Objectives: The aim of this study was to detect the onset, evolution, and meaning of extraluminal free fluid in a rat model of small-bowel obstruction using high-frequency microsonography.
Methods: Small-bowel obstruction was surgically created in 8 rats divided into 2 groups of 4 rats each. All rats were examined by high-frequency microsonography to monitor the evolution of small-bowel obstruction and the abdominal sonographic findings. In group 2 rats, the obstruction was resolved 2 hours after surgery.
Results: In all rats, free peritoneal fluid was detected just near the obstructed loop after 1 hour and in the hepatorenal recess after 2 hours. These features progressively increased in the following hours in group 1 rats. In group 2, the amount of free fluid decreased shortly after removing the obstruction.
Conclusions: Free fluid is an early finding in small-bowel obstruction, and the increase or decrease of its amount is correlated with the worsening or resolution of the obstruction.
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http://dx.doi.org/10.7863/ultra.33.5.887 | DOI Listing |
J Surg Res
January 2025
Center for Injury Science, University of Alabama at Birmingham, Administration Bldg, Birmingham, Alabama. Electronic address:
Introduction: The management of adhesive small-bowel obstruction (aSBO) continues to have wide variation, with no one management strategy accepted as the optimal. The first objective was to evaluate the methods of management and the variations in the management of aSBO at our institution and evaluate the outcomes of those management strategies. The second objective was to compare our outcomes to those of a published study by which patients were managed using an institutional protocol for aSBO.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Ministry of Heath-Jordan, Jordan.
Introduction And Importance: Stricture formation is a well-known Crohn's disease consequence that usually results from recurrent cycles of inflammation and healing and primarily affects the small intestine.
Case Presentation: In this report, we describe the case of a 35-year-old male with an 18-year history of Crohn's disease complicated by long-kinked ileal stricture who presented with a 3-month history of subacute small intestinal obstruction diagnosed with MR enterography and underwent failed medical treatment.
Clinical Discussion: The patient, a male showing signs of wasting due to a prolonged subacute small intestinal obstruction, underwent an MR enterography which revealed a 6-cm kinked ileal stricture.
World J Gastrointest Surg
January 2025
Department of General Surgery, Tianjin Xiqing Hospital, Tianjin 300100, China.
Background: Petersen's hernia occurring through the epiploic foramen of the greater omentum, is an uncommon type of internal hernia. When it presents with complications such as chylous ascites, which is the lymphatic fluid accumulation in the abdominal cavity, it is particularly rare. Following laparoscopic total gastrectomy and Roux-en-Y anastomosis, the incidence of this condition is exceedingly low.
View Article and Find Full Text PDFPediatrics
January 2025
Johns Hopkins University, Baltimore, Maryland.
Water beads are superabsorbent polymer balls. They were originally marketed for agricultural and decorative applications and are now sold as sensory toys. They can be harmful to children in 2 ways.
View Article and Find Full Text PDFClin Case Rep
February 2025
Student Research Committee, School of Medicine Alborz University of Medical Sciences Karaj Iran.
Fasciitis and abdominal abscess, followed by bowel obstruction could be the first manifestation of a silent perforated appendicitis. So, clinicians should evaluate the patient's complete clinical picture to prevent misdiagnoses and delays in care.
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