RESUMO
A rare case of gangrenous sigmoid volvulus in a pregnant woman causing intestinal obstruction is reported. The patient had intrauterine foetal death. Laparatomy for resection of sigmoid colon and hysterotomy for removal of dead foetus was carried out. Terminal iliac colostomy with closure of rectal stump was done in the first surgery. The patient underwent colorectal anastomosis 2 months after the first operation and recovered uneventfully.
Assuntos
Obstrução Intestinal , Complicações na Gravidez , Doenças do Colo Sigmoide , Adulto , Feminino , Morte Fetal , Gangrena , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/cirurgia , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/cirurgia , Doenças do Colo Sigmoide/diagnóstico , Doenças do Colo Sigmoide/cirurgiaRESUMO
A case of massive rectal bleeding due to colonic tuberculosis in advanced pregnancy with intrauterine foetal death is reported. Patient was treated with resection of the left colon and left transverse end colostomy with closure of the rectal stump. Hysterotomy for the removal of the dead foetus was performed. The patient improved in health with antitubercular treatment. The colorectal anastomosis was performed after 4 months. Massive rectal bleeding in intestinal tuberculosis, though rare should be kept in mind.
Assuntos
Doenças do Colo/complicações , Hemorragia Gastrointestinal/etiologia , Doenças do Jejuno/complicações , Complicações na Gravidez , Tuberculose Gastrointestinal/complicações , Adulto , Doenças do Colo/cirurgia , Feminino , Morte Fetal , Hemorragia Gastrointestinal/cirurgia , Humanos , Doenças do Jejuno/cirurgia , Gravidez , Complicações na Gravidez/cirurgia , Reto , Tuberculose Gastrointestinal/cirurgiaRESUMO
Percutaneous endoscopic gastrostomy (PEG) was performed in 33 patient with head injury, one with laryngeal cancer, and one with gastric volvulus. The gastrostomy tube was prepared from 20 F Foley catheter and a plastic micropipette tip. The complications encountered included peritubal leak in three patients (9%) and abdominal wall hematoma in one patient (3%). There was no procedure-related mortality. We recommend PEG for tube enteral feeding in patients who have lost the swallowing reflex.
Assuntos
Nutrição Enteral , Gastroscopia/métodos , Gastrostomia/métodos , Adulto , Idoso , Cateterismo/métodos , Traumatismos Craniocerebrais/complicações , Feminino , Humanos , Neoplasias Laríngeas/complicações , Masculino , Pessoa de Meia-Idade , Volvo Gástrico/complicaçõesRESUMO
In a prospective study, 50 cases of hydrocele were treated by ambulatory surgery. Lord's technique was performed under local anaesthesia. A modified simple scrotal dressing was used to facilitate ambulation. In one case (2%), haematoma was reported. There were no wound infections. Patients tolerated the procedure well and ambulation was excellent in all cases. On the grounds of safety and cost effectiveness, most hydrocele repair procedures should be performed on ambulant patients.
Assuntos
Procedimentos Cirúrgicos Ambulatórios , Hidrocele Testicular/cirurgia , Adolescente , Adulto , Anestesia Local , Bandagens , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Hidrocele Testicular/patologiaRESUMO
We report a two and a half year old child who presented with an acute abdomen two days after a spoon was forcefully inserted per rectum. The child recovered after repair of the rectal tear and a temporary sigmoid colostomy.