6,186 results match your criteria: "Diverticulosis Small Intestinal"

Small-bowel diverticulosis is relatively common, but there is no set treatment strategy for duodenal diverticulitis with stone impaction. A woman aged in her 70s presented with a chief complaint of abdominal pain, and she had been reconstructed by the Roux-en-Y method after total gastrectomy. We performed an enhanced computed tomography which revealed edematous wall thickening of the duodenum.

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Spigelian hernia is an uncommon form of ventral hernia, with an incidence ranging from 0.1% to 2%. This case report describes a 72-year-old female who presented with an obstructed right Spigelian hernia, a left Spigelian hernia, and an uncomplicated Meckel's diverticulum, along with the management approach.

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Complicated small-bowel diverticulosis and the role of Acute Care for the Elderly Unit.

J Family Community Med

October 2024

Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Small-bowel diverticulosis is a rare condition that occurs in older adults. Patients are usually asymptomatic, and some will develop complications such as gastrointestinal (GI) bleeding, intestinal obstruction, diverticulitis, and perforation. This is the case of a 95-year-old male patient with a previous history of heart failure with a preserved ejection fraction of 55%-60% and aortic stenosis since October 2019, atrial fibrillation managed with a permanent pacemaker, oral anticoagulation treatment (which was discontinued due to GI bleeding), hypertension, hypothyroidism, and chronic kidney disease.

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Meckel's diverticulum, the most common congenital anomaly of the gastrointestinal tract, is often asymptomatic. Lack of complete resorption of the omphalomesenteric duct is an important cause of Meckel's diverticulum. Gastrointestinal (GI) bleeding is a major complication of Meckel's diverticulum.

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Meckel's diverticulum is a common congenital malformation of the small intestines. This true diverticulum can lead to complications such as intestinal obstruction, bleeding, and rarely perforation, particularly in adults where the diagnosis is uncommon and often complicated by overlapping symptoms with conditions such as acute appendicitis. Giant Meckel's diverticulum (>5 cm) cases are extremely rare and pose significant clinical challenges due to severe complications.

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Small bowel diverticulosis can occur anywhere in the small bowel but is most common in the duodenum. Jejunoileal diverticulosis is much less common and tends to have a more chronic, nonspecific disease course. In the literature, this condition has a higher incidence in men in their sixth and seventh decades of life.

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Meckel's diverticulum is a true outpouching or diverticulum of the small intestine and is an unusual entity in itself. Typically around 2 inches long, it is usually an incidental finding. Symptomatic patients are mostly children.

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Meckel's diverticulum is a common congenital anomaly of the gastrointestinal (GI) system, which remains asymptomatic unless some complications occur. Littre's hernia is a rare complication of Meckel's diverticulum, where it herniates into the hernial sac. It is difficult to diagnose this condition preoperatively.

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Background: We aimed to present our experience with children with symptomatic omphalomesenteric duct (OMD) anomalies and evaluate the patients' characteristics, treatment, and outcomes.

Methods: Records of children who were operated for symptomatic OMD anomalies in Şanlıurfa Training and Research Hospital between October 2018 and November 2022 were retrospectively analysed.

Results: There were 35 patients with a median age of 31.

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Clinical assessment of small bowel capsule endoscopy in pediatric patients.

Front Med (Lausanne)

October 2024

Department of Gastroenterology, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.

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The biliopancreatic limb (BPL) obstruction occurrence after one-anastomosis gastric bypass (OAGB) has not been well described in the literature. A 65-year-old female with a history of OAGB surgery presented with acute weight loss and abdominal pain. Imaging studies revealed a bezoar in the duodenal diverticulum obstructing the small bowel.

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Proximal jejunal enteroliths, a rare form of small bowel pathology, involve calculi formation within the proximal ileum, leading to complications such as bowel obstruction and perforation. Due to their rarity and nonspecific presentation, enteroliths pose diagnostic and management challenges for clinicians. A 73-year-old male with a history of small intestinal bacterial overgrowth was admitted with acute abdominal pain, small bowel obstruction, and hypovolemic haemorrhagic shock.

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Key Clinical Message: Closed-loop bowel obstruction and contained perforation secondary to acute on chronic jejunal diverticulitis is rare and should be included in the differential diagnosis of acute abdomen. The association between polymyalgia rheumatica and diverticular disease requires further research but may prompt clinicians to consider appropriate therapies in patients with both diseases.

Abstract: Jejunal diverticulosis is a sac-like outpouching of the intestinal wall that can cause complications such as diverticulitis, obstruction, abscess, perforation, or fistula formation.

