THME treatment of and results in patients with gallstone ileus have been recently reviewed.1-3',7 Formerly, surgical treatment consisted of removing the obstructing stone by enterotomy and exploring the remaining intestine for additional stones. Followup studies on these patients show an increasing morbidity attributed to the diseased gallbladder or to the patent biliary fistula. Conversely, th...

fecaloma is a mass of hardened feces being impacted mostly in rectum and sigmoid. the most common sites of the fecaloma is the sigmoid colon and the rectum. there are several causes of fecaloma and have been described in association with hirschsprung’s disease, psychiatric patients, chagas disease, both inflammatory and neoplastic, and in patients suffering with chronic constipation. up to now ...

Phytobezoar presenting as acute intestinal obstruction is extremely rare in clinical practice and causing terminal ileum obstruction is still rarer. We report a case of middle aged female who presented with intestinal obstruction due to impacted phytobezoar in terminal ileum. Emergency exploratory laparotomy was performed and large phytobezoar found impacted in terminal ileum, which was compres...

Gallstone ileus (GI) is a mechanical type of intestinal obstruction (MIO) due to the impaction one or multiple stones within lumen. GI rare causes MIO that accounts for less than 1% cases which common in elderly population with comorbidities. The presentation non-specific, and this often leads delay diagnosis. Mainly diagnosis relies on radiological approach upon background clinical history. co...

BACKGROUND Distal stent migration is a well-known complication following insertion of biliary stents. Most such cases can be managed expectantly, because the stents pass through the gastrointestinal tract. However, small bowel obstruction as a result of the stent mandates surgical intervention. METHODS We report the case of a patient who had distal stent migration causing a small bowel obstru...

Gallstone ileus is a well-recognized clinical entity. It usually affects elderly female patients, and very often diagnosis can be delayed resulting in high morbidity and mortality. An abdominal x-ray and computed tomographic (CT) scan of the abdomen may show classical radiological features of small bowel obstruction, pneumobilia, and an ectopic gallstone. Laparotomy and enterlithotomy with or w...

Heparin is routinely administered in postoperative abdominal surgery aiming to prevent adhesions formation; however, there is no consensus indicating its effectiveness. This study evaluated the effect of heparin on peritoneal reactivity after abdominal surgery, through the association between peritoneal fluid features and ultrasonographic and laparoscopic examination. Ten adult horses were used...

Background: The equine colic, which is caused by the presence of enteroliths that are most often found in the small or large colon, is typical for certain geographical regions (dry and hot climate). A diet rich in alfalfa is one of the highest risk factors. The earliest symptoms include weight loss and repeated episodes of colic pain. Aims: To present the resul...