CROHN´S DISEASE PRESENTING WITH SUBACUTE INTESTINAL OBSTRUCTION

2020 ◽  
Author(s):  
M Zaghloul ◽  
M Emara ◽  
H Albatee ◽  
I Amer ◽  
A Mahrous ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Subacute Intestinal Obstruction

scholarly journals THE PATTERN OF ACUTE INTESTINAL OBSTRUCTION: A HOSPITAL BASED. STUDY..

2019 ◽  
pp. 1-3
Author(s):  
Sunil Kumar Patanaik ◽  
Chaitali Pattanayak*
Keyword(s):  
Intestinal Obstruction ◽  
Age Groups ◽  
Operative Management ◽  
Acute Intestinal Obstruction ◽  
Common Symptom ◽  
Common Procedure ◽  
Therapeutic Modalities ◽  
Study Results ◽  
Obstructed Hernia ◽  
Subacute Intestinal Obstruction

BACKGROUND: Intestinal obstruction is a surgical emergency that causes confusion both in the diagnosis and the management. It is related by important disease and mortality. The goal of this study was to classify the etiology, to analyse the methods of performance of acute duodenal obstruction in different age groups, various therapeutic modalities of treatment, to accomplish operative management, anticipate the post-operative complications and outcomes of patients with acute intestinal obstruction. MATERIAL& METHODS: 82 patients of all age groups (except infants) presenting with acute intestinal obstruction were studied between June 2017 and December 2018 in a multispeciality hospital in Eastern India. Patients with history of subacute intestinal obstruction and paralytic ileus were excluded from this study. RESULTS: Males were found to be affected much more than females. Pain abdomen was the most common symptom found in 94% cases followed by distension and vomiting in 86.6% and 68.3% cases respectively. Most common etiology of intestinal obstruction was due to adhesion and bands (40.3%) followed by obstructed hernia (22%) and malignancy (17%). The most common procedure done in intestinal obstruction in present study was release of adhesions and bands (37.8%) followed by resection and anastomosis (26.8%). CONCLUSION: Bowel obstruction continues to be one of the most common abdominal problems faced by general surgeons. Success in the treatment of intestinal obstruction depends largely upon early diagnosis, skilful management and treating the pathological effects of the obstruction just as much as the cause itself.

scholarly journals Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mohammad Zain Sohail ◽  
Shumaila Hasan ◽  
Benan Dala-Ali ◽  
Shahanoor Ali ◽  
M. A. Hashmi
Keyword(s):  
Intestinal Obstruction ◽  
Abdominal Cavity ◽  
Fibrous Membrane ◽  
Unknown Aetiology ◽  
Abdominal Cocoon ◽  
Diagnostic Dilemma ◽  
Previous Abdominal Surgery ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis (SEP) or abdominal cocoon is a rare acquired condition with an unknown aetiology. It is characterized by encapsulation of the small bowel by a fibrous membrane and can lead to intestinal obstruction. We present the case of a 42-year-old gentleman with a history of hepatitis C, tuberculosis, and previous abdominal surgery, who presented with subacute intestinal obstruction. Surgical exploration of the abdomen revealed that the entire contents were enclosed into three distinct sacs by a dense fibrous membrane. Excision of the sacs was performed followed by adhesiolysis. This is believed to be the first reported case of multiple cocoons within the abdominal cavity. The case is discussed with reference to the literature.

PA.100 AN UNUSUAL CAUSE OF SUBACUTE INTESTINAL OBSTRUCTION

2008 ◽  
Vol 40 ◽  
pp. S111
Author(s):  
C. Simeth ◽  
C.M. De Cesare ◽  
M. Sozzi ◽  
N. Stefani ◽  
C. Tonello ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Subacute Intestinal Obstruction

scholarly journals Severe Microcytic Anaemia due to Chrohn's Disease - An Uncommon Presentation

2013 ◽  
Vol 21 (2) ◽  
pp. 101-104
Author(s):  
Md Abul Kalam Azad ◽  
Monzoor Quader ◽  
Mohammad Ferdous Ur Rahaman ◽  
Md Abdur Rahim ◽  
Aklima Khanam ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Uncommon Presentation ◽  
Microcytic Hypochromic Anaemia ◽  
Hypochromic Anaemia ◽  
Uncommon Disease ◽  
Significant Clinical Improvement ◽  
Subacute Intestinal Obstruction ◽  
One Year ◽  
Diagnostic Work ◽  
Medical University

