- [Sinusoidal obstruction syndrome induced by monocrotaline in a large animal experiment - a pilot study]. [Journal Article]
- RCRozhl Chir 2018; 97(5):214-221
- CONCLUSIONS: We established a large animal model of SOS induced by monocrotaline administration (36 mg/kg via portal vein). This model can contribute to research of therapeutic modalities for this disease or to evaluation of surgical treatment of patients with SOS.Key words: sinusoidal obstruction syndrome monocrotaline oxaliplatin hepatotoxicity experimental model.
- Death of a Female Prostitute Due to Intestinal Obstruction by an Unknown Substance. [Case Reports]
- JFJ Forensic Sci 2018 May 16
- A young adult black female, known to be a prostitute and suspected of smuggling narcotics, was found dead in her apartment in a state of early decomposition. Oval-shaped gray-white masses of exogenou...
A young adult black female, known to be a prostitute and suspected of smuggling narcotics, was found dead in her apartment in a state of early decomposition. Oval-shaped gray-white masses of exogenous origin protruded from the anus. The autopsy showed dilatation of the folds of the large intestine, which were almost completely filled with these oval-shaped gray-white masses of foreign material. The uterus was enlarged with multiple large leiomyomas. Toxicological tests of blood and the foreign material revealed no toxicologically relevant substances. Kaolin was detected in a sample of the foreign material from the large intestine. The immediate cause of death was intestinal obstruction due to the formation of a kaolin bezoar with simultaneous compression of the large intestine by the enlarged myomatous uterus. Subsequent revelation of a habit the deceased had brought from her native country led to the conclusion that this exotic custom was responsible for her death.
- Poor pathogenetic role of luminal obstruction in the development of appendicitis: A case report. [Case Reports]
- MMedicine (Baltimore) 2018; 97(15):e0381
- CONCLUSIONS: This finding seems to highlight the poor pathogenetic role of luminal obstruction in the development of acute appendicitis.
- Pseudomyxoma peritonei in a pediatric patient: A case report and literature review. [Case Reports]
- RARev Assoc Med Bras (1992) 2018; 64(2):195-199
- CONCLUSIONS: The case reported not only raises awareness about the atypical presentations of the disease, but also emphasizes the use of imaging examinations for diagnosis, which has an important impact on prognosis and survival if performed timely.
- Evaluation of pre- and postnatally diagnosed gastrointestinal tract obstructions. [Journal Article]
- JMJ Matern Fetal Neonatal Med 2018 Apr 12; :1-6
- CONCLUSIONS: These findings demonstrate the importance of prenatal ultrasonography and success of prenatal detection especially for upper GIT abnormalities. Although there are some prenatal signs of GIT obstructions, such as double bubble, polyhydramnios, enlarged bowel, and failure to visualize the stomach, early prenatal diagnosis is difficult and can be delayed, resulting in the detection of GIT obstruction after birth. When suspecting GIT obstruction, clinicians should evaluate the fetal anatomy carefully and be aware of associated chromosomal abnormalities.
- A Petrifying Bowel Movement: a non-operative assistance to nature's resolution of colonic gallstone obstruction? [Case Reports]
- AGActa Gastroenterol Belg 2017 Apr-Jun; 80(2):325-326
- Nodular Lymphoid Hyperplasia of the Gastrointestinal Tract : a comprehensive review. [Review]
- AGActa Gastroenterol Belg 2017 Jul-Sep; 80(3):405-410
- Nodular lymphoid hyperplasia (NLH) is a rare benign condition that is characterized by diffuse hyperplasia of the lymphoid follicles of the gastrointestinal tract (GIT). During endoscopy, NLH appears...
