1.High jejunal obstruction as a sequela of necrotizing enterocolitis.
Soon Ok CHOI ; Woo Hyun PARK ; Joong Shin KANG
Journal of Korean Medical Science 1991;6(2):183-186
A case of high jejunal obstruction due to stricture is reported. It is a rare form of late sequelae of neonatal necrotizing enterocolitis(NEC). Barium contrast study of the small bowel is recommended for earlier diagnosis and treatment before discharge from the hospital, even is an asympto-matic patient.
Child, Preschool
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Constriction, Pathologic
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Enterocolitis, Pseudomembranous/*complications
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Humans
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Intestinal Obstruction/*etiology/radiography/surgery
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Jejunal Diseases/*etiology/radiography/surgery
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Male
2.Small Bowel Obstruction due to Enterolith.
Hyun Il HONG ; Byong Duk YE ; Sang Nam YOON
The Korean Journal of Gastroenterology 2009;54(3):139-142
No abstract available.
Aged, 80 and over
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Calcinosis/complications/*diagnosis/radiography
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Calculi/complications/*diagnosis/radiography
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Humans
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Ileum/pathology
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Intestinal Diseases/*diagnosis/etiology/radiography
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Intestinal Obstruction/*diagnosis/etiology/radiography
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Male
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Tomography, X-Ray Computed
3.A Transmesenteric Hernia in a Child: Gangrene of a Long Segment of Small Bowel through a Large Mesenteric Defect.
Chan Yong PARK ; Jung Chul KIM ; Soo Jin CHOI ; Shin Kon KIM
The Korean Journal of Gastroenterology 2009;53(5):320-323
Intestinal obstruction is a common surgical emergency. Transmesenteric hernia is an unusual cause of bowel obstruction that may result in irreversible damage of the bowel and a fatal outcome. Once incarceration of the bowel occurs, strangulation and gangrene follow immediately. The mortality rate associated with this condition is about 15%, but in the presence of gangrene of the bowel, the mortality rate is more than 50%. An accurate preoperative diagnosis of a transmesenteric hernia is very difficult and rarely made. Therefore, in patients with small bowel obstruction, in the absence of a history of previous surgery to suggest adhesions or an external hernia, the possibility of a transmesenteric hernia must be considered. We describe a case with gangrene of a long segment of the small bowel caused by a transmesenteric hernia through a large defect of small bowel mesentery in a child.
Child
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Diagnosis, Differential
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Female
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Gangrene
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Hernia/complications/*diagnosis/radiography
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Humans
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Ileal Diseases/*diagnosis/radiography/surgery
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Intestinal Obstruction/etiology/radiography
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Intestine, Small/*pathology/surgery
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Mesentery
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Tomography, X-Ray Computed
4.Benefits of Recurrent Colonic Stent Insertion in a Patient with Advanced Gastric Cancer with Carcinomatosis Causing Colonic Obstruction.
Semi PARK ; Sang Joon SHIN ; Joong Bae AHN ; Hei Cheul JEUNG ; Sun Young RHA ; Sang Kil LEE ; Hyun Cheol CHUNG
Yonsei Medical Journal 2009;50(2):296-299
Malignant obstruction develops frequently in advanced gastric cancer. Although it is primarily the gastric outlet that is obstructed, there are occasional reports of colonic obstruction. Treating intestinal obstruction usually requires emergency surgery or stent insertion. There are several kinds of complications with stent insertion, such as bowel perforation, stent migration, bleeding, abdominal pain and reobstruction. Nevertheless, endoscopic stent insertion could be a better treatment than emergency surgery in cases of malignant bowel obstruction in cancer patients with poor performance status. We report a case of advanced gastric cancer with carcinomatosis in which a recurrent colonic stent was inserted at the same site because of cancer growth into the stent. The patient maintained a good condition for chemotherapy, thus improving their chances for survival.
Aged
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Female
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Humans
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Intestinal Obstruction/etiology/radiography/*surgery
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Neoplasm Recurrence, Local
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Prosthesis Implantation/*methods
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*Stents
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Stomach Neoplasms
5.Loop Formation of Meckel's Diverticulum Causing Intestinal Obstruction.
Ji Hoon JO ; Kyung Won SEO ; Ki Young YOON
The Korean Journal of Gastroenterology 2014;63(1):56-58
No abstract available.
Humans
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Intestinal Obstruction/*diagnosis/etiology/surgery
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Male
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Meckel Diverticulum/complications/*diagnosis
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Middle Aged
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Radiography, Abdominal
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Tomography, X-Ray Computed
6.A Case of Left-sided Morgagni Hernia Complicating Incarcerated Small Bowel Hernia.
Se Won KIM ; Sang Hun JUNG ; Su Hwan KANG
The Korean Journal of Gastroenterology 2008;51(1):52-55
Morgagni hernia is an uncommon presentation representing about 3% in incidene and usually located in the right-sided anterior diaphragm. We experienced a case of Morgagni hernia in a seventy four-year-old male who was admitted complaining of intermittent abdominal pain. The diagnosis was made initially by chest and abdominal radiography, and an incarcerated Morgagni hernia was finally diagnosed with abdominal CT scans. Emergent laparotomy was performed. Morgagni foramen was located on the left-sided anterior diaphragm and Morgagni hernia which contained greater omentum and strangulated small intestine was gently reducted. Morgagni foramen measuring 4x5 cm was repaired with a Gortex mesh. We reported the experience of left-sided Morgagni hernia complicating incarcerated small bowel hernia in an old male patient.
Aged
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Hernia, Diaphragmatic/diagnosis/etiology/*radiography
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Humans
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Intestinal Obstruction/complications/*diagnosis
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*Intestine, Small
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Male
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Tomography, X-Ray Computed
7.The Efficacy of the Coaxial Technique Using a 6-Fr Introducer Sheath in Stent Placement for Treating the Obstructions Proximal to the Descending Colon.
