Presentation
Lipoma within jejunal duplication presenting as abdominal bloating and partial intestinal obstruction is an exceptional clinical entity. [ncbi.nlm.nih.gov]
More information Case Presentation. Maha Akkawi, MD, Fatima Obeidat, MD, Tariq Aladily, MD. [healthdocbox.com]
Entire Body System
- Swelling
This abdominal X-ray shows thickening of the bowel wall and swelling (distention) caused by a blockage (psudo-obstruction) in the intestines. [mountsinai.org]
Your doctor may feel around your stomach to feel for any obvious signs of swelling or a lump. You may be sent for x-rays or a CT Scan to see if there is anything causing an obstruction. [bladderandbowel.org]
This can relieve the swelling in the abdomen. In many cases, a catheter will be inserted in the bladder to drain and collect urine for testing. [belmarrahealth.com]
This is to help relieve abdominal swelling (distention) and vomiting. Volvulus of the large bowel may be treated by passing a tube into the rectum. Surgery may be needed to relieve the obstruction if the tube does not relieve the symptoms. [nicklauschildrens.org]
Inside the intestine, a tumor or swelling can fill and block the inside passageway of the intestine. Outside the intestine, it is possible for an adjacent organ or area of tissue to pinch, compress or twist a segment of bowel. [health.harvard.edu]
- Sepsis
Signs Vital Sign s: Dehydration vs SIRS Criteria ( Sepsis ) Sinus Tachycardia Hypotension Bowel sounds Initial: High pitched, hyperactive bowel sounds Later: Hypoactive or absent bowel sounds Tender abdominal mass Closed loop Bowel Obstruction may be [fpnotebook.com]
In many situations, localised sepsis may be drained percutaneously under computed tomographic or ultrasonic guidance. [surgwiki.com]
Specialty Gastroenterology, emergency medicine Symptoms Abdominal pain, tenderness[2] Complications Sepsis, abscess[2] Usual onset Sudden or more gradual[2] Causes Trauma, following colonoscopy, bowel obstruction, colon cancer, diverticulitis, stomach [en.wikipedia.org]
Complications mostly occur in complete bowel obstruction: Dehydration Aspiration (swallowing of vomit) resulting in aspiration pneumonia Strangulation – twisted bowel with blocked arteries regularly resulting in intestinal gangrene if not treated promptly Sepsis [healthhype.com]
Surgery Complications of Small Bowel Obstruction Abdominal abscesses are pockets of infected pus in the abdominal cavity Sepsis, a condition in which the blood becomes infected Short Bowel Syndrome is a condition that results in malabsorption of nutrients [ddc.musc.edu]
- Anorexia
She presented anorexia and no fever since the beginning of this condition. The physical examination showed peritoneal reaction in the right iliac fossa (positive Blumberg sign). [scielo.br]
We report a case of 43-year-old man who presented to the Emergency Department with acute onset severe right lower quadrant abdominal pain associated with anorexia, fever, and nausea. [ncbi.nlm.nih.gov]
- Asymptomatic
Some patients remain asymptomatic, with ascarides found incidentally on radiographic examination or ova found in stool samples [ 1 ]. [academic.oup.com]
ABSTRACT Cecum diverticulosis is a benign, rare and generally asymptomatic disease that can manifest with acute diverticulitis or bleeding, thus complicating the differential diagnosis of the right iliac fossa pathology. [umbalk.org]
Shahraki, et al Mahjoub More information OHTAC Recommendation OHTAC Recommendation Clinical Utility of Serologic Testing for Celiac Disease in Asymptomatic Patients Presented to the Ontario Health Technology Advisory Committee in May and June 2011 July [healthdocbox.com]
Endometriosis involving the intestinal tract is rare and often asymptomatic. However, when symptoms do occur they can mimic those of IBS [ 7 ]. [karger.com]
Abstract Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. [wjes.biomedcentral.com]
Gastrointestinal
- 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]
[…] obstruction, chronic 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]
Musculoskeletal
- Muscle Cramp
cramps Prevention of Intestinal Obstruction Follow a high-fiber diet. [healthcommunities.com]
Skin
- Flushing
It is characterized by episodic flushing of the face, neck and upper chest, as well as the presence of watery diarrhea. As the disease progresses, the episodes of flushing may last more than 30 minutes. [healio.com]
If I do in an attempt to flush things out of my system, it will almost always make things worse or cause me to vomit. [crohnsdisease.com]
If your GIT is well-supplied with blood, then you can be assured of its proper functioning. 2) Increase fiber This enables you to flush out the toxins out of your body in a more efficient and regular way. [webdicine.com]
Urogenital
- Kidney Failure
Failure Kidney failure is also called renal failure. [healthdocbox.com]
[…] to reduce complications such as: dehydration electrolyte imbalances perforation, or a hole that forms in your intestines, which leads to infections kidney failure If the obstruction is preventing blood from getting to a segment of intestine, this can [healthline.com]
A bowel obstruction can lead to other issues, such as: dehydration electrolyte imbalance tissue death in the bowels abscess within the abdomen kidney failure a hole in the bowel, which could lead to infection pulmonary aspiration, wherein a person inhales [medicalnewstoday.com]
Kidney failure is a serious complication that can occur as a result of severe dehydration and/or systemic infection from perforation of the bowel. [healthofchildren.com]
The hypokalemia is an indirect result of the kidney compensating for the loss of acid. With the loss of intake of food the individual may eventually become cachectic. [en.wikipedia.org]
Neurologic
- Somnolence
Between attacks, the infant may appear somnolent or quite normal, and findings on examination of the abdomen may be quite unremarkable. [elearning.sumdu.edu.ua]
- Grunting
Examples include: abdominal swelling drawing knees up to their chest appearing excessively drowsy having a fever grunting in pain passing stools that appear to have blood in them, known as a currant jelly stool very loud crying vomiting, particularly [healthline.com]
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]
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. [hungary.pure.elsevier.com]
Prognosis
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]
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]
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. https://www.uptodate.com/contents/search. 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. http://www.clinicalkey.com. Accessed Sept. 10, 2015. Glancy DG. Intestinal obstruction. [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]
[citation needed] Pathophysiology Receptors on the floor of the fourth ventricle of the brain represent a chemoreceptor trigger zone, known as the area postrema, stimulation of which can lead to vomiting. [en.wikipedia.org]
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]
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]
When to Contact a Medical Professional Call your 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. [mountsinai.org]
However, this highly complex operations usually will necessitate the creation of a temporary colostomy in order to prevent the passage of feces into the freshly reconstructed anus. [colonandrectalspecialists.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]