nutritional status is very important especially in older adults because of its effects on quality of life. phytobezoar, for instance, that can lead to small bowel obstruction has risk factors such as excessive consumption of foods with high fiber content and inadequate chewing. these factors are related to dietary habits. furthermore, aging process and some of related physiologic changes can pr...

KEY CLINICAL MESSAGE Gallstone ileus is a rare complication of cholelithiasis, but an established cause of mechanical small bowel obstruction in elderly patients. It is associated with high morbidity and mortality as most patients are elderly with multiple comorbidities. Surgery of choice is enterolithotomy.

U 'NLESS there is a compelling contraindication, most surgeons prefer exteriorization to resection and the performance of primary anastbiplosis in the presence of strang-dating obstruction of the small intestine. The chief compelling indication for a primary anastomotic procedure instead of exteriorization has been considered a high situation of the lesion, a situation in which intestinal fistu...

A QUARTER OF A CENTURY AGO Lockwood et al. introduced a report on acute small intestine obstruction by remarking that, “The literature abounds in the description and discussion of acute small intestinal obstruction. The entity is well known; its cure is absolute; yet the mortality continues to be high.” ” Since “high” is relative I can use the same introduction for this paper. That the mortalit...

Early detection of signs of strangulation in case of acute small bowel obstruction is critical because it mandates an operation. Therefore the role of different radiological techniques used for diagnosing strangulating small bowel obstruction has been discussed here. Strangulation remains a major problem in patients with acute small bowel obstruction. Despite of having several radiological diag...

Intraluminal small bowel hematoma has been rarely reported in children, as a rare cause of small bowel obstruction. We present a case of an intraluminal ileal hematoma presenting as small bowel obstruction in a child. Computed Tomography (CT) indicated a large intraluminal hyperdense lesion in the distal ileum as the cause of small bowel obstruction. Abdominal ultrasonography (US) showed an ech...

absractwe are presenting a case of abdominal tuberculosis who had peritonitis and twolarge enteroliths were removed from the small intestine during laparotomy. followinga full course of medical treatment, she developed small bowel obstruction andtreated by laparotomy & enterolysis but showed no evidence of stricture. we had adiagnostic and management challenge which will be discussed along with...

Small bowel obstruction is a common cause of an emergency admission in the surgical wards. Acute appendicitis presenting with small bowel obstruction due to appendiceal knotting is a very rare and unsuspected condition in an emergency scenario. We report a case of acute small bowel obstruction in a 26-year-old male who, on exploration was found to have small bowel strangulation due to appendice...

he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. it occurs mostly in patients in the 6th decade of their life. of all the small bowel diverticuli, jejunal diverticulum is the most common type. this rare entity is usually asymptomatic. however, they may cause chronic non-specific symptoms for a long period of time ...

BACKGROUND Closed loop bowel obstruction is a specific type of mechanical obstruction with a high risk of strangulation and bowel infarction, especially in the small bowel. It is associated with a high mortality rate. Hence, it is important for emergency physicians to identify the presence of strangulation, while making the diagnosis of closed loop small bowel obstruction. METHODS We reported...