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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,...
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
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...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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...

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Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates
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Persistent omphalomesenteric duct causing small bowel obstruction in children.

Faouzi Nouira1, Nadia Sarrai, Awatef Chariag

  • 1Department of Paediatric Surgery, Children's hospital, Tunis, Tunisia.

La Tunisie Medicale
|March 10, 2011
PubMed
Summary
This summary is machine-generated.

A persistent omphalomesenteric duct, though rare, can cause small bowel obstruction in children. Early consideration of this anomaly is crucial for timely diagnosis and treatment of pediatric bowel obstruction.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Emergencies

Background:

  • Small bowel obstruction is a common surgical emergency.
  • Persistent omphalomesenteric duct is an exceptional cause of small bowel obstruction.

Observation:

  • A 10-year-old male presented with symptoms of small bowel obstruction.
  • Physical examination and blood tests were normal; abdominal X-ray confirmed obstruction.
  • Exploratory laparotomy revealed a 10cm persistent omphalomesenteric duct causing small bowel volvulus.

Findings:

  • The persistent omphalomesenteric duct was successfully resected.
  • The patient experienced an uneventful recovery and was discharged on postoperative day 5.

Implications:

  • Persistent omphalomesenteric duct is an extremely infrequent cause of pediatric small bowel obstruction.
  • Clinicians should consider this etiology in children with occlusive syndrome and no prior surgical history.
  • Early diagnosis and intervention can prevent complications such as occlusion and hemorrhage.