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PubMedDate not supplied

[Acute intestinal obstruction provoked by intraperitoneal secretion of ovarian tumor. A clinical case].

We report here of the case of a 53-year-old woman who presented with intestinal obstruction without response to medical treatment. Exploratory laparotomy produced a moderate quantity of yellowish-green liquid and agglutination of semi-dough-like material. Separation of the flaps of intestine and colon was easily done by the fingers. A grayish white mass of 10 x 15 cm was seen in the left annex, with a perforation which released the semi-dough-like material. Wide resection of the corresponding annex was carried out. Anatomopathologic examination revealed malignant thecoma with resected free borders of at least 2 cm which was moderately differentiated. Because endometrial biopsy was normal, we decided against further hysterectomy. The patient was referred to an oncologist who did not recommend chemotherapy. The patient was reviewed one year later and was found to be free of tumor and in good condition although with some evidence of occlusive blocking. There have been only four similar cases in the literature in which intestinal obstruction by the same mechanism appeared, also indicating that the finding of malignant thecoma is rare.

Acute Disease↗
PubMed1986

Diagnosis and management of intestinal obstruction in individuals with cancer.

Small bowel obstructions, which account for two-thirds of all intestinal obstruction, are caused by adhesions, hernias and cancer. Large bowel obstructions are usually the result of a malignancy, but may also be caused by diverticulitis or volvulus. Previously treated individuals with a known diagnosis of advanced cancer originating in the pelvis are at highest risk for developing intestinal bowel obstruction. Since 30 percent of Americans will develop cancer in their lifetimes, and colorectal cancer is the most common type, this represents a significant population at risk to be followed by nurse practitioners. The pathophysiology, assessment and management of an individual with a bowel obstruction is reviewed. Morbidity and mortality in this population is high. Wound healing problems, including infection, dehiscence, evisceration and fistula formation, contribute significantly to the morbidity and can cause long-term problems. In today's health care system, it's likely that patients will be discharged from the hospital earlier after bowel surgeries. Therefore, nursing care focusing on wound management is outlined.

Humans↗
PubMed2004

Treatment of resistant distal intestinal obstruction syndrome with a modified antegrade continence enema procedure.

We report a case of a patient with CF who had a long history of recurrent distal intestinal obstruction syndrome. She had been treated with conventional treatment including gastrografin, n-acetyl cysteine, Klean prep and Picolax. She underwent a modified antegrade continence enema procedure. She currently irrigates her conduit every 2-3 days. She has had no further symptoms of distal intestinal obstruction syndrome.

Adolescent↗
PubMed1965

LATE INTESTINAL OBSTRUCTION IN PATIENTS SURVIVING NEONATAL MECONIUM ILEUS.

Two of 15 children who survived neonatal meconium ileus had "meconium ileus equivalent." They were treated with hydration, pancreatic enzyme therapy and antibiotics. One of these children died from pulmonary disease at the time of the bowel obstruction. The survival rate of infants with meconium ileus is steadily improving because of prompt operative intervention, better preoperative and postoperative care and long-term treatment with enzyme supplements and antibiotics. Late intestinal obstruction due to adhesive bands, volvulus, intussusception or "meconium ileus equivalent" may occur in children previously treated for meconium ileus of infancy. The omission of pancreatic enzyme supplementation and the occurrence of respiratory infections are frequently associated with "meconium ileus equivalent."In this series of patients four of the infants treated surgically for neonatal meconium ileus died in the early postoperative period.

Anti-Bacterial Agents↗
PubMed1996

Intermittent subacute intestinal obstruction due to a giant lipoma of the colon: a case report.

A case with intermittent subacute intestinal obstruction due to a giant lipoma of the colon is reported. A 57-year-old woman presented with intermittent pain in the central abdomen and clinical findings of subacute intestinal obstruction. She had had similar symptoms for the last five years. She was diagnosed to have a large polypoid lesion in the ascending colon on barium enema in 1990. However, no surgical treatment was offered to her at that time. At laparotomy, a 16 cm x 11 cm x 11 cm polypoid mass on a 3 cm long stalk in the ascending colon causing colo-colonic intussusception was seen. Subtotal colectomy was performed. Histology showed submucosal colonic lipoma.

Colectomy↗
PubMed2004

Abdominal cocoon. An unusual cause of intestinal obstruction.

We report a case of abdominal cocoon in a young male patient, presenting with acute intestinal obstruction and abdominal mass. This is a rare acquired condition of the peritoneum in which the small bowel is encased either partially or totally by a dense fibrous membrane. Operative findings, perioperative imaging and treatment guidelines are discussed. A better awareness of this condition may facilitate preoperative diagnosis; prevent inadvertent bowel damage at laparoscopy and unnecessary bowel resection at laparotomy.

