Ileo-sigmoid knotting (ISK) is one of the uncommon causes of bowel obstruction except in sigmoid volvulus belt countries where it is fairly common. Bowel obstruction during pregnancy is also uncommon; when it occurs it is mostly due to adhesions. Obstruction during labor is a very rare phenomenon. In this article we present a case of ISK diagnosed intra operatively in a grand-multipara mother t...

INTRODUCTION Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common, it is rarely manifested as an acute bowel obstruction secondary to ileal endometriosis. Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. CASE OUTLINE A 41-year-o...

Foreign body ingestion in children is common. Most items pass spontaneously, however rarer cases may result in obstruction and or perforation. Ingestion of multiple magnetic items can be more troublesome, as a consequence of the ability of the items to attract across different sections of bowel, or by coalescing to form a larger foreign body. Very few cases of foreign body ingestion have led to...

Small bowel obstructions are most frequently caused by hernias or adhesive bands. However, there have been several rare reported cases of mechanical small bowel obstructions caused by loops of bowel or vascular bands. We describe a case of a 30-year-old woman with a clinical presentation suggestive of appendicitis. Laparoscopic evaluation showed an aberrant vessel looping around the small bowel...

We report a unique case of a 79-year-old woman with metastatic rectal cancer who developed bowel obstruction following endoscopic cryotherapy with liquid nitrogen for palliation of bleeding in the rectum. She developed abdominal distention and pain following the procedure. Computed tomography of the abdomen revealed a paraumbilical hernia containing a segment of transverse colon resulting in pa...

Phytobezoars are an uncommon cause of small bowel obstruction and accounts for <6% of all admissions for mechanical small bowel obstruction. Because most bezoars originated from the stomach and may break off, producing small bowel obstruction, it is advisable to examine the entire bowel for these cast-offs especially when removing gastric bezoars. Because the symptoms of bezoars are non-specifi...

The diagnosis and treatment of small bowel obstruction continue to evolve. The imaging approach in the work-up of patients with known or suspected small bowel obstruction and the timing of surgical intervention in this disease have undergone considerable changes over the past two decades. This article examines the current concepts related to the use of imaging technology in the diagnosis and ma...

We report a case of a 79 year old man with a known benign anastomotic stricture presenting with large bowel obstruction. At laparotomy the obstruction was found to be caused by a large sesame seed bezoar. Seed bezoars are well known to cause impaction in the rectum but have never been previously reported to cause large bowel obstruction. We recommend that patients with known large bowel strictu...

Intussusception is a common cause of bowel obstruction in the pediatric population. Malignant lesions account for up to 30 % of all cases of intussusception in the small intestine. We herein report an interesting case of ileo-colic intussusception caused by diffuse large B-cell lymphoma, in a child. The patient underwent laparoscopic right hemicolectomy. Pathologic evaluation revealed a diffuse...

Phytobezoar is a concretion of indigestible fibers derived from ingested vegetables & fruits. Primary small bowel phytobezoar is rare and almost always obstructive. It is commonly seen in adults but is rarely reported in pediatric age group. We present the clinical profile of two children (aged 4 and 12 years) with primary intestinal phytobezoar. The case of the 4 year old son of a tailor prese...