Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Intestinal Obstruction”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,171 records · Page 65Linked to original sources
PubMedDate not supplied

[Intestinal obstruction as late presentation of traumatic diaphragmatic hernia: report of a case and review of the literature].

We present a case of traumatic diaphragmatic hernia of delayed presentation, 2 years after a stab wound in the inferior thorax. The patient, a 31 year-old man, arrived to the hospital complaining of abdominal pain and vomiting, but then developed a clinical picture of low intestinal obstruction. When the abdominal cavity was surgically explored, a diaphragmatic defect of 2.5 cm was found, through which the omentum and part of the colon were herniated to the thorax. After the operation, the patient had a good outcome and was discharged 8 days later.

Adult↗
PubMed1977

Cellulose granulomas and their relationship to intestinal obstruction.

Cellulose foreign body was initially described by the authors as a cause of granulomatous peritonitis implicating disposable surgical fabrics. The purpose of this study was to establish the incidence, origin, and clinical significance of the lesion. Of 7,500 surgical specimens and autopsies from surgical mortalities reviewed by one pathologist during a two and a half year study period, forty-five cases of cellulose foreign body granulomas were identified by light microscopy. They were examined with polarization technics and scanning electron microscopy in an attempt to determine the source of the cellulose fibers as either cotton or a wood product. The forty-five cases were identified in patients who had at least one previous surgical procedure involving the same area. Twenty-seven cases were extraperitoneal. Eighteen were located in the peritoneal cavity of which five were found at autopsy and thriteen were identified at laparotomy. Two patients had granulomatous peritonitis and six had mechanical small bowel obstruction associated with the granulomas. During the study period there were sixty operative patients of small bowel obstruction; forty-nine were due to adhesions of which thirty-seven had lysis of adhesions without biopsy. Of the twelve patients with surgical specimens, cellulose granulomas were present in six. This suggests that cellulose foreign body granuloma may be a significant cause of intestinal obstruction. The origin of the cellulose could not be definitively established in most cases because of loss of morphologic characteristics. However, fibers were positively identified as wood in two of ten cases (20 per cent) examined with scanning electron microscopy, which supports the thesis that they were derived from disposable surgical fabrics.

Cellulose↗
PubMedDate not supplied

Neonatal ovarian cyst associated with intestinal obstruction.

Cystic and solid tumors of the ovary are rare during the newborn period and infancy. We present the case of a term female infant born to a mother with 24 years of age and found to have a cystic abdominal mass through prenatal sonographic evaluation in the third trimester. The cyst was also demonstrated by postnatal abdominal ultrasonography. Because of the clinical and radiological findings of intestinal obstruction, laparatomy was performed at the age of three days and a cyst of 10' 8' 8 cm was found in the right ovary. Pathological examination of cyst revealed a teach-lutein cyst.

Female↗
PubMed1982

[Treatment problems in acute intestinal obstruction in the middle-aged and elderly].

Among 574 patients aged older that 60 strangulation of the intestine was diagnosed in 62%, obturation--25,8%. Association diseases were established in 62% of cases. Operations were performed in 67,6% of patients. Lethality rate was 22,2% (in recent years it was reduced to 18%). In the group of patients who received correction of bioenergetics and microcirculation of the intestinal wall with an original mixture the lethality was reduced to 8%.

Acute Disease↗
PubMed1998

[Intestinal obstruction due to Meckel's diverticulum. Description of three cases].

Among 588 small bowel mechanical obstructions operated since January 1982 until December 1996 at the Flajani Surgery Department and Emergency Department of the San Camillo Hospital in Rome, 3 male patients were operated for intestinal obstruction due to Meckel's diverticulum. In one case, obstruction was caused by a small bowel volvulus rolling on a Meckel's diverticulum, whose gangrenous extremity was "blocked" on caecum. In the other two cases, intestinal loops were incarcerated into an internal hernial ring constituted by the same diverticulum whose inflamed extremity was fixed to corresponding mesentery. We examined embryologic and clinical aspects of the pathology here considered, particularly its complications, obstruction being the most common in adult age. Diagnosis is often misunderstood, since a complicated Meckel's diverticulum simulates many other abdominal pathologies. A straight radiography and an ultrasonography of the abdomen may be useful to reach the correct diagnosis. We performed diverticulectomy, using a linear stapler and we underline the opportunity of this method. In young age laparoscopy resection is considered the gold treatment of this pathology by some authors. We didn't observe any mortality, although one of our patients was in a severe septic condition. It is necessary to examine the last ileal 100 centimetres when a suspected acute appendicitis is not initially found by operation. The opportunity of a promptly performed operation is underlined to prevent that such a benign pathology may induce also exitus.

Adult↗
PubMed1988

Small intestinal obstruction associated with wood chewing in two horses.

Although wood chewing by horses is recognised as a common vice, there are few reports of specific disease associated with the habit. Two cases of acute obstruction of the small intestine by solid aggregations of wood splinters are described in horses which were both habitual wood chewers. Details are presented of the clinical findings in these cases, including the surgical treatment of acute colic. Both horses returned to full working fitness. The authors review the syndrome of enterolithiasis in horses, and discuss the causes and significance of wood chewing as a stable vice.

Animals↗
PubMed1997

Medical management of intestinal obstruction in terminal care.

OBJECTIVE: To review the evidence on the effectiveness of medical management of bowel obstruction for patients with advanced cancer and to summarize treatment options for home and hospital care. DATA SOURCES: Articles were identified by searching MEDLINE. STUDY SELECTION: Research articles published between 1973 and 1995 on the surgical and medical management of bowel obstruction in patients with advanced cancer were identified. Seven original research articles on medical management were identified and all were reviewed and critically appraised. Given the small number of original papers in this field, studies using prospective and retrospective methodology were included. Articles looking only at the use of percutaneous gastrostomy tubes and subcutaneous hydration were used in the formulation of treatment recommendations but were not critically reviewed. A critical appraisal of the surgical literature was not undertaken. SYNTHESIS: Recommendations regarding medical management of bowel obstruction were based on strength of evidence for improving symptoms with pharmacologic treatment. The few clinical trials were uncontrolled trials with small samples. The trials show improvement of symptom control with pharmacologic management using morphine, anticholinergics, major tranquilizers, corticosteroids, and somatostatin analogues. Intravenous hydration was unnecessary for most patients. Percutaneous gastrostomy tubes are effective for patients with proximal intestinal obstruction and intractable vomiting. CONCLUSIONS: Pharmacologic management and percutaneous gastrostomy for intractable vomiting and hypodermoclysis or oral fluids for hydration can control symptoms without surgery or nasogastric tubes.

Analgesics, Opioid↗