Nodular lymphoid hyperplasia (NLH) is a rare benign condition that is characterized by diffuse hyperplasia of the lymphoid follicles of the gastrointestinal tract (GIT). During endoscopy, NLH appears as multiple or occasionally innumerable nodules measuring a few millimeters in diameter. NLH occurs mainly in the small intestine, less commonly in the large intestine and rarely involves the stomach. There are multiple associated diseases such as immunoglobulin deficiency syndromes, giardiasis, Helicobacter pylori (H. pylori) infection, HIV and celiac disease. NLH elicits a wide range of symptoms that can range from asymptomatic to chronic diarrhea, weight loss, bleeding from the rectum and, very infrequently, intestinal obstruction. The clinical significance of NLH relies not only on the associated conditions but also on the possible complications. The most important of which are malignant transformation, particularly to gastric carcinoma, and intestinal or extra-intestinal lymphoma. There is no consensus regarding the management and surveillance of NLH. However, surveillance is recommended by most authors, but the intervals and duration have not yet been identified.
- Successful treatment of recurrent stoma prolapse after Hartmann's procedure through ileorectal anastomosis: A case report. [Journal Article]
- IJInt J Surg Case Rep 2017; 41:489-492
- CONCLUSIONS: We suggest that ileorectal anastomosis may be an optimal surgical treatment for patients with recurrent stoma prolapse and concomitant colonic motility disorder who have undergone Hartmann's procedure.
- [Volvulus of the cecum: a rare cause of intestinal occlusion: about two cases]. [Case Reports]
- PAPan Afr Med J 2017; 28:162
- The cecum is the second part of the colon that is most commonly affected by the volvulus after sigmoid colon and before left corner and the transverse colon. This condition occurs in patients with ab...
The cecum is the second part of the colon that is most commonly affected by the volvulus after sigmoid colon and before left corner and the transverse colon. This condition occurs in patients with abnormally mobile cecum. Volvulus is characterized by torsion or tilt. Clinically, it appears as bowel obstruction due to acute strangulation. Abdominal x-ray without treatment and abdominal CT scan are the radiological procedures of choice in the diagnosis of volvulus of the cecum. Treatment is based on emergency surgical excision of the cecum and of the terminal ileum. We report two cases of patients with volvulus of the cecum admitted to the emergency department with acute intestinal obstruction. In both patients, the diagnosis was confirmed by abdomino-pelvic CT scan and the treatment was based on ileocolic resection with immediate restoration of the intestinal continuity. The postoperative course was uneventful.
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- [Diverticulosis of the proximal part of the jejunum causing intestinal obstruction - case report]. [Journal Article]
- WLWiad Lek 2017; 70(6 pt 1):1146-1150
- Diverticulosis is a rare disease with a multifactorial aetiology, with a large majority in the elderly. It is characterized by a mildly symptomatic and non-specific clinical symptom. Unequivocal diag...
Diverticulosis is a rare disease with a multifactorial aetiology, with a large majority in the elderly. It is characterized by a mildly symptomatic and non-specific clinical symptom. Unequivocal diagnosis can be difficult and not always possible before intraoperative examination. Delayed diagnosis can result in life-threatening consequences such as intestinal perforation or hemorrhage. A case of an 86-year-old patient with abdominal pain, nausea, and vomiting lasting for 2 days was reported. In the physical examination of the deviation from the normal state, general abrasion, flatulence and tenderness were found in the mesogastric abdominal area. In the past 6 months, the patient reported weight loss and a change in bowel movements. In laboratory tests, low leucocytosis, with normal levels of C-reactive protein. Despite intensive treatment, no improvement in general condition was observed. Due to persistent abdominal pain and gastrointestinal symptoms, it was decided to perform reconnaissance laparotomy. Several diverticulae of the initial small intestine were found in the intestine at ca. 20 cm from the Treitz ligament. The intestines were decompress by cutting them. Due to localization of lesions, no inflammation, perforation or haemorrhage, age and general condition of the patient, resection of the diseased segment of the small intestine was rescued. Perioperative and postoperative course without complications. Patient was discharged home in good general condition 10 days after surgery.