Small bowel obstructions (SBOs) are a known perioperative complication of laparoscopic Roux-en-Y gastric bypass and common etiologies include internal hernia, port site hernia, jejunojejunostomy stricture, ileus and adhesions. Less commonly, SBO can be caused by superior mesenteric artery syndrome, intussusception and intraluminal blood clot. We present a case of SBO caused by intraluminal bloo...

Primary small bowel bezoars are rare and cause acute abdomen due to small bowel obstruction (SBO). A 69-year-old Japanese man presented with epigastric pain associated with fullness. Physical examination of the abdomen showed no marked signs of peritoneal irritation. An erect X-ray film of the abdomen showed small bowel obstruction. Computed tomography (CT) showed a dilated small bowel loop pro...

To cite: Parizh D, Meytes V, Kopatsis A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217646 DESCRIPTION A man aged 38 years who underwent assault, presented with a stab wound to the anterior abdomen, LLQ (figure 1A). He was haemodynamically stable, no peritoneal signs on abdominal examination, FAST and local wound explorations were inconclusive. CT scan of...

We report a 91-year-old woman presenting bowel obstruction due to impacted gallstone, who was the oldest patient which has been reported in Japanese scientific literature. The patient was referred to our hospital due to vomiting and abdominal pain. Computed tomography and abdominal X-ray showed dilated loops of small intestine associated with air-fluid levels, pneumobilia, and a calcified mass ...

Bouveret's syndrome is a rare cause of proximal gallstone ileus with obstruction of duodenum or gastric outlet. We report a case of an 87-year-old female patient presented with 1 week history of vomiting whose plain radiograms showed ileus and pneumobilia. The abdominal computed tomography confirmed pneumobilia and revealed free air and leakage of oral contrast agent in the hepatic hilum and su...

Abstract Introduction Gallstone ileus is a rare complication of gallstones that occurs in 1%-4% all cases bowel obstruction. We present surprising case gallstone causing small obstruction 19 years after open cholecystectomy. Case Report A 77-year-old male presented with 3-day history abdominal pain, 4 episodes vomiting and absolute constipation. He had surgical background an cholecystectomy app...

Background. Gallstone ileus is a rare complication of cholelithiasis accounting for 0.3–2.1% total acute intestinal obstructions. The recent years are witnessing sharply elevated incidence and its entailed complications. major diagnostic biases the atypical clinical presentation, instrumental laboratory evidence, relative paucity surgical cases. Aim. Highlighting to surgeons feasibility this re...

an 8-month-old female thoroughbred foal was presented showing signs of colic. the foal was anxious,exhibiting signs of abdominal pain and distention. the foal had tachycardia (120 beats/min), tachypnea (40breaths/min). blood samples obtained for haematologic and serum biochemistry analysis that showed a pcvof 30% and a tpp of 70 g/l. the peritoneal fluid analysis revealed a clear fluid with mil...