scholarly journals MIDGUT AGENESIA (CLINICAL AND FORENSIC MEDICAL ASPECTS OF A RARE CASE FROM PRACTICE)

2020 ◽  
Author(s):  
Valentin A. Skobelev
Keyword(s):  
Intestinal Obstruction ◽  
Postoperative Period ◽  
Transverse Colon ◽  
Rare Case ◽  
Energy Deficiency ◽  
Antenatal Period ◽  
Protein Energy ◽  
Clinical Diagnoses ◽  
At Home

The authors presented a rare observation from practice - agenesis of the midgut. In the antenatal period, initially, according to ultrasound, the diagnosis of gastroschisis was made, which was not confirmed later. After the birth of a child, he was repeatedly operated on for congenital intestinal obstruction. It was revealed that most of the jejunum, ileum, cecum, ascending, right half of the transverse colon were absent, and a anastomosis between jejunum and transversum was performed. In the postoperative period, it was not possible to cope with the intestinal and protein-energy deficiency, and the child exerted at home. The section has confirmed clinical diagnoses. The authors draw attention to the possibility of resorption of the extraperitoneally located intestine at the end of the first period of intrauterine rotation with a possible vascular and / or ischemic disaster.

scholarly journals Intestinal obstruction with a twist: a rare case of congenital portal vein aneurysm causing intestinal obstruction

2018 ◽  
pp. bcr-2018-225689
Author(s):  
Shanu Chandran ◽  
Manish Kumar ◽  
Tarun John K Jacob ◽  
Ferzine Mohamed
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Intestinal Obstruction ◽  
Transverse Colon ◽  
Congenital Anomalies ◽  
Rare Case ◽  
Newborn Baby ◽  
Midgut Volvulus ◽  
Portal Vein Aneurysm ◽  
Intestinal Rotation

Bilious vomiting is often a presenting feature of upper intestinal obstruction in newborn. We present a case of intestinal obstruction in a newborn baby caused by abnormal vascular band arising from portal vein aneurysm in association with a midgut volvulus. Congenital anomalies of portovenous system are very rare, and it usually presents with portal hypertension in late infancy or childhood. In this particular child, the portal vein aneurysm contributed to intestinal obstruction due to both a failure of intestinal rotation and a mechanical band over the transverse colon.

scholarly journals A rare case of neonatal colonic obstruction caused by a solitary intestinal tumor

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yu Sugai ◽  
Yutaka Hirayama ◽  
Yasushi Iinuma ◽  
Kengo Nakaya ◽  
Takato Aikou ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Transverse Colon ◽  
Rare Case ◽  
Colonic Obstruction ◽  
Contrast Material ◽  
Surgical Margin ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Gastrografin Enema ◽  
Neonatal Intestinal Obstruction

Abstract Background Intestinal obstruction caused by a tumor is very rare in newborns, and the preoperative diagnosis is difficult. We herein report a rare case of neonatal colonic obstruction due to solitary intestinal myofibroma with characteristic findings on gastrografin enema and the surgical strategy. Case presentation A 4-day-old female infant presented to our neonatal intensive-care unit with abdominal distention and bilious vomiting after feeding. A gastrografin enema showed that the transverse colon near the hepatic flexure was not delineated at the oral side. When pressure was applied, a small amount of contrast material moved into the mouth in the form of threads. Microcolon was not observed, and stenosis of the transverse colon was found 9 cm from the Bauhin valve. Partial resection and end-to-end anastomosis were performed. A pathological examination of the resected specimen suggested gastrointestinal stromal tumor (GIST). After obtaining a second opinion, the histology and immunohistological markers were deemed characteristic of infantile myofibroma. Conclusion If string sign and a napkin ring appearance are found in a case of neonatal intestinal obstruction, surgery should be performed with a tumor in mind. In cases of neonatal intestinal obstruction caused by a tumor, the lesion should be resected with a sufficient surgical margin before the pathological examination.

scholarly journals Simultaneous Volvulus of Transverse Colon and Cecum in a Patient With Down Syndrome: A Case Report

2019 ◽  
Author(s):  
Sepideh Babaniamansour ◽  
Ehsan Aliniagerdroudbari ◽  
Ghasem Bagherpour ◽  
Forough Kheiry
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Side Effects ◽  
Early Diagnosis ◽  
Physical Examination ◽  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Rare Case ◽  
Sporadic Case

Volvulus is a rare cause of intestinal obstruction and occurs mostly in sigmoid colon and cecum. It is more common in patients with Down syndrome. In this condition, it is even more challenging to diagnose the cause of intestinal obstruction through history and physical examination alone. Early diagnosis and intervention are critical in this condition to prevent serious side effects. Simultaneous volvulus is a sporadic case in the surgical entity. We report a very rare case of simultaneous volvulus of cecum and transverse colon, its management, and outcomes in a 20-year-old known case of Down syndrome.

scholarly journals Strangulated internal supravesical hernia associated with left inguinal hernia: A very rare case report of acute intestinal obstruction

2021 ◽  
pp. 102393
Author(s):  
El yamine othmane ◽  
Fatimazahra Bensardi ◽  
Abdessamad majd ◽  
El Bakouri Abdelilah ◽  
Bouali Mounir ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Rare Case Report

scholarly journals Closed loop obstruction and adhesive intestinal obstruction in perineal hernia

