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[Recent viewpoints concerning the treatment of intestinal obstruction].
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Upper intestinal obstruction in infancy and childhood. Presenting a case of malrotation of the intestine.
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[Three rare cases of intestinal obstruction].
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The diagnosis of intestinal obstruction.
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[209 Cases of intestinal obstruction].
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[Present state of the problem of acute intestinal obstruction].
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[Prenatal diagnosis: intestinal obstruction].
We present 4 cases of fetal intestinal obstruction and their ultrasonographical findings. With regard to the reported cases we discuss the diagnostic and differential-diagnostic considerations of this rare but not uncommon fetal malformation.
Enterolithiasis as a cause of intestinal obstruction.
Enteroliths are an uncommon cause of intestinal obstruction. We report two patients in whom this occurred. Conditions causing stasis predispose formation of enteroliths, which may be either radiopaque or radiolucent. They have a characteristic appearance on plain radiographs and on contrast examinations. Early recognition is helpful in preventing complications.
An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature.
Abdominal cocoon is a rare cause of intestinal obstruction. The abdominal cocoon is probably a developmental abnormality, largely asymptomatic, and is found incidentally at laparotomy or autopsy. Pre-operative diagnosis cannot be often made correctly. This rare entity of intestinal obstruction has been described in the whole literature as a thick fibrotic sac covering the small bowel partially or completely. The etiology of abdominal cocoon is unknown and most often it is found in adolescent girls from tropical or subtropical countries. Complete recovery is generally expected after the removal of the membrane surgically. This paper reports a male patient who has had intestinal obstruction symptoms and has per-operatively been diagnosed as abdominal cocoon.
Food as a cause of small intestinal obstruction. A report of five cases without previous gastric surgery.
The clinical and roentgenographic findings in five patients with small intestinal obstruction caused by food impaction are presented. None had undergone previous gastric surgery. While the clinical features are those of small intestinal obstruction, an upper gastrointestinal study may demonstrate the exact site and nature of the obstruction.
CT analysis of intestinal obstruction due to adhesions: early detection of strangulation.
We evaluated the CT of intestinal obstruction due to adhesions in 20 postoperative patients, with emphasis on early detection of strangulation. Ten patients with surgically proven strangulated obstruction (strangulation group) were compared with another ten patients (nonstrangulation group) in whom seven improved with conservative management and three had confirmed simple obstruction on surgical exploration. Beak-like luminal narrowing ("beak") was the most common CT finding at the obstructed site in both groups. The CT findings that suggested strangulated obstruction were serrated beaks, mesenteric edema or vascular engorgement, and moderate to severe bowel wall thickening. In contrast, simple obstruction could be assumed when the beak was smooth, there were no mesenteric changes, and the bowel wall was normal or mildly thickened. Computed tomography is a useful tool for detecting strangulation in patients with postoperative adhesive intestinal obstruction.
Tropical surgical abdominal emergencies: acute intestinal obstruction.
In a prospective evaluation of acute intestinal obstruction in emergency surgery, 3550 consecutive patients were studied. In the vast majority of patients (75%), obstruction was due to the external hernia, the inguinal hernia being by far the commonest type. However, the ascaris worm in children, volvulus of the sigmoid colon in adults, and intussusception in both children and adults, were significant causes of the disorder, and together accounted for 18% of the patients. Obstruction by the ascaris worm is easy to diagnose (by stool microscopy), and effective treatment (with antihelminthics) is readily available and cheap. A large number (90%) of the volvulus patients required resection for gangrene of the colon, thus arguing a strong case in support of laparotomy and inspection of the colon whenever feasible. A significant (41%) proportion of intussusception cases were adult, and in 33% of this group the lesion was associated with a tumour of the small bowel. The chief reason for death (10%) was late reporting to hospital.