Presentation
However, endometriosis presenting as colon obstruction is rare and occurs in less than 1% of cases. [ncbi.nlm.nih.gov]
However, other major and minor criteria were present in the baby treated by us. [tropicalgastro.com]
Endometriosis of the appendix usually presents with abdominal pain [ 8 ]. [jmedicalcasereports.biomedcentral.com]
Yoo HY, Park HW, Chang SH, Bae SH: Ileal fecaloma presenting with small bowel obstruction. Pediatr Gastroenterol Hepatol Nutr 2015;18: 193–196. [karger.com]
Entire Body System
- 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]
Gastrointestinal
- 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]
Merck Manual Professional Version. http://www.merckmanuals.com/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/ileus. Accessed Sept. 18, 2015. [mayoclinic.org]
Around 15% of acute abdomen cases are found to have a bowel obstruction. Once the bowel segment has become occluded, gross dilatation of the proximal limb of bowel occurs, resulting in an increased peristalsis of the bowel. [teachmesurgery.com]
Canta et al., “Intestinal localization of anisakiasis manifested as acute abdomen,” Clinical Microbiology and Infection, vol. 9, no. 7, pp. 734–737, 2003. View at Publisher · View at Google Scholar · View at Scopus Q. Chen, H. Q. Yu, Z. R. [anisakis.com]
Face, Head & Neck
- 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
Large Bowel Obstruction Workup •Lab Studies: –Obtain blood for a •CBC •Electrolyte levels •PT •Type and crossmatch. [slideshare.net]
Following pathology confirmation of colorectal cancer as biopsied endoscopically, a metastatic workup is undertaken. [bccancer.bc.ca]
Surgery Bowel obstruction requires a swift workup to establish whether emergent surgery is necessary! [amboss.com]
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
- Bowel Distention
During the freeze cycle of endoscopic spray cryotherapy, high-flow nitrogen was injected onto the tumor, which caused bowel distention. [acgcasereports.gi.org]
Obstipation or constipation Abdominal distention High-pitched, tinkling bowel sounds (early) Absent bowel sounds (late) Diffuse, continuous abdominal pain Vomiting Obstipation or constipation Marked abdominal distention Tympany on percussion Absent bowel [amboss.com]
[…] movement Present Present Plain radiography Bowel distention Evident air-fluid levels differential height, regular arranged disposition Bowel distention. [intechopen.com]
Abdominal imaging of patients with early postoperative SBO shows gaseous distention of the bowel and a paucity of air in the colon. [clinicaladvisor.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]
Treatment
Nonetheless, a considerable number (18%) of patients will require surgical palliation because of failure of stent treatment. [edoc.mdc-berlin.de]
[…] after treatment termination the planned surgical treatment has been performed. [exp-oncology.com.ua]
Further treatment options were discussed with the patient at this time; she declined palliative chemotherapy and elected to proceed with supportive care. [acgcasereports.gi.org]
Prognosis
Although the mortality rate of these patients in the short term is high, little is known about the long-term outcomes of recurrence and prognosis [6,7]. [futuremedicine.com]
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]
[…] on radiographs a fat-fluid level can be a specific sign in the absence of trauma MRI sensitive and more specific for early cartilaginous damage T1: low signal within subchondral bone T2: perisynovial edema C+ (Gd): synovial enhancement Treatment and prognosis [radiopaedia.org]
Obstruction not associated with cancer has a very good prognosis, especially in otherwise healthy people. [drugs.com]
Etiology
Etiology Pathophysiology Clinical features Diagnostics Treatment Differential diagnoses Complications [amboss.com]
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]
Duodenal atresia: The etiology of duodenal atresia is from failure to recanalize the lumen after the solid phase of intestinal development. [pedclerk.bsd.uchicago.edu]
The etiology of AS is rarely known and seems to be multifactorial [19]. Several endoscopic dilatation techniques can be used [20] to treat AS. [karger.com]
Epidemiology
Epidemiology of childhood onstipation: a systematic review. Am J Gastroenterol 2006; 101: 2401-2409. 2. Lisdonk EH van de, Bosch WJHM, Huygen FJA, Lagro-Jansen ALM. Ziekten in de huisartspraktijk. Obstipatie. [ge-bu.nl]
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]
Acromioclavicular joint arthritis as the first manifestation of Austrian syndrome. 61 Miyaue N...Nagai M 31300377 2020 18 Methicillin-Resistant Staphylococcus aureus Infection and Treatment Options. 61 Chalmers SJ...Wylam ME 31523777 2020 19 Changing Epidemiology [malacards.org]
Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997;24:235–238. [PubMed] [Google Scholar] 11. Graham B., Mazier P. Diagnosis and management of endometriosis of colon and rectum. Dis Colon Rectum. 1988;31:952–956. [ncbi.nlm.nih.gov]
In this review, we attempt to discuss the epidemiology, pathophysiology and management of the functional variant of obstructed defecation syndrome. [omicsonline.org]
Pathophysiology
The pathophysiological features in intestinal obstruction are summarized in Figure 4. 6. [intechopen.com]
Etiology Pathophysiology Clinical features Diagnostics Treatment Differential diagnoses Complications [amboss.com]
Abstract Intestinal pseudo-obstruction as described by Olgivie 1 in 1948 is a well recognized clinical entity of uncertain etiology and pathophysiology. [ispub.com]
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]
"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]
Prevention
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]
Prevention You may be able to reduce your risk of some forms of bowel obstruction by modifying your diet and lifestyle. [drugs.com]
This can relieve painful symptoms and prevent serious complications such as tissue death or rupture of the small bowel. Without treatment, a bowel obstruction can be fatal. [sgihealth.com]
Call your provider if you: Cannot pass stool or gas Have a swollen abdomen (distention) that does not go away Keep vomiting Prevention depends on the cause. [medlineplus.gov]