Presentation
[…] if the condition was present at the time of inpatient admission. [icd.codes]
Congenital Caecal Band Presenting as Appendicitis. The Internet Journal of Surgery. 2008 Volume 21 Number 2. Abstract Congenital bands are extremely rare and often present in childhood with symptoms of bowel obstruction. [ispub.com]
This book presents the current knowledge on the aetiopathogenesis of adhesion formation as well as the available methods for their prevention and control. [books.google.com]
Bowel resection may be necessary if the membrane cannot be stripped atraumatically or if obvious gangrene of the bowel is present. [ijcasereportsandimages.com]
In the present case, plain abdominal X-ray revealed air-fluid levels located on the left side of the abdomen, which remained unaltered in a subsequent image after 2 hours. [saudijgastro.com]
Entire Body System
- Inflammation
Although postoperative inflammation of the peritoneum in cattle generally remains localized and then manifests itself by formation of permanent or temporary adhesions, local and abscess-forming inflammation of the peritoneum or diffuse peritonitis is [de.pons.com]
They cannot possibly be the result of inflammation. Often with these attachments there is no evidence of a past infection of FULL TEXT [annals.org]
Adhesions may be present at birth (congenital) or may form after abdominal surgery or inflammation. Most form after surgery. [hemorrhoid.net]
Additionally, a relatively increased amount of IL-10 and IL-6 positive macrophages and fibroblasts suggests that a persistant inflammation triggered development of fibrous tissue. [ojs.utlib.ee]
2016/21/1/82/178130 Sir, Anomalous congenital bands are a rare cause of small bowel obstruction in adults. [1] Usually, it is the postoperative adhesions followed by tumors, inflammation, and hernia that cause obstruction. [2] In tropical countries, where [jmgims.co.in]
- Infertility
How can abdominal adhesions cause female infertility? Abdominal adhesions cause female infertility by preventing fertilized eggs from reaching the uterus, where fetal development takes place. [iffgd.org]
They can cause a range of problems including infertility, dyspareunia (painful intercourse), pelvic pain and bowel obstruction or blockage. Adhesions can also lead to a complex set of problems called adhesion-related disorder (ARD). [betterhealth.vic.gov.au]
Although many adhesions are asymptomatic, small bowel obstruction (SBO), infertility, and chronic pain are the most common complications. Epidemiology Incidence True incidence is difficult to determine because some adhesions are asymptomatic. [unboundmedicine.com]
Sometimes these pelvic adhesions cause chronic pelvic pain and/or infertility. Adhesions can cause a rare form of glaucoma called irido corneal endothelial (ICE) syndrome. [medical-dictionary.thefreedictionary.com]
Algorithms: Infertility; Intestinal Obstruction K66.0 Peritoneal adhesions (postprocedural) (postinfection) Q43.3 Congenital malformations of intestinal fixation N99.4 Postprocedural pelvic peritoneal adhesions N73.6 Female pelvic peritonea... [5minuteconsult.com]
- Surgical Procedure
The technical key steps of the surgical procedure are presented in a step by step way: abdominal exploration, exposure, dissection, lavage/drainage, closure. [websurg.com]
The da Vinci System is a robotic surgical platform designed to enable complex procedures of all types to be performed. [newportlaparoscopy.net]
Abdominal adhesions [ edit ] Abdominal adhesions (or intra-abdominal adhesions) are most commonly caused by abdominal surgical procedures. [en.wikipedia.org]
Adhesions are a major complication of many common surgical procedures and may occur in 55% to more than 90% of patients, depending on the type of surgery. [medical-dictionary.thefreedictionary.com]
Open adhesiolysis As adhesions are likely to form after certain surgical procedures, open adhesiolysis may not be worthwhile, except to remedy serious problems such as bowel obstruction. [betterhealth.vic.gov.au]
- Asymptomatic
Most adhesions are asymptomatic; the most common complication is bowel obstruction (partial ... Subscribe to Access Full Content Sign Up for a 10-Day Free Trial Sign up for a 10-day FREE Trial now and receive full access to all content. [5minuteconsult.com]
Although many adhesions are asymptomatic, small bowel obstruction (SBO), infertility, and chronic pain are the most common complications. Epidemiology Incidence True incidence is difficult to determine because some adhesions are asymptomatic. [unboundmedicine.com]
