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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,...
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...
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...
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:
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,...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...

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Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

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Published on: October 29, 2014

Complicated colonic intussusception.

Justin James1, Paul N Strauss

  • 1Department of Surgery, Central Gippsland Health Service, Sale, Victoria, Australia.

Journal of Emergencies, Trauma, and Shock
|July 13, 2012
PubMed
Summary
This summary is machine-generated.

A rare case of adult large bowel obstruction caused by colonic intussusception due to a submucosal lipoma is presented. Surgical resection led to a full recovery, highlighting the importance of considering intussusception in adult obstructions.

Keywords:
Colon lipomaintussusceptionlarge bowel obstruction

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Colorectal Surgery

Background:

  • Colonic intussusception is an uncommon cause of large bowel obstruction in adults.
  • Submucosal lipomas can act as a lead point for intussusception, causing obstruction.
  • Preoperative diagnosis of colonic intussusception can be challenging.

Observation:

  • A 53-year-old woman presented with symptoms of large bowel obstruction.
  • Physical examination revealed a pedunculated rectal lesion.
  • Sigmoidoscopy showed a prolapsing, necrotic pedunculated mass.

Findings:

  • Histological examination confirmed a submucosal lipoma.
  • The lipoma was identified as the lead point for the intussusception.
  • The patient underwent anterior resection and recovered well.

Implications:

  • Surgical resection of the affected colonic segment is the primary treatment for colonic intussusception.
  • This case underscores the need for high clinical suspicion for intussusception in adults presenting with bowel obstruction.
  • Accurate diagnosis and timely surgical intervention are crucial for favorable outcomes.