardial oval window fenestration, presented with acute upper abdominal pain radiating to the chest. High contrast computed tomography showed a volvulus of the liver with consequent venous congestion, and herniation of the liver, stomach and transverse colon through an anterior diaphragmatic defect. With liver perfusion threatened, an urgent laparoscopic repair was performed. The stomach and transverse colon were reduced, and the twisted left lobe of the liver was unrotated and reduced into the abdominal cavity. A double-sided synthetic mesh was used to repair the defect. The patient made an uneventful recovery. Conclusions This is a novel complication of a patient presenting with abdominal pain with a previous history of pericardial window fenestration. A laparoscopic reduction and repair can be performed safely with excellent postoperative results.

scholarly journals Chilaiditi’s Syndrome—What Every Endoscopist Should Know

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 11
Author(s):  
Jayan George ◽  
Ashleigh V Genever ◽  
Timothy J White
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Chest Radiograph ◽  
Transverse Colon ◽  
Bowel Perforation ◽  
Severe Abdominal Pain ◽  
Radiographic Sign ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

Chilaiditi’s syndrome is a rare and often asymptomatic anomaly, typically found as an incidental radiographic sign (gas under the diaphragm) due to hepato-diaphragmatic interposition of the transverse colon. We report a case of Chilaiditi’s syndrome following colonoscopy presenting with severe abdominal pain, dyspnoea and radiograph findings similar to the presence of bowel perforation (appearance of gas under the hemidiaphragm on erect chest radiograph). Computed tomography (CT) evidence of Chilaiditi’s sign prevented unnecessary laparotomy.

scholarly journals Transverse colon duplication with chronic constipation in adult

2019 ◽  
Vol 12 (4) ◽  
pp. e226450 ◽  
Author(s):  
Yuliya Siamionava ◽  
Aliaksandr Varabei ◽  
Anvar Makhmudov
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Transverse Colon ◽  
Chronic Constipation ◽  
Preoperative Diagnosis ◽  
Congenital Abnormalities ◽  
Clinical Presentation ◽  
Proximal Part ◽  
Colon Resection ◽  
Colon Duplication

Gastrointestinal duplications are extremely rare congenital abnormalities having definite difficulties to be diagnosed preoperatively. Most of them are presented at the oesophagus and ileum and only involve colon from 4% to 18%. We illustrate a case report of an 18-year-old female patient with transverse colon duplication. There were symptom manifestations such as chronic constipation with flatulence accompanied with abdominal pain. We demonstrate this case report due to non-specific clinical presentation and some difficulties to form preoperative diagnosis. The patient underwent surgery. Tubular transverse colon duplication communicated with normal bowel in the proximal part was revealed. We performed transverse colon resection with duplication. The postoperative period was uneventful.

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