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Anatol Trevor I - - 2009
A review was conducted of neonates treated over a 7-year period for gastrointestinal tract perforation secondary to obstruction, for comparison with previous reports. Demographic and clinical characteristics, results of laboratory studies, underlying diagnoses, surgical treatment, and outcomes were studied. Only 1 of the 6 babies was premature. The underlying cause ...
Turcu Adina F - - 2009
INTRODUCTION: Isolated angioedema of the small intestine is a rare entity. The cases described have been related with angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, or C1 esterase inhibitor deficiency. We present a case of small intestine angioedema caused by calcium channel blockers (CCBs) and a review of the literature. ...
El Faleh Ikbel - - 2009
Several cases of Brunner's gland hyperplasia causing hemorrhage, obstruction, or intussusception have been published in the adult literature. Similar cases in the pediatric population are very rare and have only been described twice, always associated with chronic renal failure. We report the third and youngest case of gastric outlet obstruction ...
Moffatt Dana C DC Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, - - 2009
Small bowel hemorrhage is responsible for approximately 4% of all cases of gastrointestinal bleeding. The etiology of bleeding from the small bowel is a tumour in approximately 10% of cases. Pyogenic granuloma is a common inflammatory vascular tumour of the dermis, which rarely occurs in the gastrointestinal tract. Pyogenic granuloma ...
Singh Jitendra K - - 2009
Multiple simultaneous intussusception is a peculiar variety of intussusception. The condition is reported in older children and adults. The occurrence in neonates is an interesting situation. We present one such neonate who had a simultaneous ileo-colic and ileo-ileal intussusception without any specific cause. A review of existing literature revealed only ...
Lee Chang Ho CH Department of Surgery, Chonbuk National University Medical School, Jeonbuk 561-180, South - - 2009
Angiomyolipomas (AMLs), a form of benign mesenchymal hamartoma, arise primarily in the kidneys of patients with or without tuberous sclerosis. Extra-renal AMLs are very rare and are most commonly found in the liver. AMLs of the small intestine are exceedingly rare. Here, a case of a 28-year-old man, who presented ...
Udy A - - 2009
We describe a case of airway obstruction secondary to a large pre-vertebral cervico-mediastinal haematoma following failed attempts at insertion of an internal jugular central venous line. The need for a high index of suspicion to diagnose this injury and early aggressive intervention to manage it are outlined. The role of ...
Chaar Cassius Iyad Ochoa - - 2009
BACKGROUND: Intussusception of the appendix is a rare disease that constitutes a diagnostic challenge to the surgeon. The literature on this condition is limited to case reports. The demographics, presentation, and treatment remain debatable in the absence of a comprehensive review of the literature. DATA SOURCES: This article reports a ...
Johansson Magnus C - - 2009
Patent foramen ovale (PFO) is a remnant of the foetal circulation, found in about a quarter of the population. PFO is an asymptomatic condition and the high prevalence infers that it is in most cases of no or only limited clinical significance. However, recent research has found an increased prevalence ...
Figueira-Coelho Joao - - 2009
Small bowel tumors are rare, accounting for only 3-6% of gastrointestinal neoplasms, 1-2% of these being malignant. They must be considered whenever a patient presents with gastrointestinal bleeding, with normal upper gastrointestinal endoscopy and colonoscopy. We report a case of jejunal adenocarcinoma presenting as a blood loss anemia in a ...
Mac Giobuin S - - 2009
A seventy two year old man presented to the Emergency Department with clinical features of colonic obstruction. Subsequent radiological investigations confirmed this impression and revealed the aetiology to be compression of the sigmoid colon against the sacrum by a massively distended urinary bladder. Chronic urinary retention due to benign prostatic ...
Christman Matthew S - - 2009
OBJECTIVE: Young males with lichen sclerosus (LS) commonly present with phimosis; complete urinary obstruction has also been described in this population, but is much rarer. We present the case report of a boy with acute renal failure secondary to urethral obstruction caused by LS, with a review of the literature ...
