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Rectal Obstruction


Presentation

  • We present an alternative treatment, since many of these patients are elderly with a short life expectancy and they may have difficulty coping with a stoma.[ncbi.nlm.nih.gov]
  • This report presents the rare case of a 75-year-old woman who developed a rectal obstruction caused by a pharmacobezoar, following the long-term ingestion of magnesium oxide cathartics for constipation.[ncbi.nlm.nih.gov]
  • Abstract The records of 13 patients with symptomatic rectal obstruction secondary to prostatic carcinoma have been critically reviewed to provide criteria for identifying this atypical presentation.[ncbi.nlm.nih.gov]
  • We present a case in which a polypropylene mesh was placed over the posterior vaginal wall and was fixed to the sacrospinous ligaments on both sides.[ncbi.nlm.nih.gov]
  • However, endometriosis presenting as colon obstruction is rare and occurs in less than 1% of cases.[ncbi.nlm.nih.gov]
Easy Bruising
  • bruising, spontaneously resolving dislocations of joints, scoliosis and ocular features such as keratoconus depending on the type of EDS.1-8 Multiple hernias are usually a rule rather than exception in these patients.[tropicalgastro.com]
Wound Infection
  • The review found high-quality evidence, showing that prophylaxis with antibiotics covering aerobic and anaerobic bacteria prior to elective colorectal surgery reduces the risk of surgical wound infection.[wjes.biomedcentral.com]
Recurrent Respiratory Infections
  • Ehler-Danlos syndrome type VI variant presenting with recurrent respiratory infections and responding to high dose vitamin C. J Assoc Physicians India. 1999;47:554–5. Prockop DJ, Ala-kokko L. Inherited disorders of connective tissue.[tropicalgastro.com]
Acute Abdomen
  • She had undergone a laparotomy due to an obstructive acute abdomen a year before, and a frozen pelvis was found. Biopsy specimens had been collected and the pathological report revealed endometrioma.[ncbi.nlm.nih.gov]
  • Of the patients with a rectosigmoid location, only a few cases have been reported as an acute abdomen [ 6, 7 ].[jmedicalcasereports.biomedcentral.com]
  • Abdominal tenderness, a common sign in the setting of LBO, is not a prominent feature of ACPO and its presence, especially in the presence of other signs of an acute abdomen, should prompt an immediate work-up to exclude perforation.[pubs.rsna.org]
Impulsivity
  • True RH, impaired rectal afferent pathway function, may result from disruption to any of the following levels of the brain-gut axis [ 15 ]: increased rectal mechanoreceptor threshold, abnormal impulse conduction, or altered processing of information in[kjim.org]
Frontal Bossing
  • The facial features typically include widely spaced eyes, high nasal bridge and prominent frontal bossing.[ 6, 7, 8] While these facial features were not very prominent in the baby treated by us, the skin laxity especially around the joints, feet and[tropicalgastro.com]

Workup

  • Following pathology confirmation of colorectal cancer as biopsied endoscopically, a metastatic workup is undertaken.[bccancer.bc.ca]
  • For chronic constipation that does not respond to dietary changes the workup may include a physical exam, history, blood work, rectal exam, colonoscopy, barium enema, rectal manometry and transit time or motility studies.[hemorrhoidcentersamerica.com]
  • In CRCE, the long-term oncologic outcome can be influenced by an advanced disease and by the higher rate of incomplete preoperative workup.[wjes.biomedcentral.com]
X-Ray Abnormal
  • Home » Tutorials » Abdominal X-ray Tutorials » Abdominal X-ray - Abnormal bowel gas pattern » Introduction » 1 2 3 4 5 6 » Conclusion Key points Dilatation of the caecum 9cm is abnormal Dilatation of any other part of the colon 6cm is abnormal Abdominal[radiologymasterclass.co.uk]
Microcytic Anemia
  • Laboratory values were consistent for microcytic anemia with hemoglobin of 9.1 g/dL and mean corpuscular volume of 79.[karger.com]

Treatment

  • Nonetheless, a considerable number (18%) of patients will require surgical palliation because of failure of stent treatment.[ncbi.nlm.nih.gov]
  • We present an alternative treatment, since many of these patients are elderly with a short life expectancy and they may have difficulty coping with a stoma.[ncbi.nlm.nih.gov]
  • Treatment of complete or partial obstructing lesions includes surgery, radiotherapy, or chemotherapy (or combination), as well as several new techniques, notably laser destruction and transrectal tumor resection.[ncbi.nlm.nih.gov]
  • Improvement of the patient was noted four weeks after the start of hormonal treatment with a decrease in rectal obstruction concomitant with decreases in testosterone and prostate specific antigen levels.[ncbi.nlm.nih.gov]
  • […] after treatment termination the planned surgical treatment has been performed.[exp-oncology.com.ua]

