Exclusive jejunal and ileal lesions due to blunt trauma.

Rev Paul Med

Departamento de Cirurgia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas-UNICAMP.

Published: November 1993

AI Article Synopsis

  • Exclusive jejunal and ileal lesions from blunt trauma are rare but can be life-threatening and often go undiagnosed.
  • The small intestine is more commonly injured in penetrating injuries, making isolated injuries from blunt trauma particularly challenging to identify.
  • This study focuses on the prognosis of patients with these injuries, emphasizing the crucial role of timely diagnosis and early surgical intervention in improving outcomes.

Article Abstract

The exclusive jejunal and ileal lesion due to blunt trauma is a rare and potentially lethal condition. The small intestine is the most damaged organ in penetrating abdominal injuries, although its isolated injury in blunt abdominal trauma is rare and difficult to diagnosed. There are no characteristic signs nor symptoms in the exclusive jejunal and ileal lesions due to abdominal contusions which result in high morbidity and mortality rates since a late diagnosis is done despite advanced auxiliary diagnostic methods available. Considering these facts, the aim of the present work is to study the prognosis of patients suffering from this type of injury due to abdominal trauma, taking into consideration the time elapsed between the trauma and its diagnosis and the importance of its early surgical correction.

Download full-text PDF

Source

Publication Analysis

Top Keywords

exclusive jejunal
12
jejunal ileal
12
ileal lesions
8
blunt trauma
8
trauma rare
8
abdominal trauma
8
trauma
5
lesions blunt
4
trauma exclusive
4
ileal lesion
4

Similar Publications

Feeding jejunostomy is a simple and common procedure used to provide enteral nutrition. Acute intestinal intussusception on a jejunostomy tube is a rare complication that can have catastrophic consequences and often requires urgent surgical intervention. We report the case of a 45-year-old female patient with a stenosing hypopharyngeal tumor leading to complete aphagia.

View Article and Find Full Text PDF

Ulcerative Jejunitis in Celiac Disease: A Thirty-Year U.S. Experience.

Am J Gastroenterol

October 2024

Celiac Center, Department of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA USA.

Introduction: Ulcerative jejunitis (UJ) or ulcerative enteritis (UE) is a rare complication of celiac disease (CeD). Guidelines regarding diagnosis and management are missing and these cases have seldom been reported in the United States.

Design: Single center case-series of CeD in which UE developed at a large academic center in the USA.

View Article and Find Full Text PDF
Article Synopsis
  • The study focused on four dogs diagnosed with intestinal lipogranulomatous lymphangitis, investigating their clinical signs, ultrasound findings, and response to medical treatment.
  • All dogs presented with symptoms like diarrhea, vomiting, and abdominal pain, and exhibited abnormal blood test results.
  • After receiving a low-fat or hydrolyzed diet and immunosuppressive therapy, all dogs achieved complete remission within a month, with significant improvements observed in ultrasound findings over the following months.
View Article and Find Full Text PDF

Apart from the lethal midline carcinoma (NUT carcinoma), NUTM1 translocation has also been reported in mesenchymal tumors, but is exceedingly rare. Here, we describe a series of 8 NUTM1 -rearranged sarcomas to further characterize the clinicopathologic features of this emerging entity. This cohort included 2 males and 6 females with age ranging from 24 to 64 years (mean: 51 y; median: 56 y).

View Article and Find Full Text PDF

Intestinal Ketogenesis and Permeability.

Int J Mol Sci

June 2024

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, 40530 Gothenburg, Sweden.

Consumption of a high-fat diet (HFD) has been suggested as a contributing factor behind increased intestinal permeability in obesity, leading to increased plasma levels of microbial endotoxins and, thereby, increased systemic inflammation. We and others have shown that HFD can induce jejunal expression of the ketogenic rate-limiting enzyme mitochondrial 3-hydroxy-3-methylglutaryl-CoA synthase (HMGCS). HMGCS is activated via the free fatty acid binding nuclear receptor PPAR-α, and it is a key enzyme in ketone body synthesis that was earlier believed to be expressed exclusively in the liver.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!