2020 ◽  
Vol 13 (12) ◽  
pp. e238112
Author(s):  
Ramprasad Rajebhosale ◽  
Mohammad Miah ◽  
Fraser Currie ◽  
Pradeep Thomas
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Transition Point ◽  
Closed Loop ◽  
Abdominoperineal Excision ◽  
Perineal Hernia ◽  
Bowel Gangrene ◽  
Adhesive Intestinal Obstruction

Perineal hernia with bowel gangrene is uncommon but known complication of laparoscopic extralevator abdominoperineal excision (ELAPE). We present a rare case of closed loop small bowel obstruction with bowel gangrene secondary to an incarcerated perineal hernia that developed 7 years after an ELAPE. Intraoperatively, we found a definitive transition point due to adhesions in pelvis and a closed loop obstruction of the distal small bowel at different site with gangrenous intestine. She was managed successfully surgically with adhesiolysis and fixation of defect with biological mesh. Prevalence of perineal hernias will rise in future because of the increasing cases of ELAPE, in which no repair of pelvic floor is performed. The need of follow-up of these operations and more reporting of such cases are important in increasing awareness of these complications. Patients should be made aware of such complications and should seek urgent medical care.

scholarly journals Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

2012 ◽  
Vol 32 (1) ◽  
pp. 73-75
Author(s):  
R Hamid ◽  
AH Shera ◽  
NA Bhat ◽  
A Baba ◽  
A Rashid
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Late Onset ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Colonic Stenosis ◽  
Colonic Atresia ◽  
Mucous Fistula

Colonic atresia and stenosis are rare causes of intestinal obstruction in the infant. Only 10 cases have been reported in Literature since 1966 and only one late-onset case has been reported in Literature until now. We describe the case of a 3 day old baby presenting with abdominal distension, failure to pass meconium and vomiting. X-ray of the abdomen showed dilated gut loops. Exploratory laparotomy was performed. At the junction of descending and sigmoid colon a stenosis was found, laparotomy also revealed a perforation of transverse colon. Transverse colostomy and a mucous fistula of sigmoid colon was performed after resecting stenosing segment and colon distal to perforation site upto stenosing site. Diagnosis was confirmed on histopathology. Colostomy was close after six weaks with uneventful recovery. Considering both the Literature and our case, congenital colonic stenosis should be considered one of the rare differential diagnoses in a neonate presenting as complete or partial intestinal obstruction. Key words: Colonic Stenosis; Perforation; Obstruction DOI: http://dx.doi.org/10.3126/jnps.v32i1.5446   J. Nepal Paediatr. Soc. Vol.32(1) 2012 73-75  

A RARE CASE OF HETEROTOPIC PANCREATIC TISSUE CAUSING SMALL BOWEL OBSTRUCTION

2021 ◽  
pp. 4-5
Author(s):  
B. Santhi ◽  
M. Annapoorani ◽  
Sharada bhavana
Keyword(s):  
Intestinal Obstruction ◽  
Rare Case ◽  
Histopathological Examination ◽  
Pancreatic Tissue ◽  
Acute Intestinal Obstruction ◽  
Emergency Laparotomy ◽  
Review Of Literature ◽  
Heterotopic Pancreatic Tissue ◽  
Small Growth ◽  
Upper Gastrointestinal

A Rare case of heterotopic pancreatic tissue of ileum causing acute intestinal obstruction has been described with a brief review of literature. A 42 yr old male patient presented to the emergency department with features of acute intestinal obstruction. After evaluation patient was taken up for emergency laparotomy which revealed a band to be arising from ileum. Furthermore, there was a small growth in the ileal wall at the site of origin of the band. Hence resection of the growth was done and followed by ileoileal anastomosis. Later on, histopathological examination of the growth revealed it to be heterotopic pancreatic tissue. Heterotopic pancreatic tissue is often an incidental nding encountered in upper gastrointestinal tract during endoscopy and surgeries. But Symptomatic ectopic pancreas of ileum is relatively rare and they very rarely present with acute symptoms as in this case

scholarly journals Metastatic rectal gastrointestinal stromal tumor with intestinal obstruction: A rare case report

2022 ◽  
Vol 17 (2) ◽  
pp. 376-379
Author(s):  
Mariam Kassimi ◽  
Amal Rami ◽  
Hind Guerroum ◽  
Jihane Habi ◽  
Imane Rahmouni ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Stromal Tumor ◽  
Rare Case Report

scholarly journals TOURNIQUET APPENDIX: RARE ETIOLOGY OF ORGANIC ACUTE INTESTINAL OBSTRUCTION

2021 ◽  
Vol 9 (08) ◽  
pp. 834-836
Author(s):  
Bicane Ma. ◽  
◽  
Malaaynine Mf. ◽  
Rabbani K. ◽  
Louzi A. ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Paralytic Ileus ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Ileal Loop ◽  
Surgical Emergency ◽  
Mechanical Bowel Obstruction

Acute appendicitis is the most common surgical emergency. A bowel obstruction due to the appendicitis is in most cases functional with a paralytic ileus mechanical bowel obstructions are rare or exceptional. We describe a rare case of a mechanical bowel obstruction due to a strangulation of the last ileal loop by the appendix.

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