All paraduodenal hernias must be repaired, including those that are asymptomatic. [15] Release of adhesions in congenital bands and the retroperitonealization of vessel leading to obstruction is recommended. [ijcasereportsandimages.com]
New complaints during exertion in an experienced and previously asymptomatic athlete, the absence of triggering factors such as trauma or dietary excesses, a change in the pattern, duration, or severity of pain, or the persistence of symptoms after exertion [bjsm.bmj.com]
An annular pancreas can be asymptomatic or can cause external compression of second portion of the duodenum, which creates a partial or compete obstruction. [laparoscopyhospital.com]
- Swelling
mass and lump, unspecified site R1901Right upper quadrant abdominal swelling, mass and lump R1902Left upper quadrant abdominal swelling, mass and lump R1903Right lower quadrant abdominal swelling, mass and lump R1904Left lower quadrant abdominal swelling [cms.gov]
Scrotal swelling and haematoma - Oedema, swelling and bruising of the scrotum are common (especially with bilateral repairs) and resolve spontaneously. Scrotal support may bring symptomatic relief. Large haematomas require operative drainage. [surgwiki.com]
Symptoms of significant intestinal obstruction due to adhesions include: severe abdominal pain and cramping nausea and vomiting abdominal distension (swelling) constipation and the inability to pass gas symptoms of dehydration. [medical-dictionary.thefreedictionary.com]
Gastrointestinal
- Vomiting
Vomiting tends to be early in high-level obstruction. Faeculent vomiting is extremely unpleasant and is limited to low obstruction. Retrograde peristalsis results in faecal material being brought back. [patient.info]
They include crampy abdominal pain, vomiting, bloating, an inability to pass gas, and constipation. Diagnosis X rays (computed tomography) or barium contrast studies may be used to locate the obstruction. [hemorrhoid.net]
Vomiting may or may not be there Facial pallor Red current jelly stools Dehydration, tachycardia 35. [slideshare.net]
She felt nauseous but had not vomited. She had opened her bowels that morning and had no urinary symptoms. She had no gynaecological symptoms and her last menstrual period was three weeks before. [ispub.com]
I have had the pain since having my children all by c section … abdomen pain with vomiting and constipation Not rated yet Hi I'm john I'm nearly 32, had my appendix out 14 yrs ago, for the last 7 year's I have been suffering abdomen pain with vomiting [abdopain.com]
- Constipation
Schizophrenia has an increased risk for megacolon and constipation whilst major depression is associated only with constipation but with none of the other colonic diseases. [patient.info]
They include crampy abdominal pain, vomiting, bloating, an inability to pass gas, and constipation. Diagnosis X rays (computed tomography) or barium contrast studies may be used to locate the obstruction. [hemorrhoid.net]
Other intestinal problems may include constipation, obstruction, or alternating constipation with diarrhoea from partial obstruction. [betterhealth.vic.gov.au]
Other warning signs – bloating, nausea, vomiting, and constipation – could point to a bowel obstruction. Doctors diagnose obstructions either with CT scans or with X-rays of the abdominal cavity or intestines. [health.clevelandclinic.org]
Hernia. 2012; 16(1): 103-106 [Pubmed] 10 Constipation in a 7-year-old Boy: Congenital Band Causing a Strangulated Small Bowel and Pulseless Electrical Activity Andrea C. Fang,Jennifer Carnell,John C. [saudijgastro.com]
- Nausea
Other warning signs – bloating, nausea, vomiting, and constipation – could point to a bowel obstruction. Doctors diagnose obstructions either with CT scans or with X-rays of the abdominal cavity or intestines. [health.clevelandclinic.org]
complaints may include: Lower abdominal pain (either chronic or acute) Infertility Nausea/vomiting Physical Exam Vital sign abnormalities (evidence of ischemia, dehydration, or infection) Fever Tachycardia Diffuse abdominal tenderness Peritoneal signs [unboundmedicine.com]
A small suction tube may be placed through the nose into the stomach to remove the stomach contents to relieve pain and nausea and prevent further bloating. [medical-dictionary.thefreedictionary.com]
Case Report A 31-year-old female patient presented to our hospital, complaining of colicky pain in abdomen, with associated complaints of nausea, vomiting and constipation for the past five days. [casereports.in]
