scholarly journals Traumatic diaphragmatic hernia complicating pregnancy

2018 ◽  
Vol 23 (2) ◽  
pp. 83-85
Author(s):  
Brightson N. Mutseyekwa ◽  
Mordecai Sachikonye ◽  
Lameck Chiwaka ◽  
Netsai C. Changata
Keyword(s):  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Large Bowel ◽  
Transverse Colon ◽  
Signs And Symptoms ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Traumatic Diaphragmatic Hernia ◽  
Foetal Mortality ◽  
In Pregnancy

Intestinal obstruction in pregnancy is rare but has a high maternal and foetal mortality. We present a case of 32-year-old patient who presented in her 2nd trimester of pregnancy with signs and symptoms of large bowel obstruction. An exploratory laparotomy revealed that the transverse colon had herniated through a diaphragmatic tear as the cause of the intestinal obstruction. The delays in presentation and diagnostic dilemmas associated with intestinal obstruction in pregnancy are manifested in this case. Keywords: intestinal obstruction; pregnancy; diaphragmatic hernia 

scholarly journals Study of clinical spectrum and management of acute intestinal obstruction

2018 ◽  
Vol 5 (4) ◽  
pp. 1310
Author(s):  
N. K. Jaiswal ◽  
Sandeep Shekhar ◽  
Pushkar Ranade
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Signs And Symptoms ◽  
Large Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Medical College ◽  
Tertiary Centre

Background: Acute intestinal obstruction is one of the major surgical emergencies. Intestinal obstruction is defined as partial or complete interference with forward flow of small or large intestinal contents. Intestinal obstruction of either small or large bowel continues to be a major cause of morbidity and mortality. Study aims to find the aetiology, diagnosis and management of acute intestinal obstruction.Methods: A total of 135 patients of acute intestinal obstruction was studied from November 2013 to October 2015 in government medical college, Nagpur. Study was done in patients in OPD of this tertiary centre. Inclusion criteria being patients coming to the hospital with features suggestive and further confirmed of acute intestinal obstruction. Patients included were in, age group of 18 years to 80 years giving written informed consent. Patient of pseudo obstruction were excluded from the study.Results: A total of 135 patients, presented with acute intestinal obstruction during the period of the study. Mean patient age was 45.87 years with peak incidence in those aged 21-30years. The foremost signs and symptoms were constipation (85.93%) and abdominal pain (91.11%). Adhesions and bands (61.9%) was the leading causes of intestinal obstruction.Conclusions: Present study concluded that small bowel obstruction is more common than large bowel obstruction. Abdominal pain, constipation and distension are the most common symptoms, while increased bowel sounds, tachycardia and tenderness is most common sign. Post-operative adhesion in small bowel and malignancy in large bowel is major cause of acute intestinal obstruction.

scholarly journals Transverse colon volvulus in a patient with autism

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Rony Shah ◽  
Linda Klumpp ◽  
Juan Negron-Diaz ◽  
Torr Carmain ◽  
Jeffrey Jordan ◽  
...  
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Rare Case ◽  
Signs And Symptoms ◽  
Large Bowel Obstruction ◽  
Bowel Infarction ◽  
Colon Volvulus ◽  
Severe Autism

Abstract Transverse colon volvulus is an extremely rare cause of bowel obstruction with approximately 100 cases reported in literature. Transverse colon volvulus presents with signs and symptoms of large bowel obstruction, but it can become a surgical emergency due to bowel infarction or peritonitis. We present a rare case of transverse colon volvulus in a 36-year-old male patient with severe autism. We hope this case report will raise awareness of this disease.

scholarly journals Congenital Descending Colonic Stenosis with Perforation of Transverse Colon in a Neonate: A Case Report

2012 ◽  
Vol 32 (1) ◽  
pp. 73-75
Author(s):  
R Hamid ◽  
AH Shera ◽  
NA Bhat ◽  
A Baba ◽  
A Rashid
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Late Onset ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Colonic Stenosis ◽  
Colonic Atresia ◽  
Mucous Fistula

Colonic atresia and stenosis are rare causes of intestinal obstruction in the infant. Only 10 cases have been reported in Literature since 1966 and only one late-onset case has been reported in Literature until now. We describe the case of a 3 day old baby presenting with abdominal distension, failure to pass meconium and vomiting. X-ray of the abdomen showed dilated gut loops. Exploratory laparotomy was performed. At the junction of descending and sigmoid colon a stenosis was found, laparotomy also revealed a perforation of transverse colon. Transverse colostomy and a mucous fistula of sigmoid colon was performed after resecting stenosing segment and colon distal to perforation site upto stenosing site. Diagnosis was confirmed on histopathology. Colostomy was close after six weaks with uneventful recovery. Considering both the Literature and our case, congenital colonic stenosis should be considered one of the rare differential diagnoses in a neonate presenting as complete or partial intestinal obstruction. Key words: Colonic Stenosis; Perforation; Obstruction DOI: http://dx.doi.org/10.3126/jnps.v32i1.5446   J. Nepal Paediatr. Soc. Vol.32(1) 2012 73-75  

scholarly journals Transverse colon volvulus in a patient with sickle cell disease