Chawla Sumita S Department of Colorectal Surgery, University Hospital Aintree, Liverpool, United - - 2009
Sclerosing mesenteritis is a rare condition that involves the small or large bowel mesentery. An unusual presentation of this condition, which led to difficult preoperative assessment and diagnosis, is described. This report is followed by a comprehensive review of the literature.
Luhmann Andreas - - 2009
Intussusception in pregnancy is rare and poses unique diagnostic and therapeutic challenges. We present the case of a 22 year old, 20 weeks pregnant woman who presented with acute abdominal pain. Following abdominal ultrasound scanning she was diagnosed with intussusception. The patient underwent laparotomy and a small bowel resection was ...
Efremidou Eleni I - - 2009
Intestinal necrosis and perforation is a clinical and pathological presentation of the infrequently seen mesenteric venous thrombosis in women using oral contraceptives.We report a case of a previously healthy 31-year-old female patient, who presented with a 3-day history of abdominal pain.Although chest and abdomen radiographs showed small bowel obstruction, conservative ...
Bhandari Laxminarayan - - 2009
Intestinal obstruction is a common surgical emergency caused by varied conditions. Appendicitis as a cause is both uncommon and unsuspected. Strangulation of intestine caused by appendicitis is extremely rare with very few cases reported in literature. The diagnosis of such a condition is possible only on table, with CT having ...
Chang Hye Kyung - - 2009
The term "obstructive colitis" refers to ulceroinflammatory lesions occurring in the colon proximal to a completely or partially obstructing lesion. It has been referred to by various terms in the literature. This entity differs from the carcinoma of the colon that complicates true ulcerative colitis where there is involvement distal ...
Figueira-Coelho João - - 2009
Small bowel tumors are rare, accounting for only 3-6% of gastrointestinal neoplasms, 1-2% of these being malignant. They must be considered whenever a patient presents with gastrointestinal bleeding, with normal upper gastrointestinal endoscopy and colonoscopy. We report a case of jejunal adenocarcinoma presenting as a blood loss anemia in a ...
Quercioli Alessandra - - 2009
Bezoars represent the fifth most frequent cause of acute small bowel obstruction. Phytobezoar is the most common type of bezoar. It is a concretion of undigestible fibers derived from ingested vegetables and fruits. We report a case of a woman with a 1-year history of recurrent epigastric and periumbilical abdominal ...
Gallivan Gregory J - - 2010
Amyloidosis constitutes a fraction of 1% of benign localized laryngeal tumors and may occasionally be associated with systemic disease. A chronic, insidious, progressive, recurrent disease characterized by hoarseness, dyspnea, and stridor, it is caused by extracellular deposition of insoluble, abnormal tissue injurious fibrils. Submucosal lesions occur frequently in the vestibular ...
Milbrandt Kris - - 2008
Intussusception is a frequent cause for bowel obstructions and pediatric surgical consults. First described by Barbette in 1674, the etiology and treatment of intussusception has undergone several revisions for the last 300 years. Currently, we understand most intussusceptions in young children to be of idiopathic in nature with the incidence ...
Malhotra Ajay - - 2008
Bezoars are conglomerates of food or fiber in the alimentary tract of humans and certain animals, mainly ruminants. A trichobezoar represents a mass of accumulated hair. Trichobezoars may present as an isolated gastric mass, as an extension into the small intestine, or as an independent fragmented mass in the small ...
Doshi A H - - 2009
We report a case of a 79-year-old woman with long-standing achalasia that resulted in respiratory stridor and dyspnea. She was evaluated for tracheal compression with use of CT on inspiration and expiration. Airway obstruction and acute respiratory distress secondary to achalasia have been reported in the clinical literature. The importance ...
Sharma Kamlesh Kumar - - 2008
BACKGROUND/PURPOSE: Gastric outlet obstruction (GOO) is overwhelmingly described as infantile hypertrophic pyloric stenosis that overshadows other causes; thereby, there is a need to develop an elaborate and comprehensive classification. We present the same and establish a new disease called primary acquired gastric outlet obstruction during infancy and childhood that was ...
