BACKGROUND Adult large bowel obstruction is an infrequent cause of acute obstruction in Africa and India. The cause of obstruction varies between regions of the world. Current controversy concerns the surgical management of the acutely obstructed left colon. MATERIALS AND METHODS This is a prospective study of adult patients with acute large bowel obstruction over a 6-year period. The diagnos...

To cite: Muller D. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014208097 DESCRIPTION A 50-year-old woman reported symptoms of generalised abdominal discomfort 4 days after coronary artery bypass surgery. As well as the discomfort she had some localised left upper quadrant pain, reduced appetite, mild nausea but no vomiting. She had good urine output but had n...

Type IV hiatal hernias are characterized by herniation of the stomach along with associated viscera such as the spleen, colon, small bowel, and pancreas through the esophageal hiatus. They are relatively rare, representing only about 5%-7% of all hernias, and can be associated with severe complications. We report a 71-year-old veteran wrestler who presented to our department with a type IV para...

The diagnosis of intestinal obstruction in pregnancy is difficult, as the symptoms may mimic pregnancy-associated complaints. The surgical management is challenging, as the mortality rate of midgut volvulus in pregnancy is high. We report the case of a 35-year-old woman at 21 weeks and 5 days of gestation with small bowel obstruction who presented to our institution with a 24 h history of colic...

Received June 14, 2004, from Sonoscan Ultrasonic Scan Centre (S.B.V.) and G. Kuppusamy Naidu Memorial Hospital (V.R.R., G.S.), Coimbatore, India. Revision requested June 24, 2004. Revised manuscript accepted for publication July 6, 2004. Address correspondence and reprint requests to S. Boopathy Vijayaraghavan, MD, DMRD, 16 B Venkatachalam Rd, R. S. Puram, Coimbatore 641 002, India. E-mail: son...

The authors report a case of spontaneous transmesenteric hernia with strangulation in an adult. Transmesenteric hernia (TMH) is a rare cause of small bowel obstruction and is seldom diagnosed preoperatively, and most TMHs in adults are related to predisposing factors, such as previous surgery, abdominal trauma, and peritonitis. TMH are more likely to develop volvulus and strangulation or ischem...

Midgut volvulus is a highly life-threatening condition that carries a high risk of short gut syndrome. We report a case of catastrophic neonatal midgut volvulus in which second-look laparotomy revealed apparently non-viable remnant small intestine but with a moderate blood supply. Full-thickness small intestine necrosis was distributed in a patchy fashion, with non-viable and necrotic areas dis...

Sigmoid volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel obstruction and ischemic changes. Sigmoid volvulus is an acute surgical emergency because delay in diagnosis and management can cause adverse maternal and fetal complications. Sigmoid volvulus typically presents with acute-on-chronic abdominal distension that may develop slowly over 3-4 days. An ...

Cecal volvulus is characterized by an axial torsion of the cecum, terminal ileum and ascending colon, being third cause bowel obstruction with incidence 2%, considered a rare pathology. We presented case patient secondary to cecal found during exploratory laparotomy.