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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

178
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:
178
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

495
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...
495
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

318
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...
318
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

300
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,...
300
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

137
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
137
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

105
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
105

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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Bowel Obstruction from an Incidentally Ingested Foreign Body.

Erica Lin1, Daithi S Heffernan2

  • 1Alpert Medical School of Brown University.

Rhode Island Medical Journal (2013)
|May 17, 2023
PubMed
Summary

A bread tag caused a small bowel obstruction in a patient without prior abdominal surgery. This rare cause required surgical intervention after imaging failed to identify the foreign body.

Keywords:
ingested foreign bodyperforationsmall bowel obstruction

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Medical Imaging

Background:

  • Small bowel obstruction (SBO) is a frequent surgical emergency.
  • Adhesions from prior abdominopelvic surgeries are the most common cause of SBO.
  • Diagnosing SBO in patients without surgical history presents unique challenges.

Observation:

  • A 65-year-old male presented with symptoms of SBO.
  • Preoperative imaging did not reveal the cause of the obstruction.
  • The patient had no history of abdominal surgeries.

Findings:

  • The SBO was caused by an inadvertently ingested bread tag.
  • The bread tag's sharp edge eroded the small bowel wall.
  • A contained perforation of the small bowel was identified.

Implications:

  • Foreign body ingestion can lead to serious gastrointestinal complications like SBO.
  • Unusual causes of SBO should be considered in patients without surgical history.
  • Prompt surgical intervention may be necessary for SBO caused by foreign bodies.