Kapur Raj P - - 2009
Two patients are presented with intestinal pseudo-obstruction and malformations of their intestinal muscularis propria. Histopathological findings in each case indicate a distinct alteration of intestinal muscle architecture. The 1st patient, a teenager with lifelong constipation, had an additional circular muscle tunic in 2 dilated segments of his large intestine. The ...
Gasparrini Marcello - - 2008
Gallstone ileus is a rare complication of gallstone disease, accounting for 1-4% of all bowel obstructions. The phisiopathology is related to the presence of a bilio-enteric fistula. Cholecistoenteric fistulae occur in fewer than 1% of patients with gallstone. We present the case of an 83-years-old woman, complaining of acute abdominal ...
Husein Omar F - - 2008
Neuroglial heterotopias are rare congenital masses that are thought to represent encephaloceles that become sequestered on the extracranial side of the skull base. Although most often adjacent to bony skull base defects, they lack communication to the subarachnoid space. They contain mature neuroglial tissue and specialized central nervous system elements, ...
Delacruz Victor - - 2009
Intestinal xanthomatosis is a rare, nonneoplastic lesion that may involve the small bowel in a localized or generalized way. It most probably represents a nonspecific response to a previous injury. Most cases are not suspected clinically. They are diagnosed by endoscopy/biopsy, surgical specimen, or autopsy. It may be a cause ...
Badr AbdullGaffar - - 2008
Kimura disease is a distinct clinicopathological entity of a benign chronic inflammatory disorder of unknown etiology. It is endemic in Oriental Asians, but sporadic and relatively rare in the West, both in whites and blacks alike. It usually presents as a mass lesion, most commonly in the head and neck ...
Rastogi Rajul - - 2008
Abdominal cocoon or sclerosing encapsulating peritonitis is a rare cause of intestinal obstruction that has been described mostly in young adolescent girls. Thick fibrotic peritoneum encasing the small bowel in a small volume is a pathognomonic feature. This condition presents many difficulties in preoperative diagnosis. Early diagnosis can result in ...
de Jong Tom P V M - - 2008
OBJECTIVES: To test the agreement among pediatric urologists regarding endoscopic findings concerning posterior urethral valves. METHODS: A total of 25 experienced pediatric urologic surgeons observed 11 video fragments of cystourethroscopy in boys. For most of these boys, a strong suspicion of urethral obstruction had been present; however, some were controls. ...
Oofuvong Maliwan - - 2008
PURPOSE: To report two cases with known difficult airway in children managed with the classic laryngeal mask airway (LMA) as a conduit for fiberoptic endotracheal intubation. Management of difficult removal of the LMA is discussed.Clinical Features: After obtaining the verbal consent from the patients and parents, we describe two adolescents ...
Dilege Ece - - 2008
Small bowel intussusception is a rare cause of adult acute abdomen, in which an intraluminal neoplasm is the most frequent cause. Small bowel tumors are uncommon and can have a long delay prior to diagnosis. We present a case of intestinal intussusception originating from a rare variant of small bowel ...
Liu Zhuo-Hao - - 2008
Xanthogranuloma of the sellar region is rare. It typically causes symptoms of pituitary dysfunction or visual change due to compression of the optic chiasm. However, to the best of our knowledge, no case of xanthogranuloma-associated hydrocephalus has been documented in the literature. This study describes a 32-year-old man afflicted with ...
Chao Jeffrey C - - 2008
Although well described in the colon, enteritis cystica profunda is an extremely rare lesion of the small intestine with only a few cases documented in English medical literature. It is a benign condition most often associated with Crohn's disease or Peutz-Jeghers syndrome in the adult. It has been described presenting ...
Türkmen Nursel - - 2008
Small bowel mesenteric volvulus when compared with mesocolonic volvulus, have not high incidence. Two autopsy cases of small bowel mesenteric volvulus in infants, highlighting the importance of a suspicion in early recognition of this rare but potentially fatal intra-abdominal emergency are reported. We also review the literature on possible aetiologies ...
Burke Mark S - - 2008
Case presentation and literature review for intestinal malrotation presenting in an adult. Although the number of patients with this condition that escape infancy undiagnosed is not clear, it is clear that when the rare patient presents as an adult it can be a perplexing situation for surgeons not familiar with ...
