10,465 results match your criteria: "Obstruction Large Bowel"

Background: Kaposiform hemangioendothelioma is a rare vascular tumor primarily occurring in infants and children. The most common sites for kaposiform hemangioendothelioma are extremities, with very few cases of abdominal kaposiform hemangioendothelioma reported in neonates. Making a diagnosis of Kaposiform hemangioendothelioma can be challenging when the patient presents with generalized symptoms such as bilious vomiting and constipation that can be attributed to other more common causes of intestinal obstruction.

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Background: Malignant bowel obstruction (MBO) is a common complication in advanced and recurrent gynecologic malignancies, with limited treatment options and poor prognosis. Self-expanding metallic stent (SEMS) insertion has emerged as an alternative palliative measure, yet data specific to gynecologic malignancies remains scarce.

Methods: A retrospective analysis was conducted on 61 patients with gynecologic malignancies and malignant large bowel obstruction who underwent colorectal stenting between January 2002 and December 2023.

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Background: Hypermagnesemia is a rare complication, leading to fatal cardiovascular and respiratory conditions. We present severe hypermagnesemia developed in a patient with a rectal stenosis after pretreatment with oral magnesium citrate for rectosigmoid surgery.

Case Presentation: A 78-year-old woman demonstrated consciousness disturbance, muscle weakness, and respiratory depression requiring tracheal intubation after preparation with oral magnesium for rectosigmoid surgery.

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Lumbar hernia (LH) is a rare abdominal wall hernia that occurs within the anatomic boundaries of the 12th rib, iliac crest, external oblique muscles, erector spinae muscles, and vertebral column. Secondary LH after urological surgery is rare, and the limited evidence hinders consensus on optimal surgical treatment. Here, we present a case of laparoscopic intraperitoneal onlay mesh (IPOM) repair for a large, symptomatic secondary LH after retroperitoneoscopic nephrectomy (RN) with mid-term postoperative outcomes.

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Background: Lower gastrointestinal perforation (LGP) is an acute abdominal condition associated with a high mortality rate. Timely and accurate diagnosis is crucial. Nevertheless, a diagnostic delay has been estimated to occur in approximately one-third of the cases, and the factors contributing to this delay are yet to be clearly understood.

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Introduction: Ulcerative colitis (UC) is a chronic intestinal disease characterized by spleen-lung qi deficiency and dampness-pathogenic obstruction. Although there are various treatment options available, patients frequently encounter significant drug-related side effects. Previous studies have shown the potential of A (CPA) in treating UC, but their limited bioavailability has restricted their clinical use.

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Introduction And Importance: Cecal volvulus is an uncommon cause of large bowel obstruction that typically presents in older adults with a history of chronic constipation or prior abdominal surgery. However, this report documents a rare and atypical case of cecal volvulus presenting in a middle-aged female with no significant past medical or surgical history. This case also highlights the benefits of adopting a synergistic approach between a physician's clinical judgment and the patient's presentation when making a diagnosis to ensure timely interventions and prevent life-threatening complications.

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Introduction And Importance: This case report aims to highlight the clinical presentation, diagnostic challenges, surgical intervention, and subsequent management strategies of ISK during Ramadan fasting.

Case Presentation: 52-Year-old male with a three-day history of symptoms of intestinal obstruction. He complained of abdominal distention, vomiting, and absolute constipation.

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Quantitative proteomics analysis reveals the pathogenesis of obstructed defecation syndrome caused by abnormal expression of dystrophin.

World J Gastroenterol

December 2024

Department of Colorectal and Anal Surgery (Clinical Center for Pelvic Floor Surgery), Clinical Center of Constipation and Pelvic Floor Disease of Wuhan, Hubei Key Laboratory of Intestinal and Colorectal Diseases, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health Commission of Hubei Province, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.

Background: Obstructed defecation syndrome (ODS) represents the most prevalent form of chronic constipation, affecting a diverse patient population, leading to numerous complications, and imposing a significant burden on healthcare resources. Most ODS patients have insufficient rectal propulsion, but the exact mechanism underlying the pathogenesis of ODS remains unclear.

Aim: To explore the molecular mechanism underlying the pathogenesis of ODS.

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Background: The co-occurrence of deep vein thrombosis with vascular aneurysms, whether venous or arterial, seems to be uncommon. This case report details a patient who experienced an isolated rupture of the right common iliac aneurysm 1 year after a deep vein thrombosis episode.

Case Presentation: A 20-year-old Iranian female with a history of deep vein thrombosis DVT was treated with rivaroxaban but later presented with a ruptured right common iliac aneurysm.

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Article Synopsis
  • - Intestinal obstruction (IO) is a serious surgical issue mostly caused by adhesions, hernias, and tumors, and is linked to high rates of complications and death, particularly in men.
  • - A study over three years at a hospital in Somalia showed that most patients presented with symptoms like nausea and abdominal distension, requiring surgery for 95.1% of cases, with a notable rate of postoperative infections.
  • - The findings indicate that small bowel obstructions, mainly due to adhesions and hernias, are more common than large bowel obstructions, highlighting the need for urgent surgical intervention and more research for better treatment outcomes.
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Article Synopsis
  • - Small bowel intussusception in adults is rare and can be caused by small bowel polyps.
  • - This case report discusses an adult patient who experienced jejunojejunal intussusception due to a large polyp in the jejunum.
  • - The polyp served as the lead point for the intussusception, illustrating a specific cause of this condition in adults.
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Introduction: Colonic bezoars are undigested or partially digested materials that accumulate in the form of a mass in the colon. There are occasional reports of constipation and intestinal obstruction due to geophagia or pica. Bezoars are due to pica, which is commonly associated with iron deficiency anemia and psychiatry disorders.

