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Showing 2 results for Intestinal Obstruction
Abdolhosein Davoodabadi, Marzieh Naghavi , Elahe Mianesaz,
Volume 13, Issue 4 (2-2010)
Abstract
Background: Meckel's diverticulum is the most common anomaly of the intestine. It is usually asymptomatic but could also be symptomatic with complications such as bleeding, intestinal obstruction, and inflammation. Case Report: Two weeks after gangrenous appendectomy of a 44 years old man in Shahid Beheshti Hospital in Kashan city, Iran, he complained of abdominal pain, nausea, bilious vomiting and constipation. Considering him as a suspicious case of intestinal obstruction, we performed laparatomy in which torsion of 10 cm. length of Meckel's diverticulum was confirmed. Conclusion: Since the complications of Meckel's diverticulum are rane in adults, this diagnosis is supposed to be considered as one of the probable reasons of acute abdomen surgery. Although, the common place of Meckel's diverticulum is at 40-60 cm away from ileal operculum, it is recommended to assess ileum at a 100 cm distance from it.
Nushin Moussavi, Gholam-Abbas Moussavi, Maryam Taheri, Hamidreza Talari,
Volume 25, Issue 1 (3-2021)
Abstract
Background: Bowel obstruction is a common cause of emergency surgical interventions. The most common etiologies are adhesion bands, hernias, tumors, and in children, intussusception. Bezoar is an uncommon cause of bowel obstruction. Some fruits such as persimmon tend to form bezoars, and as this fruit is used ubiquitously in Iran, it was decided to evaluate the etiology and seasonal distribution of bowel obstruction in Kashan.
Material and Methods: This cross-sectional study was performed on patients who were admitted due to intestinal obstruction in Shahid Beheshti Hospital, Kashan, from 2012 to 2017. Relevant information including demographic data, etiology of bowel obstruction and the season of admission were obtained. Data were entered in SPSS software. For analysis, chi-squared test and Fisher test were used.
Results: Three-hundred seventy patients with a mean age of 52.07±10.05 years were included. Adhesion band was the most common etiology of bowel obstruction (26.2%), followed by intussusception (8.6%) and bezoar (7.2%). Adhesion band was the most common etiology in all seasons; bezoars were more common in fall and winter (8.7% and 7.8%, respectively).
Conclusion: Bezoar is a common cause of bowel obstruction in Kashan. As a higher incidence was observed in fall and winter, it is probably associated with ingestion of bezoar-inducing fruits such as persimmon. According to this high incidence and associated morbidity and mortality, preventive measures, including patient education and improvement of dental health seem to be essential.
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