Dhingra K K - - 2008
Mucormycosis of the gut in neonates is rare, difficult to recognize and hence usually fatal. These cases are usually diagnosed initially as necrotizing enterocolitis (NEC), which leads to a delay in specific treatment. We present a case of neonatal gastrointestinal tract (GIT) mucormycosis in a 2-day-old infant diagnosed following laparotomy ...
Sharma Satendra - - 2008
This report is to present and discuss an extremely rare association of situs inversus with duodenal atresia in an 11-day-old male neonate born full term and weighing 1.9 kg. The baby presented with recurrent bilious vomiting. Babygram revealed situs inversus and duodenal obstruction. Echocardiography showed dextrocardia with a small ASD. ...
Georgescu Eugen Florin - - 2008
Intestinal pseudo-obstruction (IPO) either acute or chronic is a condition including features of intestinal ileus in absence of mechanical obstruction. Our paper presents such a rare case of idiopathic IPO in a 53-year-old male patient with recurrent episodes of pseudo-obstruction, which were successfully resolved by anticholinesterase agents, motilin agonists or ...
Liu Z-Y - - 2008
We herein report a case of lesser sac herniation through a defect in the transverse mesocolon. In addition to CT signs suggestive of bowel obstructions, there are some characteristic CT findings in this extremely rare type of internal herniation, which include clustering of distended jejunal segments directly compressing the pancreas, ...
Byard Roger W - - 2008
Gastrointestinal causes of sudden and/or unexpected death in the young are uncommon and only rarely involve congenital anomalies of the mesentery. Two cases are reported of unexpected deaths following herniation of intestine through congenital mesenteric defects to illustrate the forensic issues that may arise. Case 1 involves a 2.5-year-old girl ...
Yazkan Rasih - - 2008
Tracheocele is a herniation of the tracheal mucous membrane and it is rarely reported in the literature. It may be a congenital defect or an acquired lesion. Traumas, high pressure injuries, long lasting tracheostomy, obstructive tracheal diseases, recurrent infections of the mucous glands of the trachea with subsequent ductal obstruction ...
Talanow Roland - - 2008
The 21(st) century has provided new technical and educational opportunities as well as challenges which have not been approached and exploited sufficiently by traditional scientific journals. Furthermore, case reports are usually "neglected" by traditional journals for a variety of reasons, including limited space in the hardcopy version of the journal ...
Steffensen Thora S - - 2008
Intestinal malrotation has an incidence of 1 per 6000 live births. The most serious consequence of malrotation is volvulus. Midgut volvulus is a rare condition in which the small bowel and proximal colon twist around the superior mesenteric artery, leading to a high-grade proximal bowel obstruction and vascular compromise of ...
Scola Christopher J - - 2008
We reviewed the clinical manifestations of mesenteric vasculitis due to giant cell arteritis (GCA) and considered features of the mesenteric anatomy in relationship to disease expression. We compiled and reviewed a case series by systematic identification of patients previously reported in the English-language literature to have mesenteric involvement from known ...
Gillies Martin J - - 2008
The recognition of neonatal intestinal perforation relies on identification of free gas in the peritoneum on plain abdominal radiographs and the associated clinical signs. The neonatal bowel takes several hours to fill with gas, potentially obscuring one of the radiological signs of bowel perforation in the neonate. We describe the ...
Kotisso Berhanu - - 2008
The Superior Mesenteric Artery Syndrome is a rare cause of duodenal obstruction. We present two young Ethiopian female patients who were diagnosed with this rare condition. After a duodeno-jejunostomy, the patients showed significant improvement and were discharged in a very good condition. This is the first report of this rare ...
Sparks Dorothy A - - 2008
A 75-year old male presented to the emergency room with worsening abdominal pain and distension. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. A ...
Khan Muhammad Najm - - 2008
Colonic Intussusception although common in children, is a rare cause of acute intestinal obstruction in adults. The etiology, clinical presentation and management of this condition is different in adults as compared to children. Pre-operative diagnosis is usually difficult due to the non specific and intermittent nature of the symptoms. CT ...
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