Academia.edu no longer supports Internet Explorer.
To browse Academia.edu and the wider internet faster and more securely, please take a few seconds to upgrade your browser.
2015, JPMA. The Journal of the Pakistan Medical Association
Imperforate anus is a rare anomaly associated with defects commonly referred to as vertebral defects, anal atresia, cardiac defects, tracheo-oesophageal fistula, renal anomalies and limb abnormalities (VACTERL). With modern surgical procedures the overall outcome is excellent. Permanent colostomy which is required in some cases of this disease can result in some rare complications such as enteroliths formation, as illustrated in the case we are presenting here related to a 28-year-old male who reported at urology emergency with features of urinary and acute large bowel obstruction. On investigation he was found to have two enteroliths in his distal loop of sigmoid colostomy. The more distal of the two enteroliths caused urinary retention and hence acute renal failure, and the proximal one caused large bowel obstruction by compressing the proximal loop of colostomy. This case demonstrates that the blind distal sigmoid colostomy loop can grow enteroliths secondary to stasis of its own...
Pakistan Journal of Medical and Health Sciences
Background: Colostomy reversal after definitive procedure in patients of Imperforate Anus (for example; PSARP) can be difficult and challenging for surgeon due to proximal and distal gut lumen discrepancy, short length of distal loop, difficult mobilization of stoma. These factors affect the anastomosis and anastomosis is done under tension due to these factors. Colostomies which are reversed under tension mostly results in anastomosis leakage and increases the morbidity and mortality rate. The objective of this study to assess postoperative outcome in terms of complications following colostomy closure in patients with imperforate anus. Material and Methods: This is a prospective study done at the Department of Pediatric Surgery, National Institute of Child Health Karachi during the period of 6months from December 2016 to June 2017. A Self- structured performa was used to collect the data of total 84 Patients who Underwent Colostomy Reversal after definitive procedure for imperforat...
SpringerPlus, 2016
Hellenic Journal of Surgery, 2016
Indian Journal of Case Reports
Journal of Neonatal Surgery, 2016
Anorectal malformations (ARMs) commonly co-occur with other congenital anomalies, particularly VACTERL (vertebral, anorectal, cardiac, tracheal, esophageal, renal, limb, and duodenal) associations. However, this collection of associations is not comprehensive, and other concurrent anomalies may exist that can be missed during the standard work-up of patients with ARMs. We present a rare case of a neonate with a low ARM with concurrent jejuno-ileal atresia that was diagnosed after the correction of the ARM when the patient developed segmental volvulus. This case illustrates the importance of having a high index of suspicion when deviation from a classic presentation occurs.
Archives of International Surgery, 2013
Small bowel obstruction is a common condition, encountered in the emergency room of the surgery department. Uncommon causes include gallstone ileus, worm infestation, internal hernias, mesentric ischemia, trichobezoars or phytobezoars, Crohn's disease, postoperative strictures, and diverticulosis. Even more uncommon is primary enterolithiasis. Enterolith, the enterogenous foreign bodies, are rare clinical and radiological entities. True enteroliths are formed due to precipitation and deposition of substances from alimentary chime. Primary enterolithiasis is a rare entity, occurring in association with pathological conditions that lead to hypomotility and stasis, like Crohn's disease, small intestine diverticulae, traumatic or postoperative strictures of ileum, ulcerative colitis and blind loops. Primary enterolithiasis may be asymptomatic or may present with sub-acute or acute intestinal obstruction, but specific radiological diagnosis of primary enterolithiasis is uncommon. Definitive treatment of enterolithiasis with small intestinal obstruction is essentially surgical. The options at laparotomy are manual lysis of the calculus without enterotomy or removal by enterotomy. Bowel resection is indicated in cases with definitive bowel pathology. We are presenting five cases of enterolithiasis, which we encountered in the Surgery Department of L.L.R.M. Medical College, Meerut from January 2006 to December 2012. Clinical presentation, diagnosis, investigations and treatment have been discussed along with a review of literature.
Intestinal extrusion developed at the site of a stoma is a rare occurrence, associated with an elevated morbidity-mortality. The clinical symptoms frequently occur between the sixth and seventh postoperative days. The risk factors most commonly related to extrusion are: increased intra-abdominal pressure, cancer of the digestive tract, emergency surgery and stomas in the surgical incision. The authors report the case of male patients, with adenocarcinoma of the median rectus with acute obstructive abdomen, submitted to loop transversotomy with the objective of decompression. The patients presented intestinal extrusion through the peri-colostomic abdominal orifice. This occurred on the tenth post-operative day with a severe picture of Syndrome of Systemic Inflammatory Response and pneumonia. The association of some initiating factors, such as the emergency surgery, the neoplastic colorectal malignancy, the increase of intra-abdominal pressure and the technical error in tailoring the colostomy were determining factors for the development of this peri-colostomic complication.
Analyzing Ideology and Narratology In Film Series Sequels and Trilogies, 2024
Bullettino dell'Istituto di Diritto Romano 'Vittorio Scialoja', 2017
Revista de las Cortes Generales, 2009
The Journal of Immunology, 2002
Anales de Psicología, 2013
Latin American Journal of Solids and Structures, 2018
Dalton Transactions, 2015
Journal of Advanced Biotechnology and Experimental Therapeutics, 2024