Il Soo CHANG ; Sang Woo PARK ; Dae Yong HWANG ; Moo Kyung SEONG ; Hee Kyung JOH ; So Young YOON ; Yo Han CHO ; Won Hyeok CHOE
Korean Journal of Radiology 2011;12(1):107-112
OBJECTIVE: We wanted to evaluate the efficacy of stent placement using the coaxial technique with a stiff, long introducer sheath in patients with technical failure using an angiographic catheter for the obstructions proximal to the descending colon. MATERIALS AND METHODS: Self-expandable metallic stent placement was attempted under fluoroscopy-guidance in 77 consecutive patients who had malignant colorectal obstruction. Stent placement was performed using an angiographic catheter and a guide wire. If the angiographic catheter could not be advanced over the guide wire into the obstructive lesions proximal to the descending colon, then a 6-Fr introducer sheath was used. The technical success rate, the clinical success rate and the complications were analyzed. RESULTS: Successful stent placement was achieved in 75 of 77 patients (97%). The angiographic catheter failed to advance into the obstructive lesions of 11 patients (M:F = 7:4; mean age, 65.5 years) whose lesions were at the level of the splenic flexure or transverse colon. Therefore, the coaxial technique was implemented in all these 11 patients using a 6-Fr stiff introducer sheath and then the stent placement was successful. There were no complications related to the use of a stiff introducer sheath. Clinical success, which was defined as relief of clinical obstructive bowel symptoms, was obtained within 24 hours in all of patients. CONCLUSION: The coaxial technique using a stiff introducer sheath can increase the technical success of fluoroscopy-guided, self-expandable metallic stent placement in patients with colonic obstruction proximal to the descending colon.
Adult
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Aged
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Aged, 80 and over
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*Catheters
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*Colon, Descending
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Colonic Diseases/etiology/*therapy
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Colonic Neoplasms/complications
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Female
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*Fluoroscopy
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Humans
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Intestinal Obstruction/etiology/*therapy
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Male
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Middle Aged
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*Radiography, Interventional
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*Stents
8.Strangulated Small Bowel Obstruction Following Endoscopic Retrograde Cholangiopancreatography.
Do Young KIM ; Yong Jin KIM ; Tae Yoon LEE ; Chan Sup SHIM ; Hyun Ah CHUNG ; In Sung SON ; Young Koog CHEON
The Korean Journal of Internal Medicine 2012;27(3):363-365
No abstract available.
Abdominal Pain/etiology
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Aged, 80 and over
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Cholangiopancreatography, Endoscopic Retrograde/*adverse effects
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Female
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Humans
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Ileal Diseases/etiology/radiography/surgery
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Intestinal Obstruction/*etiology/radiography/surgery
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Tomography, X-Ray Computed
;
Treatment Outcome
9.A Case of Spontaneous Pneumoperitoneum Associated with Idiopathic Intestinal Pseudoobstruction.
Hye Won KIM ; Nu Ri CHON ; Young Shin KIM ; Jie Hyun KIM ; Hyojin PARK
The Korean Journal of Gastroenterology 2009;54(6):395-398
Pneumoperitoneum, free intra-abdominal air, usually results from the perforation of a hollow viscous. In approximately 10% of cases, however, pneumoperitoneum is not caused by gastrointestinal perforation. These cases of "spontaneous pneumoperitoneum" generally follow more benign course and may not require surgical intervention. Examples include cardiopulmonary resuscitation (CPR), malrotation, mechanical ventilator support, gynecologic manipulation, blunt abdominal trauma, and chronic intestinal pseudoobstruction in infancy (Sieber syndrome). But, it is extremely rare of spontaneous pneumoperitoneum secondary to idiopathic intestinal pseudoobstuction in adult. We herein report a patient with chronic idiopathic intestinal pseudoobstuction who developed a pneumoperitoneum.
Adult
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Chronic Disease
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Humans
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Intestinal Pseudo-Obstruction/complications/*diagnosis/surgery
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Intestine, Small/pathology
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Male
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Pneumoperitoneum/*diagnosis/etiology/radiography
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Tomography, X-Ray Computed
10.Small Bowel Obstruction Caused by Acute Invasive Enteric Anisakiasis.
Dong Baek KANG ; Jung Taek OH ; Won Cheol PARK ; Jeong Kyun LEE
The Korean Journal of Gastroenterology 2010;56(3):192-195
Anisakiasis usually occurs in the stomach and can easily be diagnosed by digestive tract endoscopy as opposed to enteric anisakiasis which is very rare and difficult to be diagnosed definitively. The most important and useful tool in diagnosing enteric anisakiasis is obtaining an accurate patient history of having eaten raw fish before the onset of symptoms. We report a case of small bowel obstruction caused by acute invasive enteric anisakiasis. A 60-year-old woman visited the emergency room suffering from sudden abdominal pain. She had eaten raw fish 1 day before the onset of symptom. Radiologic studies showed small bowel obstruction. However, no definitive cause could be found. An emergency laparotomy revealed edematous and dilated proximal jejunum and a focal stenosis of the distal jejunum. Segmental resection of the jejunum was performed, and histopathological examination revealed enteric anisakiasis. The patient was discharged on the 7th day after surgery following an uneventful course of recovery.
Acute Disease
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Animals
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Anisakiasis/complications/*diagnosis/surgery
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Anisakis/isolation & purification
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Diagnosis, Differential
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Female
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Humans
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Intestinal Obstruction/*diagnosis/etiology/radiography
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Intestine, Small/pathology
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Middle Aged
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Tomography, X-Ray Computed