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PubMedDate not supplied

[Cecal volvulus].

Explore the source record for details and available documents.

Humans↗
PubMed1989

[Acute intestinal obstruction caused by congenital intestinal abnormalities].

By means of two examples--one in pregnancy, the other one after an abdominal hysterectomy--we report on a rare cause of an acute mechanical ileus. In both cases an incomplete intestinal turn with distinct mobility of the colon caused a volvulus. It is pointed to the importance of an early diagnosis inspite of aggravating circumstances in late pregnancy, parturition and postoperatively after gynecologic operations. Effective operative treatment is based on careful exploration of the abdomen in order not to overlook rare causes of an ileus, among those also fetal developmental disturbances of the intestine and other abdominal viscera. Only by operative removing of the causes of an ileus in cooperation with surgeons--and that in good time--the results in gynecology can be improved especially during pregnancy but also postoperatively.

Acute Disease↗
PubMed1996

Intestinal malrotation--experience with 56 patients.

Intestinal malrotation is a common cause of upper gastro-intestinal obstruction and presents with duodenal obstruction caused by volvulus of the midgut loop. Patients are therefore at risk of catastrophic midgut infarction and it is a more frequent cause of duodenal obstruction in infants than duodenal atresia (92% in the neonatal period). Urgent upper contrast studies under surgical supervision are necessary in those patients whose plain films are not diagnostic. Rectal bleeding is an ominous sign, with 78% of patients having gangrenous bowel. Total midgut infarction is incompatible with survival in a Third-World environment.

Female↗
PubMed1982

Fetal jejunal atresia and intrauterine volvulus--a case report.

Ultrasonic B-scan not only confirms the clinical suspicion of polyhydramniosis, but will also in many cases diagnose the etiology. In case of a high intestinal atresia, two or more fluid-filled structures are seen in the fetal abdomen. In case of a congenital defect combination, intestinal atresia is generally associated with malrotation. This combination is frequently complicated by a midgut volvulus. The report describes a case of intrauterine volvulus with a surviving child. Repeat CTG-recordings in this case led to an acute caesarean section, when the CTG turned from normal to silent pattern.

Adult↗
PubMed2001

Intra-operative pulse oximetry can help determine intestinal viability.

The intra-operative assessment of intestinal viability when dealing with ischaemic bowel remains a challenge. Reliable healing of small-bowel anastomoses, using pulse oximetry to exclude critical ischaemia, has been shown in the canine model. In this study, intra-operative pulse oximetry (PO) was used to help determine intestinal viability 48 h after de-torsion of a volvulus. Approximately one-half of the ischaemic, volved bowel was able to be preserved. Intra-operative PO can thus help preserve bowel of doubtful viability.

Anastomosis, Surgical↗
PubMedDate not supplied

[Congenital intestinal malformations: clinical evaluation and specific treatment. Case report and literature review].

A case of acute abdomen due to diastasic perforation of the right colon by volvulus on mesenterium commune with associated agenesis of the left kidney and urogenital malformations in a young woman is reported. The case emphasizes the complexity and the polymorphism of congenital abdominal malformations, particularly predisposing to volvulus, that can represent a really challenge for emergency surgeon. The A.A. analyze literature about congenital intestinal anomalies to evaluate clinical, diagnostic and therapeutical problems, and they remark features to take into consideration in emergency: clinical history in non-operated patient of abdominal pain and biliary vomit with spontaneous resolutions; nutritional compromise; hypothetical diagnosis of anorexia or food intolerance; malformations in other organs or systems and, one mostly, young age. The correct interpretation of these symptoms can suggest suspicious of an occlusive complication due to intestinal malformations. Radiological data and the exploratory laparotomy or laparoscopy will confirm our intuition. If otherwise diagnosis of the cause underlying the chronic recurrent abdominal pain are delayed, surgical operation in emergency condition will be more aggressive and anatomical structures sacrificed.

Abdomen, Acute↗
PubMedDate not supplied

Prognostic factors in intestinal gangrene.

103 patients with intestinal gangrene were treated over a ten-year period in Ile-Ife, Nigeria. The various causes of the intestinal gangrene were herniae (63%), intussusception (20%), adhesions (12%), volvulus (3%) and mesenteric vascular occlusion (2%). The presence of pre-operative shock, purulent and faeculent peritonitis, intra-peritoneal perforation of bowel and involvement of long bowel segments in the gangrene process; constitutes the important prognostic factors. The presence of a pre-operative febrile response also influences the course of the disease while the age and sex of the patient, the duration of symptoms and the portion of bowel involved showed no relationship with the ultimate outcome. It is recommended that the patients with the ominous prognostic factors constitute a high risk group and should be given intensive care to ensure survival.

Female↗
PubMed1984

Morbidity and mortality of short-bowel syndrome acquired in infancy: an update.

The advent of total parenteral nutrition (TPN) has made survival beyond infancy possible for large numbers of patients who have sustained massive small intestinal loss due to a variety of intraabdominal catastrophes. However, the quantity and quality of life have been limited by the development of late sequelae due both to the protracted use of TPN and the long-term complications of foreshortening of the gut. To determine to what extent the morbidity and mortality of short-bowel syndrome (SBS) may have improved over the last 10 years, we reviewed our experience since 1973 with patients losing more than 50% of total small intestinal mass in infancy. The etiologies of SBS in the 16 study patients were necrotizing enterocolitis (6), midgut volvulus (5), multiple atresias (3), gastroschisis (1), and congenital SBS (1). Overall survival was 81%; total small intestinal length (SIL) at the time of diagnosis was 44.2 +/- 7.9 cm in survivors and 30.3 +/- 7.8 cm in nonsurvivors, probability values not significant. Although no patient survived without an ileocecal valve whose total SIL was greater than 20 cm, the three deaths in this series were not related directly to the SIL, but to end-stage liver disease resulting from TPN-associated cholestasis. Among the survivors, adaptation to enteral feedings required 13.8 +/- 2.5 mo, during which time weaning from TPN occurred; weight at adaptation was 6.87 +/- 1.32 kg.(ABSTRACT TRUNCATED AT 250 WORDS)

Child↗