DESCRIPTION A 43-year-old man without previous abdominal operations came to the hospital due to sudden onset abdominal pain and vomiting. His abdomen was soft. Laboratory data confirmed leukocytosis and severe acidosis (pH 7.16). Abdominal CT revealed a twist of mesentery around the axis of the superior mesenteric artery (figure 1) and poor contrast-enhanced bowel loops (figure 2). Emergent lap...

INTRODUCTION Small bowel intussusception is rare in adults and accounts for one percent of all bowel obstructions. Malignancy is the etiologic agent in approximately 50 percent of all cases. CASE PRESENTATION Our first patient was an 80-year-old Caucasian woman with signs and symptoms of intermittent bowel obstruction for the last 12 months. Pre-operative investigation by abdominal computed t...

The small bowel rarely suffers from metastatic tumors from outside the abdomen. Small bowel obstructions caused by the metastatic spread of squamous cell carcinoma (SCC) of the hand to the intestines are even rarer. A 71-year-old man with intermittent abdominal distension and pain for 4 months was diagnosed with partial bowel obstruction. The patient underwent a video capsule endoscopic examina...

A 30-year-old man presented to the emergency department for two weeks of diffuse abdominal pain and an episode of emesis. He denied fever, prior surgery, or any other illnesses. The patient reported going on a “crash diet regimen” one month prior, resulting in an intentional weight loss of 25lbs in 30 days. He also reported two episodes of melena-type bowel movements prior and had an esophagoga...

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BACKGROUND Intestinal obstructions/pseudo-obstruction of the small/large bowel are frequent conditions but their management could be challenging. Moreover, a general agreement in this field is currently lacking, thus SICUT Society designed a consensus study aimed to define their optimal workout. METHODS The Delphi methodology was used to reach consensus among 47 Italian surgical experts in tw...

bezoars are concretions of foreign materials that impair gastrointestinal motility or cause intestinal obstruction in the stomach, small intestine or bowel of humans or animals. there are many types of them such as phyto, lacto and trichobezoars. although bezoars are not rare, multiple giant bezoars which totally fill the stomach lumen and have extension to the small intestine (rapunzel syndrom...

Gallstone ileus is a rare disease that accounts for 1-4% of intestinal obstructions. Almost exclusively a condition in the older female population, it is a difficult diagnosis to make. We report the case of gallstone ileus in a 94-year-old Caucasian female, who presented to the emergency department with acute-onset nausea, coffee-ground emesis, lack of bowel movement, and abdominal distension. ...