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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

333
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:
333
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

806
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,...
806
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

727
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...
727
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

664
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
664
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

550
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
550
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

666
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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Small bowel obstruction caused by massive fibroids.

Daniel Sas1, Fan Jim Yang1, Nestor Agbayani1

  • 1Department of Emergency Medicine, Jacobi Medical Center, Bronx, NY, United States of America.

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Massive uterine fibroids can rarely cause small bowel obstruction. Emergency physicians must be vigilant for this uncommon cause of intestinal obstruction, especially in women with a history of fibroids.

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Area of Science:

  • Gastroenterology
  • Gynecology
  • Emergency Medicine

Background:

  • Uterine fibroids are common benign tumors in women of reproductive age.
  • Small bowel obstruction (SBO) is a common surgical emergency.
  • Massive uterine fibroids are an infrequent cause of SBO.

Observation:

  • A 44-year-old woman presented with abdominal pain and a history of uterine fibroids.
  • Imaging revealed SBO secondary to extrinsic compression by massive uterine fibroids.
  • Conservative management failed, necessitating surgical intervention.

Findings:

  • Surgical laparotomy was required to relieve the SBO.
  • Massive uterine fibroids were identified as the cause of the obstruction.
  • This case highlights a rare etiology of SBO.

Implications:

  • Emergency physicians should consider uterine fibroids in the differential diagnosis of SBO in women.
  • Early recognition and intervention are crucial for favorable outcomes.
  • This case underscores the importance of thorough patient history and imaging in diagnosing rare conditions.