BACKGROUND Closed loop bowel obstruction is a specific type of mechanical obstruction with a high risk of strangulation and bowel infarction, especially in the small bowel. It is associated with a high mortality rate. Hence, it is important for emergency physicians to identify the presence of strangulation, while making the diagnosis of closed loop small bowel obstruction. METHODS We reported...

Ectopic spleen is an autotransplantation of splenic tissue after traumatic rupture of the spleen or a splenectomy. Clinically, since most splenosis patients have no obvious symptoms and the condition is usually detected during accidently physical examination. Splenosis is easy to be misdiagnosed as a tumor, leading to unnecessary surgical treatment. Multiple splenosis growing in the right thora...

Abstract Age is a key factor in the differential diagnosis of gastrointestinal (GI) pathology children. Imaging crucial range pediatric GI disorders. In term neonates, congenital anomalies tract causing obstruction are at forefront: atresia, intestinal malrotation with or without midgut volvulus, Hirschsprung’s disease, meconium plug syndrome, and ileus. premature neonate, necrotizing enterocol...

Small bowel obstruction is a common cause of an emergency admission in the surgical wards. Acute appendicitis presenting with small bowel obstruction due to appendiceal knotting is a very rare and unsuspected condition in an emergency scenario. We report a case of acute small bowel obstruction in a 26-year-old male who, on exploration was found to have small bowel strangulation due to appendice...

Foreign body ingestion is common in children. Ingestion of foreign bodies with magnetic properties are less common, but can be associated more severe complication, especially involving multiple magnets. We present a 16-month-old boy developmental delay who developed small bowel perforation following magnet ingestion. He had three days history vomiting and abdominal distension pain, suggestive a...

BACKGROUND Sclerosing mesenteritis is a rare fibroinflammatory disorder of unknown etiology that primarily affects the mesentery of the small intestine during late adult life. Only about twenty pediatric cases have been reported to date, but none has been reported in Chinese children. CASE PRESENTATION A 5-year-old Chinese male presented with a 4-week history of recurrent bloating, abdominal ...

BACKGROUND AND OBJECTIVES Meckel diverticulum can present with a variety of complications but is often found incidentally during other surgical procedures. The role of laparoscopy in the management of Meckel diverticulum is established. We reviewed our experience with complicated cases of Meckel diverticulum in children managed with laparoscopy. METHODS A 15-year retrospective chart review re...

Splenosis is the autotransplantation of splenic tissue, most commonly seen after traumatic splenic rupture and splenectomy. Post-traumatic splenosis is often considered a rare entity, but is probably underreported because of its asymptomatic nature. We describe the first reported case of splenosis presenting as a liver mass, indistinguishable from a liver tumor by standard preoperative evaluati...

Small bowel obstruction is rarely caused by bezoars concretions formed from undigested foreign material in the gastrointestinal tract. An important cause of bezoars is phytobezoars, formed from vegetables or fruits. A four-year-old boy presented to our emergency department with symptoms of acute intestinal obstruction. Upright plain abdominal radiography revealed multiple air fluid levels. Ultr...