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At least 1,027 records · Page 57Linked to original sources
PubMed1992

Intestinal obstruction due to Taenia saginata infection: a case report.

Surgical complications of Taenia saginata infection, the bovine tapeworm which man acquires by eating undercooked beef, are mentioned in standard texts; however, none of these seem to give any specific reference. Reported here is one case of acute mechanical intestinal obstruction due to a bolus impaction of Taenia saginata at the level of the ileocaecal valve. The rarity of this clinical presentation as well as the probable mechanism of obstruction are discussed.

Humans↗
PubMed1981

The barium infusion in small intestinal obstruction.

During a two-year period 26 patients with suspected small bowel obstruction were examined by infusing barium into the small intestine. Mechanical obstruction was confirmed in 25 patients and the level of obstruction was shown in all except one who had carcinoma of the caecum. Surgery was avoided in nine patients-six of whom had Crohn's disease, two had adhesions and the investigation showed no abnormality in one patient. There were no complications associated with the examination or with the subsequent operation.

Barium↗
PubMed2004

Intestinal obstruction by eosinophilic jejunitis.

Eosinophilic enteritis is an uncommon disease that rarely develops as a surgical emergency. Although it may be associated with infestation by Ancylostoma caninum, its etiology is unknown and often related to a personal or family history of atopy. A transmural involvement may cause intestinal obstruction--more frequently in the jejunum--or even acute abdomen, which may or may not be accompanied by intestinal perforation. The latter two conditions tend to be more commonly associated with ileum disease, causing pain in the lower right quadrant of the abdomen. Patient history, eosinophil count--which may be paradoxically reduced when the disease appears in this way--, ultrasonography, and/or CT lead to the suspicion of this condition before a surgical procedure is considered. A definitive diagnosis, however, must be reached by means of an anatomopathological study. Macroscopically, intestinal loops exhibit a thickened appearance with an elastic consistency. Laparoscopic intestinal biopsy may play a major role in the diagnosis of disease.

Enteritis↗
PubMed1985

Intestinal obstruction due to peritoneal adhesions as a complication of peritoneal dialysis for neonatal hyperammonemia.

A male infant with ornithine transcarbamylase deficiency developed massive neonatal hyperammonemia and was treated with peritoneal dialysis. He later developed intestinal obstruction due to peritoneal bands which originated at the site of the previous peritoneal catheter. In this infant the blood concentration of ammonia could not be lowered below 1000 micrograms/dl using peritoneal dialysis, while treatment with sodium benzoate led to control within 24 h. In view of the possibility of this and other complications of peritoneal dialysis, pharmacologic therapy of neonatal hyperammonemia should be considered as an initial modality of treatment.

Ammonia↗
PubMedDate not supplied

[Cavernous haemangioma of the small bowel: an uncommon cause of intestinal obstruction].

Cavernous haemangioma of the small bowel is a vascular, benign and infrequent tumour, similar in both sexes and more typical from the third decade onwards. Its most common clinical manifestation is a chronic anaemia secondary to intestinal bleeding, other causes are intestinal obstruction and perforation. Preoperational diagnosis is difficult and the treatment of choice is surgical resection.

Aged↗
PubMed1996

[Malignant neoplasms and intestinal obstruction in children 3 to 15 years old].

Observations on one of the rare complications in children presenting malignant neoplasms of the abdominal cavity and retroperitoneal space are described. Over a 7-year period, operative treatment is undertaken in 42 children aged 3 to 15 years. In eleven of them (26.42 per cent) it is a matter of mechanical ileus. The type of bowel obstruction in the series of children under study is a follows: obturation-in three and adhesion-in five cases. The obturation involves the large intestine, and is due to pressure of a neoplastic process in advanced stage of development on the colon. Ileus due to adhesions occurs after operative removal of the neoplastic formation. The essential differences in type of intestinal obstruction in children with malignant neoformation in the abdominal region from the one in adult patients justify the report on the observations.

Abdominal Neoplasms↗
PubMed2004

Traumatic abdominal hernia caused by cough, presenting with intestinal obstruction.

