Presentation
We present a rare asymptomatic case in which intestinal adhesions covered and occluded a site of uterine rupture, which was found during cesarean section. The patient had undergone laparoscopic myomectomy 5 years previously. [ncbi.nlm.nih.gov]
Five female patients (age 65–83 years, operated between August 2014 and January 2015) presented with severe symptomatic intestinal adhesions following previous abdominal procedures. Three of them were elective, two were acute presentations. [hindawi.com]
She presented with a significant shadow of the trapped loop on plain radiographs. CASE REPORT A 45-year-old lady presented with 2 weeks history of abdominal pain that was initially colicky and bilious vomiting. [academic.oup.com]
The causes of intestinal adhesions are presented, and various methods advocated to prevent adhesions are discussed. [streetdirectory.com]
Entire Body System
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Mobility Impairment
impairments secondary to abdominal surgeries. [jospt.org]
Gastrointestinal
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Abdominal Bloating
But if there is an obstruction of the intestine, following symptoms may be displayed: Abdominal pain and cramps Vomiting Abdominal bloating Constipation Inability to pass gas What are the causes? Caused after an abdominal surgery or inflammation. [gastrosurgery.co.uk]
Symptoms include abdominal pain which may come and go, vomiting, abdominal bloating, and bloody stool. It often results in a small bowel obstruction. Other complications may include peritonitis or bowel perforation. [play.google.com]
I advise my patients who’ve had surgery to switch to a liquid diet for a day if they start experiencing any abdominal bloating or cramping. That’s frequently all it takes to get discomfort from adhesions under control. [health.clevelandclinic.org]
Workup
See Workup for more detail. [emedicine.medscape.com]
Surgery Bowel obstruction requires a swift workup to establish whether emergent surgery is necessary! [amboss.com]
The diagnostic workup showed thromboembolic splenic infarcts, as well as a short length subtotal thromboembolic closure of the superior mesenteric artery. Treatment so far, 1 year and 8 months after the last operation, has been nonsurgical. 2.4. [hindawi.com]
Workup should include WBC, lactate, electrolytes, BUN/creatinine. [unboundmedicine.com]
In the absence of such a history or specific symptoms, this workup is neither appropriate nor necessary. [glowm.com]
Treatment
Intestinal Adhesions Treatment is not normally required for stomach adhesions that are bringing about no issues. [natural-herbal-care-products.weebly.com]
The substance is approved for hemostasis and treatment of adhesions after surgical adhesiolysis. [hindawi.com]
Treatment for adhesions In most cases, adhesions do not cause any problems and no treatment is required. However, treatment will be required if the adhesions starts to cause pain and other symptoms. [medic8.com]
treatment for diseases and health problems. [beltina.org]
Prognosis
What is the prognosis with de Quervain's tenosynovitis? The prognosis for de Quervain's tenosynovitis is excellent. The patient can generally return to full function after the inflammation quiets down with treatment. [medicinenet.com]
Abdominal Adhesion Prognosis The biggest complication is the digestive issues. In some cases food do not get digest properly and the patient is advised to take only soft foods. Another issue is the infertility problem. [herbalcareproductstreatment.wordpress.com]
Obstruction not associated with cancer has a very good prognosis, especially in otherwise healthy people. [womenshealthmag.com]
Prognosis Abdominal adhesions can be treated, but they can be a recurring problem. Because surgery is both the cause and the treatment, the problem can keep returning. [londongeneralsurgeryclinic.co.uk]
Etiology
Etiology Pathophysiology Clinical features Diagnostics Treatment Differential diagnoses Complications [amboss.com]
Definition / general Serosa-based fibrous bands of scar tissue that cause colon to connect and adhere to nearby structures, typically other viscera Sites Can occur anywhere in GI tract, commonly between bowel segments or abdominal wall and operative site Etiology [pathologyoutlines.com]
Nevertheless, as mentioned earlier, abdominal imaging is valuable to rule out other etiologies for a patient's symptoms. [ncbi.nlm.nih.gov]
Epidemiology
We followed both the Meta-analysis of Observational Studies in Epidemiology (MOOSE) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in reporting the results. [bmj.com]
Epidemiology Adhesions account for approximately one percent of all general surgical admissions and three percent of all laparotomies. [statpearls.com]
Adhesive small bowel obstruction: epidemiology, biology and prevention. Can J Surg 2007, 50:4 p 291-300 2. Coccolilni et al. Peritoneal adhesion index(PAI): proposal of a score for the ignored iceberg of medicine and surgery. [slideshare.net]
Epidemiology The most common entrapment tendinitis of the hand and wrist is trigger digit, [8] followed by de Quervain tenosynovitis, though the latter occurs only about one twentieth as often as does trigger digit. [emedicine.medscape.com]
Pathophysiology
Etiology Pathophysiology Clinical features Diagnostics Treatment Differential diagnoses Complications [amboss.com]
Pathophysiology In the natural process of healing, fibrin is deposited onto the tissue that is damaged and it behaves like a glue to seal off the injury. [news-medical.net]
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]
Prevention
Therefore, their prevention is desirable. While this goal is evident, the means of preventing adhesions are not. Elimination of operative trauma to the bowel which initiates the development of intestinal adhesions is often impossible. [jamanetwork.com]
Chinese medicine has been applied both to prevention of adhesions and to their treatment when they cause bowel blockage. The preventive measure involves relatively immediate post-surgical intervention. [streetdirectory.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]