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Article Synopsis
  • Meckel's diverticulum (MD) is the most common congenital gastrointestinal anomaly, found in about 2% of people, and is rarely symptomatic in adults.
  • This case highlights a 46-year-old male who experienced abdominal pain due to Meckel's diverticulitis, which had formed a fistula with the abdominal wall, and was also found to have a benign inflammatory myofibroblastic tumor (IMT) on imaging.
  • After surgery for the diverticulitis and complications like an anastomotic leak, the patient ultimately recovered, and this case emphasizes the importance of thorough diagnostic work to uncover incidental findings that can impact treatment.
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Background: Similar to colonic diverticula, small-intestinal diverticula are often asymptomatic, but may cause life-threatening acute complications. Non-Meckel's small-bowel diverticular perforation is rare, and the rate of mortality is high. However, there is currently no consensus regarding its therapeutic management.

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Article Synopsis
  • Meckel's diverticulum (MD) is a common birth defect in the gastrointestinal tract that affects about 2% of people, resulting from the incomplete closure of the vitelline duct, and it can cause complications like obstruction and hemorrhage.
  • Diagnosing MD can be tricky due to low sensitivity of imaging techniques, which makes understanding and accurately diagnosing it important for managing potential complications.
  • The text presents two cases: one involving a 73-year-old male requiring surgery for ileostomy closure who was found to have MD during surgery, and another involving a 40-year-old female with severe abdominal pain related to an inflamed MD with a fish bone lodged inside, highlighting the ongoing debate over whether or not to resect
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Article Synopsis
  • An 18-year-old boy had severe stomach pain and was found to have air in his belly, which can mean something is wrong inside.
  • Doctors figured out that he had a problem called perforated Meckel's diverticulum, where a part of his intestine got infected and caused a hole.
  • After some tests and surgery to remove the damaged part of his intestine, the doctors confirmed the issue and showed that doctors need to think about Meckel's diverticulum when young people have these kinds of belly problems.
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Meckel's Diverticulum With Perforation.

Cureus

August 2024

Surgery, AdventHealth, Tampa, USA.

Meckel's diverticulum (MD) is a common congenital defect of the small intestinal tract resulting from incomplete obliteration of the vitellointestinal duct. It presents with unexplained gastrointestinal bleeding, bowel obstruction, and inflammation. In rare instances, the presentation is with perforation similar to acute appendicitis with perforation.

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Enteric Duplication Cyst Associated With Meckel's Diverticulum: A Rare Cause of Acute Abdomen.

J Investig Med High Impact Case Rep

August 2024

Northern Adelaide Local Health Network, Haydown Road, Elizabeth Vale, South Australia.

We report a case of a 26-year-old type 1 diabetic woman presenting with acute lower abdominal pain, bloating, and vomiting. Initial examination revealed right lower quadrant tenderness and a suprapubic mass. Computed tomography (CT) imaging identified a 12-cm cystic structure suggestive of a dilated bowel loop with an adjacent inflamed 7-cm small bowel segment.

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Perforated duodenal diverticulum treated conservatively.

BMJ Case Rep

August 2024

St John of God, VIC, Geelong, Victoria, Australia.

Perforation is the rarest complication of duodenal diverticulum but also one of its most serious complications. Mortality rate was reported to up to 30%. Clinical diagnosis is usually vague and non-specific.

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While bowel obstruction is the most common surgical disorder of the small intestine, small bowel obstruction due to Meckel's diverticulum is a relatively rare occurrence. We encountered a compelling case of small bowel obstruction that turned out to be more complex than anticipated, involving a Meckel's diverticulum with some unforeseen findings. We followed standard guidelines for history-taking, examination, investigations, and management of the intestinal obstruction.

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Article Synopsis
  • - Heterotopic pancreas is a rare congenital condition where pancreatic tissue is found in unusual locations, with the stomach and duodenum being the most common sites!* - A 49-year-old patient experiencing obstructive jaundice was diagnosed with an ampullar heterotopy of pancreatic tissue, which was initially mistaken for a cancerous tumor!* - The patient underwent a Whipple pancreatoduodenectomy surgery and recovered well, with bilirubin levels returning to normal within the first week after the operation!*
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Background: Heterotopic gastric mucosa (HGM) can be located in various parts of the gastrointestinal tract. As a rare anomaly in the small intestine, it can become complicated by intussusception, obstruction, gastrointestinal bleeding, and even peritonitis, leading to death.

Case Presentation: This case report focuses on a 12-year-old Middle Eastern boy who presented with hematochezia and abdominal pain for a couple of days.

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Article Synopsis
  • - The study aimed to evaluate how effective contrast-enhanced CT scans are in diagnosing small bowel bleeding by analyzing patient data over nearly a decade, categorizing cases into diverticulum and non-diverticulum groups based on the cause of bleeding.
  • - Among 165 patients, nearly half showed active bleeding, with Crohn's disease being the most common source; significant differences were noted in diagnostic methods, with surgery mainly used for diverticulum cases and endoscopy for non-diverticulum cases.
  • - The results highlighted that CT scans were particularly useful for detecting diverticular bleeding, showing higher rates of contrast material leakage in these patients compared to others.
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