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Journal of Education, Health and Sport

Clinical case of acute intestinal objection caused by a foreign body
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Clinical case of acute intestinal objection caused by a foreign body

Authors

  • V. Benedyct I. Horbachevsky Ternopil National Medical University
  • A. Prodan I. Horbachevsky Ternopil National Medical University
  • V. Bahrii Ternopil Regional Clinical Hospital

DOI:

https://doi.org/10.12775/JEHS.2022.12.06.032

Keywords

acute intestinal obstruction, foreign body of the colon, obstructive intestinal obstruction

Abstract

Acute intestinal obstruction of various genesis remains one of the complex and urgent problems of emergency surgery. The reasons for unsatisfactory treatment results are late medical treatment and old age of such patients. The aim of the study was to shed light on a clinical case of acute intestinal obstruction on the background of diverticulosis of the distal colon.

The patient K. was treated in 75 years with the analysis of X-ray examination X-ray, ultrasound examination of the abdominal cavity, computed tomography of the abdominal cavity. The diagnosis was: acute obstructive intestinal obstruction in the stage of decompensation on the background of concomitant pathology: Diverticulosis of the sigmoid and descending intestine. Diverticulitis. The patient underwent surgery: upper-middle laparotomy, total nasogastrointestinal intubation, retrograde intubation of the colon, suspended sigmostoma, drainage of the abdominal cavity. In the postoperative period for 3 days in the fecal mass found a foreign body – a polyethylene film measuring 35x50 cm.

Thus, conducting a dynamic X-ray and sonographic examination in patients with acute obstruction of the digestive tract allows to confirm the presence of this pathology, but does not always help to establish the cause of this disease.

References

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Benedykt V, Korobko L. Acute Small Bowel Obstruction. Some Aspects Of Conservative Treatment. Georgian Med News. 2019;(288):7-11.

Benedykt V. About The Role Of Digestive Tract Decompression In Patients With Acute Bowel Obstruction. Mistakes, Complications And Their Prevention. Georgian Med News. 2017;(267):103-110.

Paul CJJ, Dohmen J, van Beekum CJ, Willis MA, Braun L [et al]. Surgical treatment of mechanical bowel obstruction: characteristics and outcomes of geriatric patients compared to a younger cohort. Int J Colorectal Dis. 2022 ;37(6):1281-1288. doi: 10.1007/s00384-022-04152-4. Hameed T, Singh M, Nizam A, Bhatia R, Sawant G. Acute Intestinal Obstruction Due to Ileocolic Intussusception in an Adult; A Rare Presentation of Inflammatory Myofibroblastic Tumor. Am J Case Rep. 2020;21:e920438. doi: 10.12659/AJCR.920438.

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Rezapour M, Ali S, Stollman N. Diverticular Disease: An Update on Pathogenesis and Management. Gut Liver. 2018;12(2):125-132. doi: 10.5009/gnl16552.

Piscopo N, Ellul P. Diverticular Disease: A Review on Pathophysiology and Recent Evidence. Ulster Med J. 2020;89(2):83-88.

Rezapour M, Stollman N. Diverticular Disease in the Elderly. Curr Gastroenterol Rep. 2019;21(9):46. doi: 10.1007/s11894-019-0715-4.

Kupcinskas J, Strate LL, Bassotti G, Torti G, Herszènyi L [et al]. Pathogenesis of Diverticulosis and Diverticular Disease. J Gastrointestin Liver Dis. 2019;28(suppl. 4):7-10. doi: 10.15403/jgld-551.

Ticinesi A, Nouvenne A, Corrente V, Tana C, Di Mario F [et al]. Diverticular Disease: a Gut Microbiota Perspective. J Gastrointestin Liver Dis. 2019 Sep 1;28(3):327-337. doi: 10.15403/jgld-277.

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Published

2022-06-30

How to Cite

1.
BENEDYCT, V., PRODAN, A. & BAHRII, V. Clinical case of acute intestinal objection caused by a foreign body. Journal of Education, Health and Sport [online]. 30 June 2022, T. 12, nr 6, s. 331–335. [accessed 29.3.2023]. DOI 10.12775/JEHS.2022.12.06.032.
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Issue

Vol. 12 No. 6 (2022)

Section

Research Articles

License

Copyright (c) 2022 V. Benedyct, A. Prodan, V. Bahrii

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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