Presentation
Lipoma within jejunal duplication presenting as abdominal bloating and partial intestinal obstruction is an exceptional clinical entity. [ncbi.nlm.nih.gov]
Entire Body System
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Neonatal Intestinal Obstruction
intestinal obstructions classifiable to P76.- obstruction of duodenum ( K31.5 ) postprocedural intestinal obstruction ( K91.3- ) stenosis of anus or rectum ( K62.4 ) Paralytic ileus and intestinal obstruction without hernia K56.60 ICD-10-CM Diagnosis [icd10data.com]
J Pediatr Surg 47:772–781 PubMed CrossRef Google Scholar Casaccia G, Trucchi A, Nahom A, et al. (2003) The impact of cystic fibrosis on neonatal intestinal obstruction: the need for prenatal/neonatal screening. [link.springer.com]
Congenital gastrointestinal malformations can cause neonatal intestinal obstruction. Another cause of meconium ileus is cystic fibrosis. [patient.info]
Bilious emesis is the cardinal feature of neonatal intestinal obstruction, and mandates urgent evaluation to exclude malrotation with volvulus. [elearning.sumdu.edu.ua]
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Hodgkin Lymphoma
In this report, we present a six-year-old male patient with partial intestinal obstruction due to refractory Non-Hodgkin's lymphoma (NHL) whose partial obstruction was successfully treated with Taxol(R) without any surgical intervention. [ncbi.nlm.nih.gov]
More information Non-Hodgkin lymphoma Non-Hodgkin lymphoma Non-Hodgkin s lymphoma Definition: - clonal tumours of mature and immature B cells, T cells or NK cells - highly heterogeneous, both histologically and clinically Non-Hodgkin lymphoma More information [healthdocbox.com]
Respiratoric
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Sputum
Occasionally, sputum or gastric aspirates may contain larvae as they migrate through the lungs during the pulmonary phase, and they may be detected before ova are present in the stool. There is no effective serological test for ascariasis. [academic.oup.com]
Gastrointestinal
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Chronic Abdominal Pain
Chronic abdominal pain or the fear of pain is a common complaint in children with chronic intestinal pseudo-obstruction and may be treated with behavioral or relaxation therapy as well as with non-narcotic medicines. [chp.edu]
abdominal pain, pelvic pain, and infertility.[28] Other animals[edit] References[edit] a b c d e f g h i j k l Gore RM, Silvers RI, Thakrar KH, Wenzke DR, Mehta UK, Newmark GM, Berlin JW (November 2015). [en.wikipedia.org]
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Abdominal Rigidity
This mass may be difficult to locate in inconsolable infants because of abdominal rigidity from muscle straining. Early on, vomiting of undigested food may occur. As attacks continue, emesis may turn bilious. [elearning.sumdu.edu.ua]
Neurologic
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Flaccid Paralysis
If the obs is not relieved, the bowel begins to dilate reduction in peristaltic strength flaccidity & paralysis This is a protective phenomenon to prevent vascular damage 2 to increased intraluminal pressure Radiation enteritis is a bowel pathology [slideshare.net]
Workup
See Workup for more detail. [emedicine.medscape.com]
Surgical Bowel obstruction requires a swift workup to establish whether emergent surgery is necessary! References: [1] [amboss.com]
[…] complete blood count, urine pregnancy test followed with quantitative blood beta-hCG Imaging: transvaginal ultrasound If patient is unstable: IV fluid resuscitation, urgent obstetrics and gynecology consultation If patient is stable: continue diagnostic workup [en.wikipedia.org]
X-Ray
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Colonic Stricture
As the infection heals, scars may form in the intestinal wall – at times encircling the colon to form colon strictures. As strictures age and tighten, they may gradually block the colon by tightening. 7. [med-health.net]
stricture Colonic pseudopolyp w obstruction Colonic pseudopolyp with obstruction Crohns disease of colon w obstruction Crohns disease of colon w stenosis Crohns disease of colon with obstruction Crohns disease of colon with stenosis Crohn's disease of [icd9data.com]
Treatment
Treatment was continued with Taxol(R) and resulted in total cure of the ileus with reduction of palpable tumor mass over 24 h without necessitating any surgery. [ncbi.nlm.nih.gov]
In small bowel obstruction, treatment is often non-surgical. [healthhype.com]
Br J Clin Pract, 1990, vol. 44 (pg. 243 - 4 ) 4 Comparative efficacy of albendazole and three brands of mebendazole in the treatment of ascariasis and trichuriasis, East Afr Med J, 2004, vol. 81 (pg. 134 - 8 ) 5 Selective mass treatment with ivermectin [academic.oup.com]
To avoid unnecessary radicality in treatment, colon tumors with an uncertain preoperative diagnosis should undergo further diagnostic steps in order to clarify their nature. This could allow a more optimal therapeutic planning. [hungary.pure.elsevier.com]
