CLINICAL STUDY OF MISCELLANEOUS CAUSES OF INTESTINAL OBSTRUCTION

  • Eshita Keniya Post Graduate Resident
  • Dr.Aashish Ramesh Chavan
  • DR.Abdul Rehman Tamboli
  • Dr.Anil S Degaonkar
  • Dr.Vidyadhar P Kelkar
Keywords: intestinal obstruction, Miscellaneous causes, postoperative morbidity, Moratlity.

Abstract

Introduction- Acute intestinal obstruction is one of the most common surgical emergencies. 

Miscellaneous causes of bowel obstruction needs to be evaluated thoroughly.

Aims and Objectives- Pre- operative diagnosis (Predicting rare differential diagnosis as causes) of intestinal obstruction and timely intervention to reduce postoperative morbidity and mortality  

Methods - A retrospective observational study of 124 cases of intestinal obstruction from June 2018 to November 2020 by examining previous clinical records in terms of Clinical presentations, Laboratory investigations , Radiological investigations, Operative procedures, and Post operative outcomes was done. Out of 124 cases 40 cases were managed conservatively and were excluded from study. Out of remaining 84 cases 20 cases presented with unusual causes of intestinal obstruction on laparotomy.

Results- 20 rare causes of intestinal obstruction in our study were namely 2 Paraduodenal hernia, 2 foreign body(phytobezoars) obstruction of ileum, 1 - obstruction by worm infestation , 6 cases of volvulus ,1 gall stone ileus , 1 meconium plug syndrome ,and ,1 case of obstructed obturator hernia,1 case of Meckel’s Diverticulum with Ileocolic Intussusception,5 with varied presentation of abdominal koch’s.

Conclusion- It is important to consider these rare causes of intestinal obstruction as an important treatable cause of obstruction .

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References

Evers BM: Small bowel obstruction. Sabiston’s textbook of surgery. Townsend,Beauchamp, Evers, Mattox (Editors). W.B. Saunders Co 2001;16th Ed; 882 -888.
Sakorafas GH, Poggio JL, Dervenis C, Sarr MG: Small bowel obstruction. Shackelford’s surgery of the alimentary tract. W.B. Saunder’s Company 2002;5 edition;317-341
Richard JB, Gerald TG, David CH, Leslie ER, Wangensteen SL. Abdominal pain. Am J Surg 1976; 131: 219-223.
Playforth RH et al. Mechanical small bowel obstruction and plea for the earlier surgical intervention. Ann Surg 1970; 171: 783-788.
Cole GJ. A review of 436 cases of intestinal obstruction in Ibanan. Gut 1965; 6:151-162.
Gill SS, Eggleston FC. Acute Intestinal Obstruction. Arch Surg 1965 Oct; 91:389-392.
Aziz Ur Rehman, Mazhar Khan, Zahid Aman, Mohammad Zia Ul Haq, Siddique Ahmad, Sarfaraz Ahmad. Pattern of small bowel obstruction in adults. J. Med. Sci. April-June 2010;18(2):77-78.
Madziga AG, Nuhu AI. Causes and treatment outcome of mechanical bowel obstruction in north eastern Nigeria. West Afr J Med. 2008 Apr;27(2):101-5.
Pal JC, De SR, Das D. The pattern of acute intestinal obstruction in a peripheral district of eastern India. Int Surg. 1982 Jan-Mar;67(1):41-3.
Chaib E, Toniolo CH, Figueira NC, Santana LL, Onófrio PL, de Mello JB. Surgical treatment of intestinal obstruction. Arq Gastroenterol. 1990 Oct-Dec;27(4):182-6.
Patrick G. Jackson and Manish Raiji, Evaluation and management of Intestinal Obstruction, Am Fam Physician, 83(2) 2011, 159- 165
Arshad M. Malik, Madiha Shah,et al , Pattern of Acute Intestinal Obstruction: Is There a Change in the Underlying Etiology, Saudi J Gastroenterol. Oct 2010; 16(4): 272–274.
Sharma SK, Mohan A. Extrapulmonary tuberculosis. Ind J Med Res 2004;124: 316-53
Haridimos Markogiannakis, Evangelos Messaris, Dimitrios Dardamanis, Nikolaos Pararas, Dimitrios Tzertzemelis, Panagiotis Giannopoulos, Andreas Larentzakis, Emmanuel Lagoudianakis, Andreas Manouras, Ioannis Bramis. Acute mechanical bowel obstruction: Clinical presentation, etiology, management and outcome. World J Gastroenterol 2007 January 21; 13(3): 432-437.
Davis R. Surgery of left paraduodenal hernia. Am J Surg. 1975 May;129(5):570-3. PubMed | Google Scholar
Ghahremani GG. Abdominal and pelvic hernias: In Gore RM, Levine MS, editors. Textbook of gastrointestinal radiology 2nd ed Philadelphia, PA: Saunders.2000; 1993e2009. Google Scholar
Newsom BD, Kukora JS. Congenital and acquired internal hernias: unusual causes of small bowel obstruction. Am J Surg. 1986 Sep;152(3):279-85. PubMed | Google Scholar
Fan HP, Yang AD, Chang YJ, Juan CW, Wu HP. Clinical spectrum of internal hernia: a surgical emergency. Surg Today. 2008;38(10):899-904. PubMed | Google Scholar
Meyers MA. Dynamic radiology of the abdomen: normal and pathologic anatomy. 5th ed New York, NY: Springer-Verlag. 2000. Google Scholar
Dritsas ER, Ruiz OR, Kennedy GM, Blackford J, Hasl D. Paraduodenal hernia: a report of two cases. Am Surg. 2001 Aug;67(8):733-6. PubMed | Google Scholar
Ein SH: Leading points in childhood intussusception. J Paed Surg 1976;11(2):209-211.
Frazee RC, Mucha P, Farnell MB, Van Heerden JA: Volvulus of the small intestine. Ann Surg 1988;208(5):565- 568.
Akgur FM,Tanyel FC, Buyukpamukcu N, Hicsonmez A: Anomalous congenital bands causing intestinal obstruciton in children. J Paed Surg 1992;27(4):47-473.
Festen C: Postoperative small bowel obstruction in infants and children. Ann Surg 1982;196:580-583.
Winslet MC: Intestinal obstruction. Bailey and Love’s Short Practice of Surgery. Russell Williams, Bulstrode (Editors). Arnold International students edition 2004, 24th ed;1186-1202.
How to Cite
Keniya, E., Chavan, A., Tamboli, A., Degaonkar, A., & Kelkar, V. (2021). CLINICAL STUDY OF MISCELLANEOUS CAUSES OF INTESTINAL OBSTRUCTION. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 7(5), 91-99. Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/247
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Original Article