scholarly journals Case report: Challenges in diagnosis and treatment of Small bowel diverticulitis presenting with acute abdomen

2018 ◽  
Vol 8 (2) ◽  
pp. 4-8
Author(s):  
John Yahng Jeong-moh
2021 ◽  
Vol 8 (7) ◽  
pp. 2172
Author(s):  
Ganesh Ashok Swami ◽  
Ashwini Babanrao Binorkar ◽  
Ganesh Radhesham Asawa ◽  
Chandrashekhar S. Halnikar

Trichobezoars are concretions of swallowed hairs retained within the digestive tract, most commonly stomach. Most common in young females and with psychiatric illness. Trichobezoar may be a cause of acute abdomen when it is complicated with acute obstruction or perforation. In this report we present a case of young girl who presented as an acute obstruction due to two large ileal trichobezoars.


2013 ◽  
Vol 14 (4) ◽  
pp. 300-302
Author(s):  
Zeynep Ozkan ◽  
Metin Kement ◽  
Mehmet Eser ◽  
Mustafa Oncel

2013 ◽  
Vol 7 (1) ◽  
Author(s):  
Georgios D Lianos ◽  
Thomas Messinis ◽  
Rodamanthos Doumos ◽  
Alexandra Papoudou-Bai ◽  
Christina D Bali

2015 ◽  
Vol 2 ◽  
pp. 64-68
Author(s):  
Erkan Somuncu ◽  
İsmail Demiryilmaz ◽  
Mehmet Soyturk ◽  
Ferda Cimen ◽  
Orhan Cimen ◽  
...  

2020 ◽  
Vol 1 (1) ◽  
pp. 39-44
Author(s):  
Houssam Khodor Abtar ◽  
Kassem Jammoul ◽  
Mostapha Mneimneh ◽  
Rayan El Lakkis ◽  
Mohammad Ahmad Al-Raishouni ◽  
...  

Background: Meckel’s diverticulum is a true diverticulum consisting of a 3-layered outpouching of the bowel wall along the antimesenteric border. It is a remnant of the omphalomesenteric duct and the most common congenital gastrointestinal disorder. It has a male predilection and remains asymptomatic in the majority of cases. It constitutes a diagnostic challenge to physicians, as it can present with gastrointestinal bleeding in the pediatric population, and as an intestinal obstruction in adults. While the management of an asymptomatic Meckel’s diverticulum is on a case-by-case basis, when symptomatic, prompt surgical intervention is necessary, and a laparoscopic approach allows both in-situ diagnosis and treatment. Case Report: A 23-year-old previously healthy female patient, presented with diffuse abdominal pain, vomiting, and obstipation. Abdominal X-Ray and abdominopelvic Computed Tomography showed an intra-abdominal inflammatory process and evidence of bowel obstruction but were not conclusive. The patient was admitted to the hospital for management, and on the third day of hospitalization physical examination showed abdominal guarding suggestive of peritonitis. An urgent exploratory laparotomy identified a Meckel’s Diverticulum obstructed with phytobezoar grape seeds, and an inflamed and perforated bowel wall, with adhesive bands to proximal small bowel loops, necrosis, and resultant small bowel obstruction. We resected the Meckel’s diverticulum and the necrotic bowel and performed an end-to-end primary anastomosis of the small bowel. The postoperative course was uneventful, and the patient was discharged on the fourth postoperative day. Conclusion: The diagnosis of Meckel’s diverticulum remains a challenge as it has a myriad of clinical presentation and radiological imaging sometimes fails to provide a definite diagnosis. It must be systematically included in the differential diagnosis of small bowel obstruction in adult patients, as it requires prompt surgical intervention for both diagnosis and treatment.


2021 ◽  
Vol 7 (2) ◽  
pp. 61-65
Author(s):  
  Ovidiu-Angel Matei ◽  
Carolin Niethammer ◽  
Wolfram Lamade ◽  
Meike - Sarah Bauer

1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Kirubel Abebe ◽  
Abebe Megersa ◽  
Engida Abebe

Background-Schistosomiasis is a trematode infestation causing a chronic granulomatous disease in various organs. Both S. mansoni & S. haematobium are endemic in Ethiopia. Most infected individuals are asymptomatic. Ectopic schistosomiasis can affect the lungs, genitalia, CNS, skin, peritoneum, Lymph nodes & other organs. Schistosomiasis as a cause of acute abdomen is seldom reported.Case Detail-A 51years -old male Ethiopian farmer presented with a two weeks history of abdominal pain with recent onset bilious vomiting and abdominal distention. Emergency laparotomy done & the finding was multiple tiny whitish nodule over the peritoneum & small bowel with multiple mesenteric lymphadenopathy. The diagnosis was confirmed with histopathology study.Conclusions- Schistosomal peritonitis is a very uncommon form of schistosomiasis. Physicians should be aware of such atypical presentation in patients from endemic areas of schistosomiasis. And biopsy should be considered in unsettled forms of peritonitis during laparotomy. The pathogenesis is not well known which warrants further study.


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