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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

91
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....
91
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

58
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:
58
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

126
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...
126
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

173
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...
173
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

205
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,...
205
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

227
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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Related Experiment Video

Updated: Jun 28, 2025

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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290

Spontaneous Cecal Perforation During Pregnancy.

Abdalhai Alshoubi1, Melissa Kim2, William Hauter3

  • 1Anesthesiology and Critical Care, OSF St. Francis Hospital, Peoria, USA.

Cureus
|April 10, 2024
PubMed
Summary

Spontaneous cecal perforation in pregnancy is rare but life-threatening. Prompt surgical repair led to a successful delivery of a healthy baby.

Keywords:
cecal perforationidiopathicpregnancyprimary suturespontaneous perforation of the colon

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Area of Science:

  • Gastroenterology
  • Obstetrics & Gynecology
  • Surgical Case Report

Background:

  • Spontaneous colon perforation, a rare condition, is classified as stercoral or idiopathic.
  • Cecal perforation during pregnancy is uncommon and poses significant risks, necessitating urgent diagnosis and surgical management.

Observation:

  • A 33-year-old pregnant woman at 29 weeks' gestation presented with acute abdominal pain and distention.
  • Clinical evaluation and imaging revealed diffuse peritonitis secondary to spontaneous cecal perforation.

Findings:

  • An emergent explorative laparotomy identified a 1.2 x 0.8 cm perforation in the cecum.
  • Surgical repair involved excision and primary suture of the perforation with an omental patch.

Implications:

  • This case underscores the critical need to consider rare causes of acute abdominal pain in pregnant patients.
  • Timely diagnosis and surgical intervention are crucial for favorable maternal and fetal outcomes in spontaneous cecal perforation during pregnancy.