[…] obstructions cause more nausea and vomiting but less abdominal distension. [clinicaladvisor.com]
- Diarrhea
[…] abnormal contraction異常収縮 abscess 膿瘍 absorption吸収 accessory pancreatic duct副膵管 acinar cell腺房細胞 acoustic shadow音響陰影 acute abdomen急性腹症 acute appendicitis急性虫垂炎 acute cholangitis (cholangitis acuta)急性胆管炎 acute cholecystitis (cholecystitis acuta)急性胆嚢炎 acute diarrhea [tokyo-med.ac.jp]
K589Irritable bowel syndrome without diarrhea K5900Constipation, unspecified K5901Slow transit constipation K5902Outlet dysfunction constipation K5909Other constipation K591Functional diarrhea K592Neurogenic bowel, not elsewhere classified K593Megacolon [cms.gov]
Partial or off-and-on intestinal obstruction due to adhesions may result in intermittent periods of painful abdominal cramping and other symptoms, including diarrhea. [medical-dictionary.thefreedictionary.com]
Runners’ diarrhea. Different patterns and associated factors. J Clin Gastroenterol 1992 ; 14 : 101 –4. ↵ Rudzki SJ, Hazard H, Collinson D. Gastrointestinal blood loss in triathletes: it’s etiology and relationship to sports anaemia. [bjsm.bmj.com]
- Intestinal Disease
Problems with the small intestine can include: Bleeding Celiac disease Crohn's disease Infections Intestinal cancer Intestinal obstruction Irritable bowel syndrome Ulcers, such as peptic ulcer Treatment of disorders of the small intestine depends on the [icdlist.com]
Skin
- Ulcer
Some of these include Colorectal cancer Colonic polyps - extra tissue growing in the colon that can become cancerous Ulcerative colitis - ulcers of the colon and rectum Diverticulitis - inflammation or infection of pouches in the colon Irritable bowel [icdlist.com]
[…] colitis without complications K51811Other ulcerative colitis with rectal bleeding K51812Other ulcerative colitis with intestinal obstruction K51813Other ulcerative colitis with fistula K51814Other ulcerative colitis with abscess K51818Other ulcerative [cms.gov]
(ulcer of stomach) 胃潰瘍 gastroduodenal ulcer 胃十二指腸潰瘍 gastroesophageal junction食道胃接合部 gastroesophageal reflux胃食道逆流 gastrointestinal 胃腸の gastrojejunostomy胃空腸吻合術 gastroptosis胃下垂 glucose tolerance耐糖性 graft-versus-host disease (GVHD)移植片対宿主病 gram-negative bacilli [tokyo-med.ac.jp]
This diagnosis should be one of exclusion, made after conditions such as gallbladder disease, pancreatitis, mesenteric ischemia, and peptic ulcer disease have been ruled out. [9] Laparoscopy is commonly used for adhesiolysis because of the elective nature [emedicine.medscape.com]
Pathology: As the intussusception progresses the mesentery is dragged through the neck Mucosal ulcers and hemorrhages Venous engorgement with oedema of the wall Blood and mucous from the wall and will be discharged per rectally – red currant jelly Arteries [slideshare.net]
Neurologic
- Hyperactivity
Abdominal examination revealed mild distension and hyperactive bowel sounds, but peritoneal irritation signs were absent. Laboratory data were unremarkable except for leukocytosis (11 000/mm 3 ). [pubs.sciepub.com]
Tachycardia, hypotension, or fever Dehydration: dry mouth and loss of skin turgor Colic witnessed at the bedside Feculent vomitus, which may suggest high-grade obstruction Surgical scars Abdominal distension Bowel sounds, which are unreliable but may be hyperactive [clinicaladvisor.com]
Workup
Workup should include WBC, lactate, electrolytes, BUN/creatinine. [unboundmedicine.com]
Colonoscopy
- Colitis
[…] sided colitis with unspecified complications K5180Other ulcerative colitis without complications K51811Other ulcerative colitis with rectal bleeding K51812Other ulcerative colitis with intestinal obstruction K51813Other ulcerative colitis with fistula [cms.gov]
Some of these include Colorectal cancer Colonic polyps - extra tissue growing in the colon that can become cancerous Ulcerative colitis - ulcers of the colon and rectum Diverticulitis - inflammation or infection of pouches in the colon Irritable bowel [icdlist.com]
[…] stomach胃捻転 total gastrectomy胃全摘術 transjugular intrahepatic portosystemic shunt (TIPS)経皮的肝内肝静脈門脈瘻形成術 trans-thoraco-abdominal-esophagectomy開胸開腹食道切除術 tube feeding経管栄養 tubular adenocarcinoma管状腺癌 tumor marker腫瘍マーカー tumor suppressor gene癌抑制遺伝子 u ulcerative colitis [tokyo-med.ac.jp]
Necrotizing entrocolitis Stricture from previous necrotizing enter colitis occur usually in premature infants. [laparoscopyhospital.com]
Treatment
Non-surgical treatments for adhesions Alternatives to surgery include: medication – this is often the first treatment choice for acute pain and forms part of the treatment for chronic pain exercise physical therapy lifestyle changes. [betterhealth.vic.gov.au]
