关键词: band obstruction copper-t feeding jejunostomy foriegn body ingestion general emergency surgery small bowel obstruction

来  源:   DOI:10.7759/cureus.60848   PDF(Pubmed)

Abstract:
Intestinal obstruction is a common surgical emergency that can be caused by mechanical causes or by different pathological processes. The most common cause of small bowel intestinal obstruction is post-operative adhesion, and the most common cause of large bowel obstruction is malignancy. These are classified into dynamic and adynamic types. The patient was selected based on the presentation management plan. Some cases require immediate operative intervention; however, some cases, as mentioned in this case series, require further investigation and a different approach. In this study, we report the rare causes of intestinal obstruction presented to Safdarjung Hospital, Department of General Surgery, New Delhi: one case of foreign body impaction, one case of spontaneous migration of feeding jejunostomy, one case of extrauterine IUCD causing intestinal obstruction, one case of mesentery band causing obstruction, and one case of abdominopelvic mass causing small bowel obstruction. These cases presented to the surgical emergency department with challenges in their diagnosis, intraoperative findings, and their outcomes.
摘要:
肠梗阻是一种常见的外科急症,可能由机械原因或不同的病理过程引起。小肠梗阻最常见的原因是术后粘连,大肠梗阻的最常见原因是恶性肿瘤。这些分为动态和非动态类型。根据演示管理计划选择患者。有些病例需要立即手术干预;然而,一些案例,正如在这个案例系列中提到的,需要进一步调查和不同的方法。在这项研究中,我们向Safdarjung医院报告了罕见的肠梗阻原因,普外科,新德里:一例异物撞击,喂养空肠造口术自发迁移1例,1例宫外宫内节育器引起肠梗阻,一例肠系膜带引起梗阻,1例腹盆腔肿块引起小肠梗阻。这些病例提交给外科急诊科,在诊断方面面临挑战,术中发现,和他们的结果。
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