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A systematic review of the clinical treatment of patients with fecal incontinence by artificial anal sphincter.

Tech Coloproctol

December 2024

Institute of Rehabilitation Engineering and Technology, School of Health Science and Engineering, University of Shanghai for Science and Technology, Jungong Road 516, Shanghai, 200093, China.

Background: This study aimed to evaluate and compare the safety and efficacy of artificial anal sphincters in clinical practice.

Methods: A systematic review of literatures on artificial anal sphincters in PubMed, MEDLINE, EMBASE, Web of Science, and the Cochrane Library was performed. The literature was reviewed three times by several independent investigators, resulting in the identification of 47 studies that met the inclusion criteria.

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Article Synopsis
  • Gallstone ileus is a rare cause of bowel obstruction that can be difficult to diagnose due to its vague symptoms and the inconsistent presence of Rigler's triad, which includes pneumobilia, bowel obstruction, and ectopic gallstone.
  • An 80-year-old woman with abdominal pain was diagnosed with gallstone ileus after a CT scan showed pneumobilia and a calcified mass in the small bowel, which matched earlier images of a large gallbladder mass.
  • The case demonstrates the need for healthcare professionals to review past imaging when diagnosing gallstone ileus, highlighting the value of an integrated electronic medical record system to improve diagnostic accuracy.
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Acute 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.
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Intestinal intussusception: Uncommon occurrence in a 25-year-old female: A case report.

Int J Surg Case Rep

December 2024

Department of Surgery, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran. Electronic address:

Article Synopsis
  • Intestinal intussusception is a rare condition in adults, especially in young females, characterized by one part of the intestine folding into another, causing bowel obstruction and potential blood supply issues.
  • A case report details a 25-year-old female who experienced severe abdominal pain and vomiting; imaging revealed intussusception and a right appendiceal cyst, leading to surgical treatment after conservative methods failed.
  • The case underscores the need for quick diagnosis using imaging techniques like CT scans for intussusception in adults, emphasizing that early intervention is crucial for effective management.
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Article Synopsis
  • * It presents a specific case of an 89-year-old man with SBO due to jejunal adenocarcinoma that invaded hernia mesh from previous surgery, highlighting how his cancer and prior treatments contributed to the obstruction.
  • * The findings suggest a complex relationship between surgical history, cancer progression, and SBO, emphasizing the need for careful management due to the significant healthcare costs associated with these conditions.
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An 80-year-old woman presented to our hospital complaining of nausea and abdominal distention. An abdominal computed tomography scan revealed wall thickening of the small intestine, a dilated oral intestinal tract, swollen intra-abdominal lymph nodes, and splenomegaly. Moreover, the soluble interleukin-2 receptor level was increased at 2,120 U/mL.

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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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Chronic Gallstone Ileus Presenting as Acute Small Bowel Obstruction: A Case Study.

Am J Case Rep

November 2024

Department of Medicine, VA Sierra Nevada Health Care System, Reno, NV, USA.

Article Synopsis
  • Gallstone ileus is a rare type of intestinal blockage characterized by the Rigler's triad, which includes small bowel obstruction, air in the biliary tract, and an obstructing gallstone, though not all cases display these signs.
  • In this case study, a 71-year-old man experienced abdominal pain, constipation, and distension, leading to the discovery of a long-standing gallstone in his small bowel, initially seen 4 years earlier on imaging.
  • Surgical intervention involved laparoscopic removal of the gallstone, which was found encased in fecal material, and the patient made a successful recovery without complications.
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Effects of Novel Cross-Linked Chondroitin Sulfate (SI-449) as a Postoperative Anti-Adhesion Barrier.

J Surg Res

December 2024

Central Research Laboratory, Research & Development Division, Seikagaku Corporation, Tokyo, Japan. Electronic address:

Introduction: Postoperative adhesion often develops as a natural physiological response following abdominal and pelvic surgeries. Although existing resorbable adhesion barriers have reduced the incidence of postoperative adhesion formation, their clinical efficacy requires improvement. In this study, we generated a novel cross-linked, powder-formed chondroitin sulfate (SI-449) as an effective postoperative anti-adhesion barrier.

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Introduction: Colorectal cancer stands as a predominant cause of cancer-related mortality worldwide. Despite progressive strides in surgical methodologies, the specter of postoperative complications is very large, significantly impacting both morbidity and mortality rates. This review aims to meticulously examine existing scholarly works to gauge the prevalence, severity, and therapeutic approaches to postoperative complications arising from colorectal cancer surgeries.

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A Rare Case of Metastatic Adenocarcinoma Masquerading as Disseminated Tuberculosis.

Cureus

October 2024

Respiratory Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Dr. D Y Patil Vidyapeeth (Deemed to be University), Pune, IND.

A 68-year-old female with no known comorbidities presented with a three-month history of abdominal pain, nausea, vomiting aggravated by food intake, dry cough, gastro-oesophageal reflux disease, breathlessness, low-grade fever, and significant weight loss. Initial investigations including a plain radiograph of the erect abdomen and contrast-enhanced computed tomography abdomen showed irregular concentric thickening of the large bowel along with proximal dilation of small bowel loops which was suggestive of subacute intestinal obstruction secondary to abdominal tuberculosis (TB). The patient also complained of persistent dry cough for which a chest radiograph and computed tomography (CT) thorax were done which showed features suggestive of pulmonary TB.

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