Treatment – Surgical Indications : When conservative treatment for 3 to 5 days does not result in resolution When strangulation is suspected / cannot be ruled out 8. [slideshare.net]
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. [icdlist.com]
Principles of treatment Uncomplicated hernias require either no treatment, support with a truss, or operative treatment, whereas complicated hernias always require surgery, often urgently. [surgwiki.com]
Intestinal Adhesions Introduction Symptoms Diagnosis Treatment Prevention Intestinal adhesions are bands of fibrous tissue that can connect the loops of the intestines to each other, or the intestines to other abdominal organs, or the intestines to the [hemorrhoid.net]
Prognosis
] The prognosis of advanced carcinoma of the colon remains poor. [patient.info]
Long term postoperative prognosis is generally excellent. Conclusion Abdominal cocoon is a rare condition of unknown etiology. [casereports.in]
Ongoing Care Prognosis Adhesions are typically asymptomatic. Once present, they cannot be fully removed. No single approach has been satisfactory in removing adhesions. [unboundmedicine.com]
Prognosis of small- bowel obstruction depends on the location and source of obstruction. [laparoscopyhospital.com]
Prognosis Intestinal obstruction surgery usually has a favorable outcome if the surgery is performed before tissue damage or death occurs. [medical-dictionary.thefreedictionary.com]
Etiology
Despite various hypotheses, the etiology remains unknown. It could be primary or secondary. [casereports.in]
Etiological spectrum of dynamic intestinal obstruction. Gomal J Med Sci. 2007; 5 :59 – 61. 4. Parashar UD, Holman RC, Cummings KC, Staggs NW, Curns AT, Zimmerman CM, et al. [tropicalgastro.com]
The etiology of adhesions is usually related to prior abdominal surgery, although congenital bands and adhesions from intraabdominal or pelvic inflammatory processes may be responsible. [newportlaparoscopy.net]
The etiologic factors could be either congenital or acquired causes. [ijri.org]
Etiology: Primary - Idiopathic Seen in children; no lead point Peak incidence 3 - 9 months Hyperplasia of Payer’s patches in the terminal ileum - Secondary to weaning - URTI due to adenovirus or rotavirus Adults – Secondary Meckel’s diverticulum, HS Purpura [slideshare.net]
Epidemiology
Epidemiology Incidence True incidence is difficult to determine because some adhesions are asymptomatic. [unboundmedicine.com]
Attard, J.A.P. and MacLean, A.R. (2007) Adhesive small bowel obstruction: Epidemiology, biology and prevention. Canadian Journal of Surgery, 50, 291-300. [file.scirp.org]
Epidemiology Of all patients admitted to hospital with intestinal obstruction, most have small intestinal obstruction. Significant numbers of colorectal malignancies present with obstruction. [patient.info]
Pathophysiology
Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol. 2011;17(41):4545–4553. [View Abstract on OvidMedline] Diamond MP, Burns EL, Accomando B, et al. [5minuteconsult.com]
Pathophysiology [ edit ] Adhesions form as a natural part of the body’s healing process after surgery in a similar way that a scar forms. [en.wikipedia.org]
Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol. 2011;17(41):4545–4553. [PMID:22147959] Moris D, Chakedis J, Rahnemai-Azar AA, et al. [unboundmedicine.com]
In article View Article [4] Liakakos T., Thomakos N., Fine P.M., Dervenis C., Young R.L., “Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management,” Dig Surg, 18(4). 260-273. 2001. [pubs.sciepub.com]
Pathophysiology of intra-abdominal adhesion and abscess formation, and the effect of hyaluronan. Br J Surg, 90 (2003), pp. 533-541 [27] R.S. Williams, A.M. Rossi, N. Chegini, G. Schultz. [elsevier.es]
Prevention
Experts in the field contribute to clinical standards for preventive measures to control the formation of postoperative adhesions [books.google.com]
Recent advances in prevention and management". Digestive Surgery. 18 (4): 260–73. doi : 10.1159/000050149. [en.wikipedia.org]
Primary prevention: Avoid abdominal infection or need for abdominal surgery. [unboundmedicine.com]
Such adhesions can cause Asherman's syndrome, closing the uterus and preventing menstruation. [medical-dictionary.thefreedictionary.com]
Prevention Methods to prevent adhesions include using biodegradable membranes or gels to separate organs at the end of surgery or performing laparoscopic (keyhole) surgery, which reduces the size of the incision and the handling of the organs. [hemorrhoid.net]