A 78 year old woman with myelofibrosis presented with an acute small bowel obstruction. Pathology of the resected small bowel showed extramedullary haemopoiesis leading to acute small bowel obstruction. As far as we know this is the first such reported case.

Address for Correspondence: Linda Pantongrag-Brown, M.D., AIMC, Ramathibodi Hospital, Bangkok 10400, Thailand. The small-bowel feces sign is a finding found at CT of the abdomen. It is defined by the presence of fecal-like material mixed with gas bubbles in the dilated lumen of the small intestine, usually seen prior to the point of obstruction. It is the result of delayed small-bowel transit t...

A bezoar is a concretion of foreign or indigestible matter in the alimentary canal and is usual cause of gastric obstruction. Bezoars can become fragmented and migrate downward leading to intestinal obstruction. Diagnosis of phytobezoar has become challenging in clinical practice due to lack of patient history and inability of patient to correlate preceding events with the episode of bowel obst...

Sclerosing mesenteritis falls within a spectrum of primary idiopathic inflammatory and fibrotic processes that affect the mesentery. The exact etiology has not been determined, although the following associations have been noted: abdominal surgery, trauma, autoimmunity, paraneoplastic syndrome, ischemia and infection. Progression of sclerosing mesentritis can lead to bowel obstruction, a rare c...

Abdominal pain is a common complaint at the family physician's office. Small-bowel obstruction is included in the differential diagnosis. Many patients with obstruction have a history of previous abdominal surgeries as the cause of obstruction, but mechanical obstruction is another common cause. Mechanical obstruction can be caused by an ingested foreign body or foodstuff. This case is the firs...

INTRODUCTION Endometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common, it is rarely manifested as an acute bowel obstruction secondary to ileal endometriosis. Enteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. CASE OUTLINE A 41-year-o...

AIMS To determine whether day and time of admission influences the practice patterns of the admitting general surgeon and subsequent outcomes for patients diagnosed with small bowel obstruction. METHODS A retrospective database review was carried out, covering patients admitted with the presumed diagnosis of partial small bowel obstruction from 2004-2011. RESULTS A total of 404 patients met...

BACKGROUND A small bowel obstruction is classified as simple (nonstrangulated) or strangulated. The early recognition with correct diagnosis of small bowel obstruction is a critical issue as the release from strangulation requires surgical emergency. METHODS To evaluate the physiological effect on small bowel obstruction, a metallic ring was put in the small intestine (simple ileus) and a loo...