scholarly journals Idiopathic Retroperitoneal Perforation of the Descending Colon with Retroperitoneal Emphysema

Author(s):  
Yujiro TOYOSHIMA ◽  
Mitsuhiro INAGAKI ◽  
Naoki OKADA ◽  
Naoyuki YANAGIDA ◽  
Hiromitsu AKABANE ◽  
...  
2000 ◽  
Vol 61 (5) ◽  
pp. 1251-1255
Author(s):  
Koichi ISHIKAWA ◽  
Akira NAKAMURA ◽  
Ryoki OKUNAGA ◽  
Akio SHIROMIZU ◽  
Yasushi TAKESHITA

2020 ◽  
Vol 5 (1) ◽  
pp. e000606
Author(s):  
Kaori Kono ◽  
Kaori Ito ◽  
Yuko Sasajima ◽  
Yasufumi Miyake ◽  
Tetsuya Sakamoto

BIO-PROTOCOL ◽  
2013 ◽  
Vol 3 (20) ◽  
Author(s):  
Julien Bellis ◽  
Isabelle Duluc ◽  
Jean-Noël Freund ◽  
Jan De Mey
Keyword(s):  

2021 ◽  
Vol 14 (3) ◽  
pp. e240202
Author(s):  
Benjamin McDonald

An 80-year-old woman presented to a regional emergency department with postprandial pain, weight loss and diarrhoea for 2 months and a Computed Tomography (CT) report suggestive of descending colon malignancy. Subsequent investigations revealed the patient to have chronic mesenteric ischaemia (CMI) with associated bowel changes. She developed an acute-on-chronic ischaemia that required emergency transfer, damage control surgery and revascularisation. While the patient survived, this case highlights the importance of considering CMI in elderly patients with vague abdominal symptoms and early intervention to avoid potentially catastrophic outcomes.


Author(s):  
Avnish Kumar Seth ◽  
Mahesh Kumar Gupta ◽  
Rinkesh Kumar Bansal ◽  
Radha Krishan Verma ◽  
Gursimran Kaur

Abstract Introduction Fecaloma is a large mass of organized hardened feces causing impaction, usually in rectum and sigmoid colon. Medical management usually entails digital evacuation, use of clearance enema, and oral laxatives. We report two patients managed successfully with colonoscopic instillation of Coca-Cola and review the literature. Case Report Patient 1: A 37-year-old male presented with firm, nontender, pitting mass over lower abdomen for 2 months and inability to pass stool for 1 month. Per-rectal examination and imaging confirmed presence of solid stool with gross distension of rectum and sigmoid colon. Attempts at clearance of stool with conventional methods were unsuccessful. At colonoscopy, 4 L of Coca-Cola was instilled into descending and sigmoid colon, leading to evacuation of 10 L of fragmented and liquid stool.Patient 2: A 72-year-old diabetic lady presented with constipation and tender, firm pelvic mass extending till mid-abdomen for 6 months. Per-rectal examination revealed presence of hard stool. Imaging confirmed large amount of fecal matter in dilated rectum, sigmoid, and descending colon. Attempts at evacuating stool with digital evacuation, sodium phosphate enema, and oral polyethylene glycol were unsuccessful. At colonoscopy, two sittings of instillation of 990 mL of Coca-Cola Light each were done into sigmoid colon over 2 days, resulting in clearance. Conclusion Colonoscopic instillation of Coca-Cola may be effective in evacuation of large fecaloma from rectum, sigmoid, and descending colon when refractory to use of conventional methods like digital disimpaction, rectal enema, and oral laxatives.


2021 ◽  
pp. 000313482199197
Author(s):  
Giuseppe Serena ◽  
Leonardo Nardi ◽  
Michael J. Schmeisser ◽  
L. D. George Angus

Carl Florian Toldt was an Austrian anatomist who made meaningful contributions worldwide and defined what is one of the most important surgical landmarks in abdominal surgery. Through his research studies, the embryologic dissection plane known as the “White Line of Toldt” represents an important anatomical landmark that helps to mobilize either the ascending or descending colon. His career spanned over 45 years, beginning in Verona and continuing to Prague and Vienna. He was an author of several innovative books and scientific articles regarding micro- and macroscopic anatomy. In addition, he received numerous recognitions and prizes for his work, making him an essential figure in the medical scientific community. Even a street in Vienna, Karl-Toldt-Weg, is named in his honor. The purpose of this historical article is to celebrate and honor Toldt 100 years following his death, remembering his scientific contributions to the medical and surgical fields and giving thanks for his numerous accomplishments. This article brings light to the man behind the eponym.


Sign in / Sign up

Export Citation Format

Share Document