A case of traumatic abdominal hernia is reported in a patient with a history of chronic cough. After a bout of coughing 3 months prior to her presentation, the patient developed a large herniation on the left lateral side of the abdomen. The patient presented with intestinal obstruction due to the herniation. A CT scanning confirmed the hernia and showed a peritoneal defect with herniation of most of the intestine on the left lateral side of the abdomen. An emergency midline laparotomy was performed, and the defect was corrected.

Cough↗
PubMed2006

Intestinal obstruction due to rectal endometriosis: a surgical enigma.

Obstructed rectal endometriosis is an uncommon presentation. The clinical and intraoperative presentation may present as malignant obstruction. The difficulty in making the diagnosis may delay the definitive management of the patient. We report a unique case of rectal endometriosis mimicking malignant rectal mass causing intestinal obstruction and discuss the management of the case.

Adult↗
PubMedDate not supplied

Etiology of intestinal obstruction in patients without a prior history of laparotomy or a detectable external hernia on physical examination.

We evaluated the preoperative determination of the etiology and effectiveness of the diagnostic modalities, as well as the incidence of various causes of intestinal obstruction (IO) from 1981 through 2001 at a university-affiliated emergency center. Patients with a history of prior laparotomy or evidence of hernia on physical examinations were excluded. Eighty-three patients with surgically or endoscopically proven IO were reviewed. The most common cause of IO in the group with enteric obstruction was hernia while that in the group of colonic obstruction was carcinoma. Of the first preoperative diagnostic modalities to correctly determine the cause of obstruction, the most common were contrast enema and colonoscopy. Preoperative determination of the etiology was possible in 67% of the patients and was significantly more common in patients with colonic obstruction than in those with enteric obstruction.

Abdomen↗
PubMed2005

Management and prognosis of colon cancer in patients with intestinal obstruction or peritonitis: a French population-based study.

BACKGROUND: In spite of recent advances in our knowledge of tumor biology and therapy, the management and prognosis of patients with colon cancer (CC) revealed by intestinal obstruction or peritonitis (IOP) are not well defined. This study was undertaken to identify other factors which may influence morbidity and prognosis of CC revealed by IOP. MATERIAL/METHODS: We studied medical documentation from 247 incidental cases of CC registered in the Herault district in 1992 and followed up until 1997. The difference in postoperative mortality and the 5-year survival rate between CC with (n=41) and without IOP (n=206) were evaluated separately in relation to clinico-pathological characteristics, surgeon volume, and healthcare institutions by non-conditional logistic regression and multivariate survival analysis. RESULTS: Higher rates of Dukes' stages B-C-D were observed in the emergency group than in the elective. Older age was associated with the presence of IOP (p=0.02). Factors predictive for postoperative mortality were IOP (p=0.02), surgical treatment in non-specialized hospitals (p=0.04) and residence in rural areas (p=0.01). The primary independent negative prognostic factor in multivariate analysis was the presence of nodal or distant metastases (Dukes' stage D, p=0.0001), followed by lack of chemotherapy (p=0.008), initial treatment in non-specialized hospitals (p=0.01), onset with IOP (p=0.02), low-volume surgeons (p=0.02). CONCLUSIONS: As the presence of IOP influenced independently postoperative mortality and specific five-year survival, we suggest that the management of CC revealed by IOP should be concentrated in the hands of those surgeons and healthcare institutions that show the best outcomes.

Adenocarcinoma↗
PubMed1979

Postoperative causes of death of neonatal intestinal obstruction excluding mucoviscidosis and Hirschsprung's disease.

In contrast to the remarkable improvement in the results of operations for oesophageal atresia at the University Children's Hospital, Zurich, the death rate secondary to operations for neonatal intestinal obstruction has remained constantly high between the years 1960 and 1976. The results are distressing especially when it is realised that many of them occurred in infants with good general conditions. The causes of death are analysed and classified according the following criteria: 1. Deaths associated with trisomy 21. 2. Deaths due to the short gut syndrome. 3. Deaths due to severe associated malformations or other conditions. 4. Deaths probably due to surgical mistakes. 5. Deaths due to mistakes in management. The latter group can be subdivided further in deaths due to wrong decision at the primary operation, overlooked medical complications, overlooked surgical complications and mistakes made at subsequent laparotomies.

Abnormalities, Multiple↗