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Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

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Related Experiment Videos

Primary intussusception in pregnancy: a case report.

Claire H Gould1, Gabrielle J Maybee, Brian Leininger

  • 1Department of Obstetrics and Gynecology, Wilford Hall Medical Center, Lackland Air Force Base, USA.

The Journal of Reproductive Medicine
|October 9, 2008
PubMed
Summary

Adult intussusception during pregnancy is rare and can mimic other conditions. This case highlights a rare instance of perinatal intussusception without an identifiable cause, emphasizing the need for thorough diagnosis.

Related Experiment Videos

Area of Science:

  • Gastroenterology
  • Obstetrics
  • Surgical Case Reports

Background:

  • Intussusception in adults is uncommon, often linked to underlying pathologies like malignancy or anatomical defects.
  • Bowel obstruction during pregnancy presents diagnostic challenges, with symptoms frequently mistaken for common obstetric or gastrointestinal issues.

Observation:

  • A 21-year-old primiparous woman presented with vague abdominal symptoms in late gestation.
  • Initial diagnosis considered viral gastroenteritis and severe preeclampsia due to elevated blood pressure and liver enzymes.
  • Despite conservative management and delivery, abdominal imaging confirmed intussusception, leading to a right hemicolectomy.

Findings:

  • The patient underwent a right hemicolectomy for intussusception.
  • Intraoperative and pathological examination revealed no identifiable lead point (e.g., tumor, anomaly).
  • This represents a rare case of adult perinatal intussusception without a discernible cause.

Implications:

  • Peripartum intussusception can present insidiously, mimicking less severe conditions.
  • Early recognition and surgical intervention are crucial for favorable outcomes in these rare obstetric complications.
  • This case contributes to the limited literature on idiopathic intussusception in the perinatal period.