We report the case of a 25-year-old woman who presented with small bowel obstruction. Four years earlier, she underwent intragastric balloon insertion for treatment of obesity. The ballon had not been removed. Radiographs and CT scan showed radio-opaque device in the lower abdomen with small bowel obstruction. At laparotomy, the obstruction was found to be caused by the migrated, deflated intra...

We report a case of acute-on-chronic bowel obstruction in a three year old girl due to an enterocolic fistula secondary to a Meckel’s diverticulum (MD). This is the first case presenting in a paediatric patient. We discuss the varied ways a MD can cause bowel obstruction, look at the presentation of MD as an enterocolic fistula and discuss the management of chronically dilated large bowel in a ...

Peritoneal encapsulation is a rare congenital anomaly characterized by a thin membrane of peritoneum encasing the small bowel to form an accessory peritoneal sac. Cases usually present with small bowel obstruction or can be an incidental finding during laparotomy. We report a case of peritoneal encapsulation presenting as a small bowel obstruction in a 16 year old girl. The sac was easily excis...

KEY CLINICAL MESSAGE Gallstone ileus is a rare complication of cholelithiasis, but an established cause of mechanical small bowel obstruction in elderly patients. It is associated with high morbidity and mortality as most patients are elderly with multiple comorbidities. Surgery of choice is enterolithotomy.

I T HAS LONG BEEN MY IMPRESSION, together with others, that the state of competence of the ileocecal valve is the key to the radiographic picture of mechanical large bowel obstruction. 8~‘4~i9*2’ Continued observation has reinforced some of my previous conclusions. 27 At that time, I described three patterns of obstruction (Fig. 1). Type II obstruction, that associated with incompetence of the ...

U 'NLESS there is a compelling contraindication, most surgeons prefer exteriorization to resection and the performance of primary anastbiplosis in the presence of strang-dating obstruction of the small intestine. The chief compelling indication for a primary anastomotic procedure instead of exteriorization has been considered a high situation of the lesion, a situation in which intestinal fistu...

A QUARTER OF A CENTURY AGO Lockwood et al. introduced a report on acute small intestine obstruction by remarking that, “The literature abounds in the description and discussion of acute small intestinal obstruction. The entity is well known; its cure is absolute; yet the mortality continues to be high.” ” Since “high” is relative I can use the same introduction for this paper. That the mortalit...

Colonic pseudo-obstruction is a condition of distention of colon with signs and symptoms of colonic obstruction in the absence of an actual mechanical cause of obstruction. It is a poorly understood disease that is characterized by functional large bowel obstruction. Intestinal pseudo-obstruction was described in 1938 by the German surgeon W. Weiss who reported mega-duodenum in 6 persons in 3 g...

bowel stent insertion has a variety of complications one major of which is colonic perforation. the purpose of this article is to reveal two cases with delayed colonic perforation after stent placement to relieve bowel obstruction caused by rectal cancer. the first patient was a 55 year-old man who was a candidate for stent placement to avoid palliative surgery and relieve his bowel obstruction...

intestinal pseudo-obstruction is a condition in which the intestine’s ability to push food through is reduced. it often leads to the dilation of the various parts of the bowel. it can be idiopathic or inherited from a parent, or caused by another disease. we report a rare case of human immunodeficiency virus (hiv) infection in a 3-year-old boy who referred with acute abdominal pain, and was lat...