2019 ◽  
Vol 12 (3) ◽  
pp. e228863 ◽  
Author(s):  
Hussain Adnan Abdulla ◽  
Eman Hamza ◽  
Ali Dhaif
Keyword(s):  
Sickle Cell Disease ◽  
Intestinal Obstruction ◽  
Sickle Cell ◽  
Transverse Colon ◽  
Unusual Case ◽  
Large Bowel Obstruction ◽  
Cell Disease ◽  
Postoperative Course ◽  
Colon Volvulus ◽  
High Index Of Suspicion

Although colonic volvulus is a relatively rare cause of large bowel obstruction, accounting for up to 5% of all cases of intestinal obstruction, transverse colon volvulus is extremely uncommon compared with volvulus of the sigmoid colon or caecum and is responsible for only 3% of all reported cases. We report an unusual case of spontaneous volvulus of the transverse colon in a young man with sickle cell disease who underwent resection with primary anastamosis. Having a high index of suspicion and early operative intervention allowed for this patient to have an uneventful postoperative course.

scholarly journals Ileosigmoid knotting: an unusual cause of acute intestinal obstruction with bowel gangrene

2019 ◽  
Vol 12 (5) ◽  
pp. e226663
Author(s):  
Raj Kumar ◽  
Pavan Kumar Shamanur Kenchappa ◽  
Kusum Meena ◽  
Brijesh Kumar Singh
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Haemodynamic Instability ◽  
Ileocolic Anastomosis ◽  
Bowel Gangrene

Ileosigmoid knotting (ISK) is a rare cause of intestinal obstruction rapidly progressing to bowel gangrene. It is characterised by the wrapping of loops of ileum and sigmoid colon around each other. The condition often remains undiagnosed preoperatively; however, it can be suspected by the triad of small bowel obstruction, radiographic features suggestive of predominately large bowel obstruction and inability to deflate the intestine by a sigmoidoscope. We are reporting a case of 56-year-old man who presented with features of acute intestinal obstruction and compensated shock within 24 hours of onset of symptoms. Exploratory laparotomy revealed ISK resulting in gangrene of ileum and sigmoid colon. In view of haemodynamic instability, end ileostomy was done after excising gangrenous segments. The patient improved and stoma closure and ileocolic anastomosis were done after 3 months in follow-up.

scholarly journals Large bowel obstruction as a consequence of transverse colon volvulus: A case report

2020 ◽  
Vol 76 ◽  
pp. 534-538
Author(s):  
Mohammad A. Al-Doud ◽  
Malek A. Al- Omari ◽  
Heba G. Dboush ◽  
Ahmad S. Alabbadi ◽  
Intithar E. Al- Rahamneh
Keyword(s):  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Large Bowel Obstruction ◽  
Colon Volvulus

scholarly journals A case of colonic intussusception and obstruction secondary to giant colonic lipoma

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Yi Ying Law ◽  
Rhea Patel ◽  
Marianne Cusick ◽  
Jeffrey L Van Eps
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Right Hemicolectomy ◽  
Large Bowel Obstruction ◽  
Soft Tissue Tumors ◽  
The Body ◽  
Common Location ◽  
Benign Soft Tissue Tumors ◽  
Colonic Lipoma

Abstract Lipomas are benign soft tissue tumors found throughout the body including the gastrointestinal (GI) tract. Colonic lipomas are typically asymptomatic, incidentally identified during endoscopy or at the time of autopsy. However, giant lipomas larger than 4 cm usually manifest symptoms such as abdominal pain, obstruction, melena or intussusception. The transverse colon is the least common location for colonic lipoma. We report on a 54-year-old man with acute large bowel obstruction secondary to a long segment colo-colonic intussusception from a giant lipoma originating in the transverse colon. The diagnosis was suggested by advanced imaging and confirmed on endoscopy. He was treated successfully by laparoscopic extended right hemicolectomy with ileocolonic anastomosis. This case highlights the complexity of presentation and surgical management of large bowel obstruction and colonic intussusception, as well as the rare entity of giant colonic lipoma.

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