Prognosis
Prognosis is good, if treatment starts early. On the other hand, severe untreated bowel obstruction with strangulation regularly ends with death. In small bowel obstruction, treatment is often non-surgical. [healthhype.com]
Citation metadata Abstract : Introduction: The aim of this study was to evaluate the characteristic features and both early and late term prognosis of premature infants who were followed-up with NEC in the neonatal intensive care unit. [go.gale.com]
Outlook (Prognosis) The outcome depends on the cause of the blockage. Most of the time, the cause is easily treated. [nicklauschildrens.org]
Prognosis[edit] The prognosis for non-ischemic cases of SBO is good with mortality rates of 3–5%, while prognosis for SBO with ischemia is fair with mortality rates as high as 30%.[26] Cases of SBO related to cancer are more complicated and require additional [en.wikipedia.org]
Etiology
The most important etiological factors were prematurity, hypoxia and enteral feeding. [go.gale.com]
Mechanical bowel obstruction : disturbance of bowel passage due to a structural barrier, resulting in disruption of intestinal transit Paralytic ileus : temporarily impaired peristalsis of the gastrointestinal tract in the absence of mechanical obstruction Etiology [amboss.com]
Luminal contrast studies computed tomography (CT scan) ultrasonography (US) Once the diagnosis of bowel obstruction is entertained, location, severity and etiology are to be determined. [ddc.musc.edu]
The etiology of the obstruction varies greatly, depending on the age that it occurs and the past surgical history. [elearning.sumdu.edu.ua]
[…] small bowel decompression and intravenous fluids o Surgical intervention may be necessary if there are signs and symptoms of strangulation, peritonitis or lack of response to conservative treatment Differentiating SBO from Paralytic Ileus SBO Ileus Etiology [learningradiology.com]
Epidemiology
“Epidemiology of pediatric inflammatory bowel disease: A systematic review of international trends”. Inflammatory Bowel Disease 2011; 17 (1), 423–439. Castro M., Papadatou B., Baldassare M., Balli F. et al. [ragazzicoraggiosi.it]
Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis. . Accessed July 24, 2018. Tursi A, et al. [mayoclinic.org]
Insights from a population-based epidemiological study and implications in surgical management. Ann Surg 253:223–230 PubMed CrossRef Google Scholar Yousefzadeh DK (1983) Tubular colonic duplication: review of 1876–1981 literature. [link.springer.com]
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]
[…] transfusion If patient is unstable: general or trauma surgery consultation with subsequent exploratory laparotomy and possible splenectomy If patient is stable: medical management, consultation of interventional radiology for possible arterial embolization Epidemiology [en.wikipedia.org]
Pathophysiology
In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. . Accessed Sept. 10, 2015. Glancy DG. Intestinal obstruction. Surgery. 2014;34:204. [mayoclinic.org]
Andrus CH, Ponsky JL (1988) Bezoars: classification, pathophysiology, and treatment.Am J Gastroenterol 83: 476-478. [omicsonline.org]
[…] common), tumors, Meckel diverticulum, Crohn disease (uncommon), Ascaris infestation, midgut volvulus, intussusception by tumor (rare), foreign body, and gallstones (rare) Neonates Meconium ileus, volvulus of a malrotated gut, atresia, intussusception Pathophysiology [merckmanuals.com]
Pathophysiology: Process (Occurs quickly in closed loop obstruction) Obstruction forms in either Small Bowel (much more common) or Large Bowel Bowel dilates proximal to obstruction Flatus and Bowel Movement s cease Dehydration results from Vomiting, minimal [fpnotebook.com]
Prevention
CASE REPORT - A protruding, ulcerated and firm tumor preventing the investigation of the coecum was found by endoscopy in the ascending colon of a 50-year-old woman, who was subsequently operated on. [hungary.pure.elsevier.com]
Bowel obstructions can be painful and occur when a blockage prevents intestinal contents from properly passing through the digestive tract. [med-health.net]
High-fiber diet ( fiber supplements, if necessary), drinking enough fluid, active life style and avoiding unnecessary stress are recommended to prevent constipation and diverticulosis. [healthhype.com]
When to Contact a Medical Professional Call your health care provider if you: Cannot pass stool or gas Have a swollen abdomen (distention) that does not go away Keep vomiting Prevention Prevention depends on the cause. [nicklauschildrens.org]
Presently there are no therapies to prevent small bowel obstruction except avoiding the risks (such as surgical techniques to avoid adhesions, which are being explored) or lysis of existing adhesions to prevent some recurrences. [metrowestdailynews.com]