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Utility of Abdominal Radiographs After Posterior Spinal Fusion for Neuromuscular Scoliosis.
J Clin Med
January 2025
Jackie and Gene Autry Children's Orthopedic Center, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.
Postoperative ileus, the temporary cessation of gastrointestinal motility leading to accumulation of fluid and gas in the bowel, is a common complication following posterior spine fusion (PSF) in patients with neuromuscular scoliosis (NMS). Abdominal radiographs (KUBs) are often ordered to differentiate between ileus and mechanical obstruction but expose patients to radiation, add cost, and may lead to unnecessary work up. The aim of this study was to determine how often KUBs led to a change in treatment after PSF in patients with NMS.
View Article and Find Full Text PDFIntestinal Pseudo-Obstruction After Vincristine Use.
Cureus
November 2024
Department of Intensive Care Medicine, Centro Hospitalar Universitário de São João, Porto, PRT.
A 73-year-old man presented with nausea, abdominal discomfort, and distention persisting for the past five days. He had previously been diagnosed with stage III peripheral CD4+ T cell lymphoma and had initiated chemotherapy comprising vincristine two weeks prior to presentation. An evaluation revealed diffuse colon distention and pneumatosis intestinalis without mechanical obstruction, consistent with acute colonic pseudo-obstruction.
View Article and Find Full Text PDFAcute Large Bowel Obstruction Post Umbilical Hernia Repair Surgery: A Case Report.
Cureus
October 2024
Surgery, Bakersfield Memorial, Bakersfield, USA.
Article Synopsis
- - Large bowel obstruction (LBO) is relatively rare, often caused by colorectal adenocarcinoma, and it typically presents with symptoms like abdominal pain, constipation, and nausea; a CT scan is crucial for diagnosis.
- - A case study of a 41-year-old male showed severe LBO after a hernia repair, requiring emergency surgery due to findings of a blocked sigmoid colon and complications like pneumatosis.
- - Diverticulitis, which is increasingly affecting younger individuals, can lead to bowel obstructions and serious complications; educating all patients about risk factors, including diet and surgical history, is important.
Acute gastric volvulus combined with pneumatosis coli rupture misdiagnosed as gastric volvulus with perforation: A case report.
World J Gastrointest Surg
October 2024
Department of General Surgery, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China.
Article Synopsis
- Acute gastric volvulus is a rare and challenging surgical condition that can lead to serious complications like gastric ischemia and necrosis if not diagnosed early.* -
- The case involves a 67-year-old woman with symptoms of abdominal distension and retching, where imaging revealed free air in her abdomen but no typical signs of perforation.* -
- Endoscopic treatment effectively restored normal organ positions, and the presence of free air was linked to potential colonic air cyst rupture, highlighting the importance of considering other causes when diagnosing gastric torsion.*
Unusual partners: a rare cause of small bowel bulges and a common cause of anemia.
Rev Esp Enferm Dig
October 2024
Gastroenterology, Unidade Local de Saúde do Alto Ave, Portugal.
Article Synopsis
- * Imaging showed intestinal pneumatosis in her proximal jejunum and right colon, and upper endoscopy diagnosed non-atrophic gastritis with an H.pylori infection, which was treated.
- * A small bowel capsule endoscopy and enteroscopy revealed bulging areas in the bowel, which were treated successfully using coagulation and clips, resulting in the patient being asymptomatic and free from anemia after six months.
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