Adult↗
PubMed1985

Intestinal obstruction due to schistosomiasis.

We have described a patient with intestinal obstruction caused by schistosomiasis but closely resembling colon carcinoma. The cause, demography, pathologic characteristics, and clinical management of the disease caused by Schistosoma mansoni are reviewed.

Colon↗
PubMed1956

Intestinal obstruction in the newborn.

Any newborn who continues to vomit in the first few days of life, particularly if the vomitus contains bile and if the abdomen is distended, should have immediate investigation because intestinal obstruction in the newborn is a fatal condition unless promptly recognized and surgically corrected. The most common cause of obstruction at this age is atresia and the simplest possible surgical procedure which adequately corrects this deformity should be done. It is also possible to successfully correct the obstruction caused by other congenital deformities such as annular pancreas and meconium ileus. Although prematurity is a definite factor in the outcome, intestinal obstruction in the newborn can be corrected with a surprisingly low mortality. Occasionally unusual methods are needed to tide these infants over the critical period of postoperative care.

Child↗
PubMed2006

Mesocolic hernia: a rare cause of intestinal obstruction in childhood.

Mesocolic hernia is a rare cause of intestinal obstruction in children. The diagnosis involves a high index of suspicion and prompt intervention to prevent strangulation and a high morbidity. The embryological basis of the condition is of paramount importance to assist the eventual surgical correction.

Child↗
PubMed1984

[Cholelithic intestinal obstruction].

Analysis of the treatment of 25 patients with cholelithic intestinal obstruction is given. Questions of etiology, variants of the development, clinical course, diagnosis, operative treatment of the cholelithic ileus, causes of lethal outcomes are discussed. The authors propose measures of prophylactics .

Aged↗
PubMed2004

Intestinal obstruction in the terminal ileum caused by an anomalous congenital vascular band between the mesoappendix and the mesentery: report of a case.

We report a case of intestinal obstruction caused by a congenital abnormal vascular band in a 17-year-old boy. The patient was admitted with acute colicky abdominal pain, and an emergency laparotomy revealed that the ileum was strangulated by a fibrous band with vessels about 2 mm in diameter and 7 cm in length, extending from the antemesenterium of the terminal ileum to the mesoappendix. The affected intestine was resected with the band and the appendix. Histologically, the fibrous band was composed of loose connective tissue containing arteries, veins, and nerve fibers, suggesting that it was congenital and originated from a remnant of the ventral mesentery in the embryonic period. There have been few reports of intestinal obstruction being caused by a congenital vascular band, especially in patients beyond the pediatric age group.

Abdominal Pain↗
PubMed1989

Simple intestinal obstruction causes bacterial translocation in man.

Indirect clinical evidence has accumulated indicating that the gut may be a reservoir for microorganisms causing systemic infection in man. Our experimental results, in a variety of animal models, demonstrate that bacteria can translocate across the mucosal barrier and cause systemic infections. To determine directly whether bacterial translocation occurs in man, we cultured mesenteric lymph nodes (MLNs) obtained at laparotomy from 42 patients, none of whom were clinically infected. Ten (59%) of 17 patients with intestinal obstruction (none of whom had necrotic bowel) had bacteria in their MLNs, in contrast to one (4%) of 25 patients operated on for other reasons. The most common bacteria cultured from the MLNs was Escherichia coli. Thus, it appeared that simple intestinal obstruction of the colon or small bowel in the absence of necrotic bowel was associated with bacterial translocation.

Adult↗
PubMed1978

[Neonatal functional intestinal obstruction of unknown etiology (author's transl)].

Three cases of newborn intestinal obstruction without obvious organic cause are reported. Narrow left colon (Davis's syndrome), small colon, megacystis and intestinal hypoperistaltism (Berdon's syndrome) and segmental bowel dilatation (Swenson's syndrome) were the diagnoses. Through a review of the literature a possible interrelationship among these three clinical entities at the level of an abnormal myenteric plexus neuronal function is discussed.

Dilatation, Pathologic↗
PubMed1985

Chronic intestinal obstruction mimicking malrotation in children.

Three children with acute bowel obstruction were suspected of having malrotation because each had low position of their duodenojejunal junction (dj-j) on upper gastrointestinal examination. At laparotomy, there was no malrotation and other causes were found for the bowel obstruction. All three had chronic intestinal dilatation. We suggest that long-standing intestinal distention may cause inferior displacement of the dj-j, thereby mimicking incomplete rotation of the midgut, and abnormal mesenteric fixation.

Child↗