No abstract available.
Ileum*

No abstract available.
Ileum*

Alimentary tract duplication is a rare congenital anomaly which may involve any part of the alimentary tract extending from stomach to rectum. Clinical presentation may mimic an inflamed appendix as described in this case. A 9-year-old boy with a clinical diagnosis of perforated appendix was noted to have a normal appendix intra-operatively. On further search for an underlying pathology, a gangrenous ileal duplication was discovered. En-bloc resection with primary bowel anastomosis was done. Histopathology report revealed a gangrenous small bowel duplication. We discuss the preoperative diagnostic dilemma and management options in approaching this rare entity.
Gangrene ; Ileum

Primary malignant lymphomas of bladder are very rare and most of them are secondary neoplasm occurring by direct extension or by metastatic spread. We report a case of malignant lymphoma showing gross involvement of bladder arising from the terminal ileum with a brief review of literature.
Ileum ; Lymphoma* ; Urinary Bladder*

In 1906, the human ureteral repair with an isolated segment of ileum was performed by Shoemaker and since 1950, the operation was reported with increasing frequency. At present time, the use of ileum for the replacement of ureter gives the best alternative. Partial or total replacement of the ureter by ileal segment was performed at the Dept. of Urology, St. Mary's hospital in 6 patients from 1971 to 1988. Herein we report our clinical investigation, in which the results were considered to be relatively successful, with brief review of literatures.
Humans ; Ileum* ; Ureter* ; Urology

From Feb. 1993 to Nov. 1996 at Viet Duc Hospital, 4 cases of ileum-cecum annatomosis and 7 cases of ileum-cecum intubation were performed. In 4 cases of annatomosis 3 had good result, 1 case had post operative peritonitis at the 8th day later due to anatomotic dehiscence, the two ends were exposed out of abdomen and the operation was repeated 1 month later. Right colon was cut and an end-end anastomosis was carried out, good result attained. The 7 cases of ileum-cecum intubation had good results
Ileum ; Cecum ; Peritonitis ; surgery ; Therapeutics

Post-traumatic intestinal stenosis (PIS) is an uncommon sequela of blunt abdominal trauma, in which injury to the mesentery or bowel wall leads to focal ischemic stricture of that segment. We present a case of PIS of the ileum diagnosed on the basis of radiological studies and surgical and pathologic findings in a patient with partial small bowel obstruction occurring five weeks after blunt abdominal trauma.
Constriction, Pathologic* ; Humans ; Ileum ; Mesentery

Hernia of the umbilical cord associated with segmental dilatation of the ileum (SDI) is a rare entity with only 17 cases reported in literature. We hypothesize that the prominent mesenteric vessels or folds that splay out towards the ends of the SDI signify the presence of an antecedent duplication cyst which eventually got resorbed to form the dilated segment.
Dilatation* ; Hernia* ; Ileum* ; Umbilical Cord*

A case of tubular duplicatio of the ileum in a 2 months old infant was presented. This patient was admitted because of abdominal distention and poor general condition. Operation revealed long tubular duplicated blind intestine, measuring 57X5cm in size. The pathologic diagnosis confirmed duplication of the ileum. The patient was discharged without any complication on the 17 th postoperative day. A brief review of literature was made.
Diagnosis ; Humans ; Ileum* ; Infant ; Intestines

PURPOSE: We evaluated the CT criteria useful for the diagnosis of the site of bowel perforation in patients with this or mesenteric injury caused by blunt abdominal trauma. MATERIALS AND METHODS: CT findings of 26patients with blunt abdominal trauma were retrospectively analyzed by two observers who were unaware of operative findings, and the results of their analysis were compared with those findings. Twenty cases of bowel perforation found at the jejunum (8), ileum (9), and colon (3), and six cases of mesenteric injuries were confirmed byoperation. We evaluated CT findings of 1) segmental bowel wall thickening, b) focal mesenteric fat infiltration, c) loculated fluid collection and d) extraluminal air adjacent to the bowel, and in addition analyzed the locations of ascites and free air, and the associated injuries of solid organs. RESULTS: The most common finding at the site of bowel perforation was segmental bowel wall thickening (17 cases), followed by focal mesenteric fatinfiltration (12 cases), loculated fluid (12 cases) and extraluminal air ajacent to the bowel (9 cases). Segmental bowel wall thickening was present at 34 sites, and the perforations were confirmed at 17 of these(50%). Focalmesenteric fat infiltration was present at 19 sites ; the perforations were proven at 12(63%). Loculated fluid collections were confirmed at 12/20 sites(60%), and extraluminal air adjacent to the bowel at 9/12(75%). Thepositive predictive value of criteria a, b, d, c) was 100%, and the positive predictive values of a, b, c) and a,d) were 60 and 67%, respectively. We observed ascites in 16 cases and intraperitoneal free air in 8 cases, the locations of ascites and free air did not, however, significantly correlate with the perforation sites. CONCLUSION: Extraluminal air adjacent to the bowel was the most specific criterion, and segmental bowel wall thickening wasthe most sensitive criterion. of all criteria, the finding 'a, b, c, d' most accurately predicted the site ofbowel perforation.
Ascites ; Colon ; Diagnosis ; Ileum ; Jejunum ; Retrospective Studies