Prognosis

  • Obstructing cancer: overview and prognosis. Sem Colon Rectal Surg. 2001;12:154–7. Google Scholar 6. Frager D, Rovno HD, Baer JW, et al. Prospective evaluation of colonic obstruction with computed tomography. Abdom Imaging. 1998;23:141–6.[link.springer.com]
  • […] preoperative period directed on decrease of tumor volume and invasion, facilitate the performance of primary reparative operation and the course of post-operative period, and achieve a decrease number of obstructive resections without worsening the prognosis[exp-oncology.com.ua]
  • Obstruction not associated with cancer has a very good prognosis, especially in otherwise healthy people.[drugs.com]
  • What Is the Prognosis of Rectal Cancer? What Are Rectal Cancer Survival Rates by Stage? The outlook for recovery from rectal cancer is unique for each individual.[emedicinehealth.com]
  • Treatment and prognosis Treatment depends on the underlying cause and presentation, but in all cases, resuscitation and correction of electrolyte imbalances should be carried out.[radiopaedia.org]

Etiology

  • Understanding the various etiological hypotheses, as well as the clinical presentation and the use of appropriate tests, make selecting the best treatment option possible.[link.springer.com]
  • RH may also be important in the etiology of constipation in some patients, as it is the only demonstrable physiological abnormality in half of such patients [ 9 ].[kjim.org]
  • CT abdomen provides detailed information including the possible etiology for obstruction. CT with PO and IV contrast has a sensitivity and specificity of 100 and 83%. If the bowel is ischemic, then specificity decreases to 61%.[lumen.luc.edu]
  • Etiology The underlying etiology of large bowel obstructions is age-dependent, but in adulthood, the most common cause is colonic cancer (50-60%), typically in the sigmoid 1-4.[radiopaedia.org]
  • Abstract Intestinal pseudo-obstruction as described by Olgivie 1 in 1948 is a well recognized clinical entity of uncertain etiology and pathophysiology.[ispub.com]

Epidemiology

  • Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol 2011; 25 (1) 3-18 3 Sonnenberg A, Koch TR. Epidemiology of constipation in the United States.[thieme-connect.com]
  • A 6 Epidemiology The cause of Hirschsprung’s disease is multifactorial, and the disease can be familial or develop spontaneously. 2 It is more common in boys than girls. 1 Approximately 3 to 5 percent of male siblings and 1 percent of female siblings[aafp.org]
  • An epidemiologic and clinical study with special reference to incidence and survival. Acta Chir Scand. 1987;153(10):607–14. 12. Gunnarsson H, Holm T, Ekholm A, Olsson LI. Emergency presentation of colon cancer is most frequent during summer.[wjes.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • DISCUSSION FC may result from diverse pathophysiologies, such as delayed colonic transit and/or pelvic floor dysfunction [ 8 ].[kjim.org]
  • Abstract Intestinal pseudo-obstruction as described by Olgivie 1 in 1948 is a well recognized clinical entity of uncertain etiology and pathophysiology.[ispub.com]
  • "Obstructed defecation: current status of pathophysiology and management". The Australian and New Zealand Journal of Surgery. 65 (2): 87–92. doi : 10.1111/j.1445-2197.1995.tb07267.x. PMID 7857236. a b c d Kairaluoma, MV (2009).[en.wikipedia.org]
  • Both the clinical findings and the pathophysiology of LBO differ substantially from SBO.[pubs.rsna.org]
  • In: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 7th ed. Philadelphia, Pa.: Saunders, 2002:2131–5. 4. Stewart DR, von Allmen D. The genetics of Hirschsprung disease.[aafp.org]

Prevention

  • […] stoma 35 74.6 10 18.1 With exteriorization of preventive stoma 7 14.8 3 5.4 Surgery with exteriorization of constant stoma 5 10.6 42 76.5 Statistical analysis of data from Table 3 has shown that χ 2 37.15 at significance value of 0.005, exact Fisher’[exp-oncology.com.ua]
  • Additionally, tumors cannot be located within 5 cm of the anal verge to allow for placement of overlapping stents and to prevent the development of pain, tenesmus and incontinence after placement [ 108 ].[aibolita.com]
  • The patient was put on round-the-clock stool softeners and subjected to periodic manual disimpaction to prevent a recurrence. Fig. 1. CT Abdomen showing a rectal endoluminal fecalith mimicking a mass lesion (white arrow). Fig. 2.[karger.com]
  • Prevention You may be able to reduce your risk of some forms of bowel obstruction by modifying your diet and lifestyle.[drugs.com]
  • Large bowel (intestinal) obstruction occurs when there is a blockage in the colon or rectum that prevents food or gas from passing through. This leads to swelling of the intestine.[my.clevelandclinic.org]

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