Picture Of Intestinal Obstruction Research Articles

Clinical and epidemiological characterization of eosinophilic ascites in Egypt: a single center experience

Background & aimsEosinophilic ascites is non-common and challenging disease. This study aimed to describe the clinical presentation and treatment of eosinophilic ascites.MethodsThis was a prospective single-center study that included cases with eosinophilic ascites who were admitted to Tropical Medicine and Gastroenterology Department, Assiut University Hospital, Assiut, Egypt, during the period between May 2020 to May 2023. The clinical presentation, investigations, treatment, and follow-up data of the included patients were collected and analyzed.ResultsSeventeen cases of eosinophilic ascites were included in the study. The main presenting manifestations were abdominal pain (47.1%), and abdominal pain with distension (29.4%). Two patients presented with a picture of intestinal obstruction. Moderate ascites was found in 10 patients (58.8%) by ultrasound. Eosinophilia in the peripheral hemogram was detected in 76.5% of the study population. Endoscopic examination showed gastro-duodenitis in 9 patients (52.9%) and duodenitis in 4 patients (23.5%). All patients showed complete improvement and disappearance of ascites after starting steroids within two weeks. Eleven patients (64.7%) relapsed after discontinuation of steroids.ConclusionEosinophilic ascites is an uncommon cause of ascites that is often underdiagnosed. The relapse rate after stopping treatment is high but with excellent response to retreatment.

SYMPTOMATIC MECKELS DIVERTICULUM IN THE NEWBORN: REVIEW OF THE LITERATURE

Meckels diverticulum accounts for 2 to 3% of gastrointestinal tract malformations in children. It is a distal remnant of the incompletely obliterated omphalo mesenteric duct that occurs at 4 weeks gestation, and is located approximately 40 to 60 cm from the last ileal loop. In the majority of cases, its presentation is asymptomatic and discovery is incidental. The symptomatic form represents 4% and is rare in children, including bleeding, occlusion, inflammation and intermittent umbilical oozing. The symptomatic form is exceptional in newborns. This work is a descriptive study of the literature regarding reported cases of newborns diagnosed with symptomatic Meckels diverticulum either as a picture of intestinal obstruction or by spontaneous perforation of the DM The objective of our study is to describe the cases of newborns operated in emergency for symptomatic Meckels diverticulum and to evaluate the surgical management.

Two cases of intestinal obstruction before and after the operation: recovery

1st case. Left-sided ovarian tumor on the pedicle; after taking a spoonful of castor oil - repeated indulgences: in the evening, an increase in temperature to 38.0 with a pulse of 122 beats; the next morning t -37 , pulse - 76 ; but then in the course of two days the usual picture of intestinal obstruction developed.

Laparoscopic management of a small bowel obstruction caused by an endometriotic focus

Endometriosis is the presence of extra-uterine endometrial tissue and affects 6-10% of fertile women. In 3-37% of the cases it affects the gastrointestinal tract being the ileal location extremely infrequent. Symptoms are nonspecific, debuting as intestinal obstruction in 7-23% of cases. The definitive diagnosis is anatomopathological and the treatment in these cases of acute abdomen is surgery. We attach the present case due to its rarity, it is a young asymptomatic woman who debuts with a picture of intestinal obstruction that is treated by intestinal resection via laparoscopy confirming the endometriosis etiology.

Caso clínico: Síndrome de Ogilvie.

Introducción: El síndrome de Ogilvie es una patología rara que se puede encontrar en pacientes que han sido sometidos a cirugías extensas dando un cuadro clínico de obstrucción intestinal, llegando a ser letal de no ser diagnosticada a tiempo. Existen varios tratamientos tanto farmacológicos, endoscópicos y quirúrgicos para descomprimir el colon. Caso clínico: Se presenta el caso de un paciente de 35 años intervenido quirúrgicamente de un meningioma que sufre de un cuadro de obstrucción intestinal posterior a la intervención catalogándose como un Síndrome de Ogilvie.

Intramural hematoma of the small intestine as a complication of anticoagulant therapy

1. 1. Two cases of small bowel obstruction complicating anticoagulant therapy are presented. 2. 2. A picture of intestinal obstruction or unexplained abdominal pain in patients receiving chronic anticoagulant therapy deserves consideration of this unusual diagnosis. 3. 3. Treatment and prophylaxis are discussed.

METABOLIC STUDIES OF PATIENTS WITH CANCER OF THE GASTRO-INTESTINAL TRACT

Immediate postoperative disturbances of water and electrolyte balance usually are corrected promptly by the adequate administration of isotonic solution of sodium chloride. Some instances of postoperative hypochloremia, however, are refractory to that procedure. This was noted first by Maddock as particularly common among patients with cancer of the gastrointestinal tract. He 1 observed, furthermore, that when patients with this disorder began to eat an adequate diet the hypochloremia abated, but no explanation for this response was advanced. The existence of this type of hypochloremia now has been observed also in this hospital and appears to mark the postoperative course especially of patients with gastrointestinal disease. Attention first is directed to these patients usually because of their lethargy, anorexia, nausea and increasing abdominal distention. Blood studies reveal hypochloremia, alkalosis and hypoproteinemia. The intestine gradually becomes inactive. Flat roentgenograms of the abdomen are consistent with the picture of intestinal obstruction, and at

Two cases of mesenteric thrombosis from the practice of emergency surgery

The diagnosis of mesenteric vascular thrombosis to this day does not go beyond the limits of assumptions, since the recognition of this suffering is extremely difficult even with modern research methods. Usually, in such cases, we have a clinical picture of intestinal obstruction proceeding according to the type of strangulation, and an accurate diagnosis of the disease is often placed on the operating table or on the sectional table. Acute colicky pain in the epigastric region, which is considered characteristic of mesenteric thrombosis, is often absent; most often we see them with embolism of these vessels. This will become clear if we remember that thrombosis in most cases occurs slowly, and therefore / and the clinical picture will not have an acute onset, as is the case with an embolus, where the onset is usually always acute. An exception to this is thrombosis of an infectious nature.