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Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

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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,...
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Inflammatory Bowel Disease I: Introduction01:26

Inflammatory Bowel Disease I: Introduction

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Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
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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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease IV: Clinical Manifestations01:20

Inflammatory Bowel Disease IV: Clinical Manifestations

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Inflammatory bowel disease (IBD) encompasses two major chronic disorders—ulcerative colitis and Crohn’s disease—each characterized by relapsing episodes of gastrointestinal inflammation. Although they share certain clinical features, their patterns of involvement and manifestations differ in ways that aid diagnosis and guide management.Ulcerative ColitisUlcerative colitis is limited to the colon and rectum and involves continuous inflammation of the mucosal layer. The...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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:
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Related Experiment Video

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Murine Ileocolic Bowel Resection with Primary Anastomosis
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Amoebic colitis presenting as ileocaecal intussusception - a rare case.

Raman Tanwar1, Sudhir Kumar Jain1, Lovenish Bains1

  • 1Department of Surgery, Maulana Azad Medical College, Bahadur Shah Zafar Marg, 110002 New Delhi, India.

The Malaysian Journal of Medical Sciences : MJMS
|May 31, 2014
PubMed
Summary

Amoebic colitis can cause ileocecal intussusception, a surgical emergency. Prompt diagnosis and treatment of this rare cause can prevent recurrence of intussusception in tropical regions.

Keywords:
amoebiccolitisidiopathicileocaecalintussusception

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Area of Science:

  • Gastroenterology
  • Tropical Medicine
  • Surgical Pathology

Background:

  • Ileocecal intussusception is a frequent cause of acute intestinal obstruction, often requiring emergency surgery.
  • Amoebic colitis is a potential, though rare, etiology for intussusception, particularly in tropical areas.
  • Distinguishing amoebic colitis from idiopathic intussusception is crucial for appropriate management and preventing recurrence.

Purpose of the Study:

  • To report a rare case of ileocecal intussusception secondary to amoebic colitis.
  • To highlight the importance of considering amoebic colitis in the differential diagnosis of intussusception in endemic regions.
  • To emphasize the need for awareness among tropical surgeons regarding this specific etiology.

Main Methods:

  • Case report of a 62-year-old male presenting with acute right iliac fossa pain and constipation.
  • Diagnostic workup included physical examination, ultrasound (revealing free fluid and a loop-within-loop image), and subsequent laparotomy.
  • Post-operative diagnosis confirmed by serology and pathology for invasive amoebic infection.

Main Results:

  • Laparotomy revealed ileocecal intussusception with a gangrenous caecum.
  • A right hemicolectomy was successfully performed, with a satisfactory patient outcome.
  • Post-operative investigations confirmed amoebic colitis as the underlying cause.

Conclusions:

  • Amoebic colitis should be considered in the differential diagnosis of ileocecal intussusception, especially in tropical regions.
  • Failure to identify invasive amoebic infection can lead to misdiagnosis of intussusception as idiopathic.
  • Early identification and treatment of amoebic colitis may reduce the incidence of recurrent intussusception.