We present the case of a 33-year-old female who presented intestinal obstruction at the 7th month of pregnancy. She was complaining of abdominal pain with paroxysms, nausea and vomiting. When the symptoms worsened, we performed a CT-scan, which revealed suspected intestinal obstruction in a context of intestinal malrotation (IM). Conservative therapy failed and she required emergency laparotomy...

This report presents the findings of investigation of a child with idiopathic intestinal pseudo-obstruction (IIP). Functional abnormalities of the smooth muscle of the gastrointestinal tract were disclosed by electrical recordings from the gut obtained after laparotomy. In vitro analysis of tissue and ultrastructure were undertaken and a possible aetiology of the disorder in this patient based ...

AIM Abdominal cocoon is a rare cause of intestinal obstruction usually diagnosed incidentally at laparotomy. It manifests by forming a membrane that typically encases the small bowel loops, leading to mechanical obstruction. Preoperative diagnosis is difficult. The etiology of this condition is not well understood; however, it is a form of chronic irritation and inflammation. METHOD A 33 year...

A 24 years old lady presented with classical history of acute intestinal obstruction. There was a background history of chronic abdomen for 9 years. There was asymmetrical abdominal distension. On laparotomy, the entire small intestine was cocooned and enclosed in a yellowish white thick fibrotic membrane resulting in obstruction of the small intestine. When the membrane was carefully peeled of...

A case of intestinal obstruction due to ileal atresia where the diagnosis was made prenatally by ultrasound is presented. Close monitoring of the fetus was done ultrasonographically to look for any evidence of meconium peritonitis. The baby was delivered preterm but weighed 3.3 kg. Laparotomy and enterostomy was done and the baby is currently well.

Small gut volvulus is rare in adults and usually presents with acute intestinal obstruction. We report a 25-year-old man with primary small gut volvulus who presented with hematemesis. The gangrenous gut was resected at laparotomy. He is well 3 months later.

A neurologically impaired child who had fundoplication and gastrostomy done for gastroesophageal at the age of three, presented two years later with intestinal obstruction. She underwent laparotomy and was found to have antegrade jejuno-jejunal intussusception. Intussusception is an unusual but recognised complication of gastrostomy tube placement.

A case of torsion of the gallbladder with gangrene in a 75-year-old woman is described. The diagnosis was established at laparotomy. The clinical features were suggestive of intestinal obstruction, while abdominal radiographs aroused suspicion of appendicitis and appendicular abscess; difficulty in preoperative diagnosis is emphasized.

In the past few years we have encountered three cases of intractable wasting and diarrhoea in which attacks of intestinal pseudo-obstruction have occurred. Two of them will not be discussed in detail because in one, a woman of 52 years, the jejunum showed the histological appearances of adult coeliac disease as described by Paulley (1954) and Shiner (1956). At laparotomy the peristaltic activit...

Introduction and Aim: One of the formidable complications in abdominal surgery is early intestinal obstruction, which quickly leads to development severe endotoxicosis, intra-abdominal hypertension. The objective this study present results repeat operation adhesive obstruction. Methodology: There were 27 patients (13 men 14 women) aged 17-73 years under observation, who re-operated for obstruct...