scholarly journals Segmental Small-Bowel Gangrene Associated with Yersinia pseudotuberculosis Infection

Author(s):  
H Seddik ◽  
A El ◽  
A Abouzahir ◽  
O El ◽  
H En-Nouali ◽  
...  
2020 ◽  
Vol 13 (12) ◽  
pp. e238112
Author(s):  
Ramprasad Rajebhosale ◽  
Mohammad Miah ◽  
Fraser Currie ◽  
Pradeep Thomas

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.


2017 ◽  
Vol 11 (2) ◽  
pp. 452-461
Author(s):  
Azusa Kawasaki ◽  
Kunihiro Tsuji ◽  
Hisashi Doyama

A 73-year-old female was admitted to our hospital with abdominal pain and diarrhea. Computed tomography detected distension of the small intestine. A palmar erythema, multiple oral ulcers, and desquamation of the fingers appeared after hospitalization. Small-bowel endoscopic images showed multiple ulcers. We attributed this case to infection with Yersinia pseudotuberculosis based on the changes in Y. pseudotuberculosis antibody titers throughout the course of the illness. This report is valuable, as it illustrates the endoscopic characteristics of a Y. pseudotuberculosis infection with skin lesion and ileus, which may enable us to deepen the pathologic understanding of this disease.


Author(s):  
Abdulhadi M. Elbashir ◽  
Saeed A. Alsareii ◽  
Sana B. Mustafa

Intestinal obstruction during pregnancy is very rare. The mechanical intestinal obstruction was mostly due to adhesion from previous surgery.  Pregnancy may mask the symptoms of intestinal obstruction, and virgin abdomen adds to the ambiguity of the diagnosis. The mortality and morbidity increased for the mother and the fetus in the presence of bowel gangrene. We present a case of intestinal obstruction at mid-term pregnancy with extensive small bowel gangrene which necessitates right hemicolectomy and ends with a good outcome for the mother and fetus.


BMJ ◽  
1980 ◽  
Vol 280 (6229) ◽  
pp. 1419-1419 ◽  
Author(s):  
R E Leino ◽  
S Y Renvall ◽  
J A Lipasti ◽  
A M Toivanen

1993 ◽  
Vol 35 (1) ◽  
pp. 145-147 ◽  
Author(s):  
Inderbir S. Gill ◽  
Boulos Toursarkissian ◽  
Steven B. Johnson ◽  
Paul A. Kearney

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Suha Deen ◽  
Martin Powell

Introduction. Intestinal ischaemia is a devastating disease process that could lead to bowel gangrene and death if either not diagnosed early or left untreated; death is usually caused by irreversible shock, intestinal necrosis, or septicaemia. It is usually seen in elderly patients with atherosclerotic disease. The course of bowel ischaemia may affect variable lengths of the intestine and it is not unusual for the condition to be followed by uneventful recovery. Case presentation. We are reporting an unusually rare case where an elderly patient passed an extraordinarily long segment of bowel, including rectum, the whole of the large bowel, and part of the small bowel, through anus following an episode of nonobstructive mesenteric ischaemia (NOMI) complicating myocardial infarction. To our knowledge, there are only eight cases reported in the literature where the condition was diagnosed upon the passage of short segments of the large bowel particularly of the rectosigmoid segment through the anus. Conclusion. Physician should keep a high level of suspicion in order to prevent it or at least recognise it early on and offer adequate management and hence reducing morbidity and mortality.


2012 ◽  
Vol 3 (5) ◽  
pp. 28 ◽  
Author(s):  
SK Uday ◽  
Pavan Kumar Ch Venkata ◽  
PRK Bhargav ◽  
Subith Kumar

2017 ◽  
Vol 4 (5) ◽  
pp. 1809
Author(s):  
Suruchi Shreshtha ◽  
Ashu K. Sekhose ◽  
Sujitha S.

We present the case of an 18 year old female with tuberculous mesenteric lymphadenopathy who came to hospital with peritonitis and acute mesenteric ischemia. An emergency exploratory laparotomy with resection of gangrenous small bowel and right colon with end-to-end anastomosis was performed. Subsequent evaluation for etiology of bowel gangrene was essentially normal. By exclusion, the most likely cause of acute mesenteric ischemia in this patient was of unknown etiology which is indeed rare. However, tuberculosis as a cause of mesenteric vasculitis and bowel gangrene needs to be explored.


Cureus ◽  
2021 ◽  
Author(s):  
Vaibhav K Varshney ◽  
Ashish Swami ◽  
Balamurugan Thirunavukkarasu ◽  
Ashish Agarwal ◽  
Gaurav Baid
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