Crohn’s disease is an uncommon disease. Most common presentation is abdominal pain, diarrhea and weight loss. It may present as subacute or even acute intestinal obstruction. Crohn’s disease is very rare in Bangladesh. Here we report a case of Crohn’s disease where the initial presentation was severe microcytic hypochromic anaemia. Who had repeated blood transfusion for one year. Initially cause was not detected. Later on he presented with subacute intestinal obstruction. After all diagnostic work up no definitive diagnosis could be found. So laparotomy was done in Bangabandhu Shiekh Mujib Medical University (BSMMU). Histopathology report was suggestive of Crohn’s disease and he was on mesalazine with significant clinical improvement. DOI: http://dx.doi.org/10.3329/bjmed.v21i2.13620 Bangladesh J Medicine 2010; 21: 101-104

scholarly journals Concurrent intestinal malrotation and Meckel's diverticulum presenting as acute intestinal obstruction in an adult

2021 ◽  
Vol 8 (6) ◽  
pp. 1904
Author(s):  
Aishwarya Emerald Manohar ◽  
M. S. Kalyan Kumar ◽  
V. Vijayalakshmi ◽  
R. Kannan
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Postoperative Recovery ◽  
Meckel's Diverticulum ◽  
Intestinal Malrotation ◽  
Emergency Laparotomy ◽  
Meckel’S Diverticulitis ◽  
Subacute Intestinal Obstruction

Intestinal malrotation is the partial or complete failure of rotation of midgut around the superior mesenteric artery, while Meckel’s diverticulum is the remnant of vitellointestinal duct and concurrence of these congenital abnormalities in an adult is considered a rarity. Till date only 3 cases of concurrent intestinal malrotation and Meckel's diverticulum have been reported. We report a 18 years male who presented with a 3 day history of abdominal pain, bilious vomiting, obstipation and chronic abdominal pain on and off since 3 years of age. During the last episode which occurred 1 year back, he was diagnosed with intestinal malrotation with subacute intestinal obstruction and was treated conservatively. Examination revealed the presence of signs of peritonitis. After resuscitation, CECT abdomen was taken which showed dilated small bowel loops in the subhepatic region associated with malrotation. Emergency laparotomy revealed a Ladd's band below which the gangrenous small bowel loops 150 cm from the duodenojejunal (flexure until 5 cm proximal to the ileocecal junction) were found herniating into the subhepatic region with a Meckel’s diverticulum and a right sided DJ flexure. We proceeded with the band release and resection of gangrenous bowel followed by proximal jejunostomy with distal ileostomy. HPE was consistent with Meckel’s diverticulitis without any ectopic gastric or pancreatic mucosa. Ostomy reversal was done after 8 weeks. Patient had an uneventful postoperative recovery during both the admissions and he is on regular follow-up now.

scholarly journals Case Report: Pediatric pharmacobezoar with subacute intestinal obstruction

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1037
Author(s):  
Mahnaz Hakeem ◽  
Heeramani Lohana ◽  
Sarwat Urooj ◽  
Sheraz Ahmed
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Acute Intestinal Obstruction ◽  
Rare Entity ◽  
Persistent Vomiting ◽  
Delay In Diagnosis ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
High Index Of Suspicion

Bezoars are an undigested mass causing an intraluminal obstruction in children.  Pharmacobezoars are formed from medicines or their vehicle, considered as a less frequent type observed in children. Our objective is to report a relatively rare entity as a potential cause of intestinal obstruction in children.  Here we report a case of 13-year-old girl with a history of herbal medicine intake who presented with persistent vomiting and abdominal distension. She was diagnosed with acute intestinal obstruction and managed conservatively without any complications. The patient became stable within two days so was discharged home. We found that ineffective history could lead to a delay in diagnosis and management. Clinicians should have a high index of suspicion for pica and psychiatric disorders, especially in adolescent children.

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