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At least 307 records · Page 17Linked to original sources
PubMed1996

Acute arterial thrombosis of the lower extremities due to prolonged intestinal obstruction.

A case of a female patient who was admitted urgently with intestinal obstruction, peripheral shock, hypovolemia and acute ischemia of the lower extremities is presented. The ischemia of the lower extremities had developed due to low cardiac output following extensive dehydration caused by a prolonged intestinal obstruction from a cholelith. Although this pathogenetic mechanism of acute ischemia of the lower extremities is well known, this characteristic case is, nevertheless, presented to alert the clinician of this situation.

Acute Disease↗
PubMedDate not supplied

[Intestinal obstruction secondary to biliary ileus].

OBJECTIVE: To discuss diagnostic and therapeutic implications of gallstone ileus and to report the case of a patient seen at our Hospital due to an intestinal obstruction secondary to gallstone ileus. REPORT: A 63 years old male with intestinal obstruction secondary to gallstone ileus. Several studies were performed, such as panendoscopy, upper gastrointestinal series, and intestinal transit with poor results preventing a definitive diagnosis. For this reason, the patient underwent an exploratory laparotomy, which showed in this a grant gallstone in a giant jejunum. TREATMENT: Enterotomy, gallstone extraction, and enteroraphy. COMMENT: The intestinal obstruction secondary to gallstone ileus is a clinical entity of difficult diagnosis. Accompanying studies usually have low sensibility because other pathologic entities are considered prior to thinking of ileus gallstone.

Cholelithiasis↗
PubMed1978

Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon.

Ten cases of small intestinal obstruction seen over a period of 6 years (1971-6) in young girls within the narrow age range of 13-18 years are described. The patients were all within 2 years of menarche. In all these cases the obstruction was due to a membrane encasing the small intestine in the manner of a cocoon. There was no previous history of abdominal operation, peritonitis or prolonged drug intake. The clinical features, operative findings and management of the cases are presented. Possible causes of the condition are discussed. In view of the similar clinical presentation in all these patients, their conditions can be grouped as a clinical entity--'the abdominal cocoon'.

Adolescent↗
PubMed1980

[Acute intestinal obstruction as a complication of colonic cancer].

The authors report their observations of 164 patients with cancer of the colon, complicated by an acute intestinal obstruction, operated upon on urgent indications. Radical surgery was performed in 73 patients, the postoperative mortality being 31.5%. Palliative operations were performed in 91 patients, the mortality--60%. Rather short terms of the development of acute intestinal obstruction necessitate the accomplishment of one-movement operations with the mandatory decompression of the small intestine. In patients with long term intestinal obstruction the Zeidler-Schlotter operation should be preferred.

Acute Disease↗
PubMedDate not supplied

Wangensteen's transformation of the treatment of intestinal obstruction from empiric craft to scientific discipline.

Dr. Owen Wangensteen, who is considered by many to be the greatest surgical educator of the 20th century, is recognized for his revolutionary studies of intestinal obstruction. He defined the criteria for the early diagnosis of intestinal obstruction with the aid of a stethoscope and X-ray examination. Moreover, be discovered that suction through a nasal catheter extended to the stomach could relieve the distention by gas as effectively as enterostomy. In his innovative studies, Dr. Wangensteen reduced the mortality from intestinal obstruction from more than 60% to 5%.

General Surgery↗
PubMed1986

Intestinal obstruction in cancer patients. An assessment of risk factors and outcome.

Eighty-four patients with a total of 104 admissions for intestinal obstruction who each also had a history of cancer had their records reviewed to determine what variables, if any, would help predict outcome. Multivariate discriminate analysis was used to assign the patient into one of three outcome possibilities: 1) alive and well, 2) alive with intestinal obstruction, and 3) dead. The computer accurately assigned outcome 71 per cent of the time. Twenty-four per cent of the patients had no cancer found at laparotomy, and had good results. Patients with carcinomatosis did poorly. Females fared much better than males. The natural history of patients with intestinal obstruction and cancer is that about 35 per cent leave the hospital eating normally, 20 per cent are alive but unable to eat, and 45 per cent die on the same hospital admission or shortly thereafter.

Adult↗
PubMed1996

Small intestinal metastasis from esophageal carcinoma associated with small intestinal obstruction: report of a case.

The small intestine is rarely involved with metastatic tumors from outside the abdomen, and few case reports have been documented in the literature. We describe herein what to our knowledge is the third case of a solitary metastasis from squamous cell carcinoma (SCC) of the esophagus being found in the jejunum, causing small intestinal obstruction.

Carcinoma, Squamous Cell↗
PubMed1993

The abdominal cocoon--an unusual cause of intestinal obstruction in adolescents.

The abdominal cocoon is a rare cause of intestinal obstruction in adolescent girls caused by encasement of the small intestine in fibrous tissue. Only 15 cases have been reported in the English literature so far. This is a report of another two patients managed at the Aga Khan University Hospital. The correct diagnosis is often not suspected, resulting in delays in the treatment of this condition. Following simple surgical release of the entrapped bowel, these patients do well.

Adolescent↗
PubMed1975

[Experimental study of selective mesentericography in acute intestinal obstruction].

Experimentally on 76 animals (dogs) the authors have studied some diagnostic opportunities of angiography in various forms of acute intestinal obstruction: strangulation, obturation and paralytic (in peritonitis) types. Angiographic symptoms of an organic origin proved to be mainly typical for strangulation obstruction. Symptoms of a functional character reflecting disorders in mesenteric hemocirculation were found to be equally pronounced in all kinds of intestinal obstruction, these consisted in a retarded linear rate of arterial and venous blood flow, in particular.

Acute Disease↗
PubMed1994

[Intestinal obstruction due to lupin phytobezoar in a child].

Phytobezoar is a rare cause of intestinal obstruction in children. A 7-year-old boy was operated on for intestinal obstruction due to a phytobezoar. An exceptionally large amount of Lupin seeds had been eaten a few hours before the onset of pain. lupin seeds have not been documented as a cause of phytobezoar.

Bezoars↗
PubMed1999

Intestinal obstruction in the elderly. Prognostic factors of mortality.

OBJECTIVES: To analyze mortality-related factors in elderly patients who were operated on for intestinal obstruction, and to determine whether advanced age worsened the morbidity and mortality rates. METHODS: In this prospective study we analyzed 188 patients older than 69 years who were operated on for intestinal obstruction. Group 1 consisted of 82 patients aged between 70 and 79 years, and group 2 consisted of 106 patients aged 80 years and older. We compared the distribution of clinical features and outcomes between the two groups, and determined factors related with mortality (chi-squared test with Yates' correction, Student's t test and multiple logistic regression analysis). RESULTS: The incidence of heart disease was 11% in group 1 and 35% in group 1 (p = 0.0003). There was no difference between the groups in any of the other factors analyzed. Univariate analysis identified as mortality-related factors perianesthetic risk (American Society of Anesthesiologists' Physical Status classification) (p = 0.0005), presence of metastases (p = 0.0001) and delay in surgery (t value = 3.043, p = 0.0027). CONCLUSIONS: Mortality due to surgery for intestinal obstruction in elderly patients is related to perianesthetic risk and delay in surgery. Older age does not increase the morbidity or mortality rates for this type of surgery.

Age Distribution↗