gastrointestinal obstruction by a gallstone is an uncommon but important complication of biliary stone disease which mostly affects the elderly. the classic triad of radiological features includes pneumobilia, ectopic gallstone and evidence of intestinal obstruction. terminal ileum is the most common site of obstruction, followed by jejunum and gastric outlet. we present a case of duodenal gall...

  Abstract   Gallstone ileus is a rare complication of cholelithiasis found in less than 0.5% of   patients. It is an uncommon cause of small bowel obstruction, accounting for 1% to   3% of all mechanical bowel obstructions and over 25% of nonstrangulated bowel obstructions in patients older than 65 years with a female predominance.   We report a 60-year-old woman who was referred to our hospit...

The degradation of a swede (Brassica napus L., cv. Danestone) diet anterior to the terminal ileum was studied in two pigs fitted with T-shaped cannulas 150 mm before the ileo-caecal junction. Digestibility was calculated with reference to chromic oxide and polyethylene glycol. In addition to the total loss of free glucose and fructose, there were substantial modifications to cell-wall material ...

A 20-year-old man arrived at the emergency department with a 1-day history of melena and one episode of lipothymia. He had nomedical history andwas not taking any medication. Significant findings on physical examination included an arterial blood pressure of 90/40mmHg, paleness of his mucosae and skin, and melena on rectal digital examination. Laboratory analysis revealed normocytic normochromi...

Meconium peritonitis is defined as aseptic chemical inflammation caused by an intrauterine bowel perforation. Its incidence 1 in 35,000 live births. We present a case of meconium presented at second day postnatal life with isolated gross fetal ascites. Exploratory laprotomy was performed, suggestive ascites fecal contamination and perforation terminal ileum for which ileal resection double barr...

Surgery finds in Crohn’s disease a main role in the management of obstructive or septic complications. Of course, to reserve it as the last treatment to use whenever medical therapy alone is insufficient, results in performing an intervention on more serious patients with more surgical complications (1-3). Through the years, granulomatous enteritis can develop a scar thickening with tight steno...

The effects of bile on small bowel motility were studied in isolated, perfused rabbit terminal ileum. It was proposed that bile delivery into the distal ileum would inhibit ileal motor activity, by peptide YY (PYY) release and therefore the effect of luminal bile on motor activity was examined and PYY release measured. Luminal bile and taurocheodeoxycholic acid (10 mmol) inhibited ileal motor a...

When obstructive colitis becomes fulminant, it is known as 'acute necrotizing colitis'. We report a rare case of acute necrotizing colitis due to sigmoid colon cancer, in which shock status occurred within ten hours of onset. A 79-year-old female with acute abdominal pain was transported to our hospital with acute shock. Abdominal enhanced computed tomography revealed thickening of the wall of ...

Meckel’s diverticulum is a common pathology in children and rare adults. We present case of 79-year-old patient which significant gastrointestinal bleeding, whose paraclinical explorations confirmed fatty tumor the terminal ileum. The exploratory coelioscopy revealed Meckel complicated intestinal invagination, resected at same time with resection extracorporeal anastomosis by mini coelio-guided...

A 68-year-old woman was admitted to our hospital complaining of hoarseness. A chest X-ray detected an abnormal shadow on the upper right lung. Bronchoscopic examination revealed that the left vocal cord was fixed in the paramedian position, and therefore left recurrent nerve paralysis was suspected. Lymphadenopathy was found in the left supraclavicular area. Chest computed tomography showed tha...