A 59-year-old woman with history of pylorus-preserving pancreaticoduodenectomy for pancreatic hamartoma and partial colectomy for sigmoid volvulus presented with nausea, vomiting, constipation, sharp constant midabdominal pain, and abdominal distension for 2 days. She had tachycardia and diffuse mild abdominal tenderness with hypoactive bowel sounds. Lab revealed WBC of 14.1K/μL and creatinine ...

A 74-year-old man with chronic obstructive pulmonary disease presented at the Emergency Department with hypertension. A chest X-ray was obtained, revealing a hepato-diaphragmatic interposition of an intestinal loop, known as Chilaiditi’s sign (Fig. 1). The patient did not describe any gastrointestinal symptoms and the clinical examination only revealed mild hypertension. Chilaiditi’s sign was f...

Intraluminal contents and their movement along the gastrointestinal tract create shear stress and mechanical stretch on the gut wall. While the shear stress is important in the initiation of immediate physiological responses, the circumferential mechanical stretch, such as that in obstructive bowel disorders, exerts long-lasting impacts on bowel functions by mainly affecting the deeper muscular...

Our group has recently discussed the exciting European Respiratory Journal publication by BRASSARD et al. [1] that shows an increased incidence of the inflammatory bowel diseases (IBD) in subjects with airway disease. In this population-based cohort study, the incidence of Crohn’s disease was higher in the asthma (by 27%) and chronic obstructive pulmonary disease (COPD) (by 55%) groups relative...

BACKGROUND Ischaemic colitis has been associated with co-morbid conditions, medications, vascular surgery and advanced age in case reports and case series. Few data exist on the baseline incidence in the general population or on the increased risk imposed by these risk factors. AIM To systematically review the literature regarding the incidence, prevalence and risk factors for ischaemic colit...

Currently, surgery is less needed for the treatment of refractory peptic ulcer disease (PUD) or its complications. So, the complications of PUD surgery have been clearly declined. Here in, we present a 42-year-old man with chronic watery diarrhea and significant weight loss during 2 years after gastrojejunostomy for the treatment of obstructive PUD. Small bowel gastrointestinal series showed ra...

Internal hernia is an unusual cause of small bowel obstruction and classified several types according to locations. Sigmoid mesocolic hernia is an uncommon condition and among others intramesosigmoid hernia was rarely reported in the literature. We report the case of a 49-year-old female with a rare type of congenital internal hernia, through the mesosigmoid, causing small bowel obstruction. Sh...

Gastrointestinal stromal tumor (GIST) are mesenchymal tumors arising from gastrointestinal tract, mesentery, or omentum. They account for up to 3% of gastrointestinal malignancies [1]. In frequency these tumors rank distant third after adenocarcinoma and lymphomas of gastrointestinal tract tumors histologically. GIST arises from the interstitial cells of Cajal. These are complex group of cell n...

volvulus of the small bowel, although being rare, carries a high risk of strangulation and ischemic necrosis. preoperative diagnosis is difficult and may be complicated by pregnancy, labor and the post-cesarean-section state. delay in diagnosis and surgical intervention increases morbidity and mortality rates. we present a 20- year- old primigravida woman (ga=10 weeks) with massive intestinal n...

Non-occlusive mesenteric ischemia (NOMI) refers to all types of mesenteric ischemia without any organic blockage of blood vessels. It is usually seen in elderly age group with risk factors of previous myocardial infarction, congestive cardiac failure, aortic insufficiency, renal or liver impairment and post-cardiac surgery. Amongst all the cases of acute mesenteric ischemia, NOMI constitutes 20...