• The small bowel obstruction occurred as a result of weight loss secondary to the anorexia, which then led to loss of the omental fat pad and consequent compression of the duodenum between the superior mesenteric artery (SMA) and the aorta. (biomedcentral.com)
  • SMA syndrome is generally felt to result from compression of the duodenum between the superior mesenteric artery anteriorly/dorsally and the aorta (and behind the aorta, the vertebral column) posteriorly/ventrally [ 4 ]. (biomedcentral.com)
  • Duodenal atresia The duodenum can be obstructed by atresia, stenosis, and pressure due to an extrinsic mass. (msdmanuals.com)
  • Varices can also form in other areas of the body, including the stomach ( gastric varices ), duodenum ( duodenal varices ), and rectum ( rectal varices ). (en-academic.com)
  • He was a cigarette smoker with a history of arterial hypertension and chronic obstructive airway disease. (ispub.com)
  • Imaging in the arterial phase can be performed to evaluate mesenteric ischemia, aortic dissection, or aneurysm, and can also be used to improve visualization of the pancreas in patients with upper abdominal pain. (radiologykey.com)
  • Pediatric small bowel obstructions have a variable etiology, with processes that can be divided into acute intestinal obstructions and chronic, partial intestinal obstructions. (medscape.com)
  • These conditions can be further subdivided into those that present in the immediate postnatal period (congenital intestinal obstructions) and those that occur later in childhood. (medscape.com)
  • Intestinal obstruction should be suspected in any child with persistent vomiting, abdominal distention, and abdominal pain. (medscape.com)
  • Undiagnosed or improperly managed obstructions can progress to intestinal ischemia, which in turn can progress to necrosis, perforation, and sepsis when left untreated. (medscape.com)
  • Intussusception is the most common cause of intestinal obstruction in infants and children aged 3 months to 6 years. (medscape.com)
  • SUMMARY: Intestinal atresia is a common cause of neonatal bowel obstruction. (bvsalud.org)
  • Intestinal atresia is a form of congenital bowel obstruction that requires operative repair in the early neonatal period. (bvsalud.org)
  • We present the case of this unexpected finding in a patient 38 years old, during emergency laparotomy for mechanical intestinal obstruction. (panafrican-med-journal.com)
  • Physiological increase in intestinal length occurs and the bowel herniates into the umbilical cord. (panafrican-med-journal.com)
  • Intestinal malrotation occurs in approximately 0.2% of all births. (panafrican-med-journal.com)
  • Although the precise incidence of intestinal malrotation is unknown, it is estimated that it occurs between 0.0001 % and 0.19 % of adults [ 1-3 ]. (panafrican-med-journal.com)
  • Overview of Congenital Gastrointestinal Anomalies Most congenital gastrointestinal (GI) anomalies present as intestinal obstruction and frequently manifest as feeding difficulties, distention, emesis, and an inability to pass gas and stool. (msdmanuals.com)
  • These metastases are usually asymptomatic but may present as perforation, obstruction, malabsorption, or haemorrhage. (ispub.com)
  • rarely, an ulcer can lead to a gastric or duodenal perforation , which leads to acute peritonitis and extreme, stabbing pain, [13] and requires immediate surgery. (wikizero.com)
  • Despite diagnostic and therapeutic advancement in medicine, appendicitis remains a clinical emergency and is one of the more common causes of acute abdominal pain. (medscape.com)
  • In this case report, we describe an adolescent girl who presented to the emergency department with the common symptoms of nausea, vomiting, and abdominal pain, but who was found to have a small bowel obstruction and anorexia nervosa. (biomedcentral.com)
  • In severe hyperinfection syndrome or disseminated disease, abdominal symptoms are similar to those of chronic infection, but they are more severe. (medscape.com)
  • Bloody stools and/or blood diarrhea may occur along with severe abdominal pains. (medscape.com)
  • We present a case of a 61 year old patient with upper gastrointestinal bleeding due to duodenal metastases from a primary adenocarcinoma of the lung with secondary deposits in the abdominal lymph nodes. (ispub.com)
  • CT is the primary imaging study for evaluation of most patients with major trauma and acute abdominal pain. (radiologykey.com)
  • The acute syndrome presents with rapidly progressive severe upper abdominal pain , yellow discoloration of the skin and whites of the eyes , liver enlargement , enlargement of the spleen , fluid accumulation within the peritoneal cavity , elevated liver enzymes , and eventually encephalopathy . (wikipedia.org)
  • [1] The most common symptoms of a duodenal ulcer are waking at night with upper abdominal pain , and upper abdominal pain that improves with eating. (wikizero.com)
  • Duodenal atresia is thought to be due to a developmental anomaly of the intestine. (bvsalud.org)
  • A rare combination of concomitant Type III duodenal atresia, Type III B jejunal atresia, and Type I ileal atresia is presented. (bvsalud.org)
  • INTRODUCTION: Laparoscopic repair of duodenal atresia in neonates has gained popularity among some pediatric surgeons. (bvsalud.org)
  • The purpose of this study was to utilize a large, multi-institutional pediatric dataset to examine 30-day post-operative outcomes by operative approach for newborns who underwent duodenal atresia repairs. (bvsalud.org)
  • METHODS: We identified neonates aged ≤1 wk in the 2016-2018 National Surgical Quality Improvement Program-Pediatric -database that underwent a laparoscopic or open repair for duodenal atresia. (bvsalud.org)
  • CONCLUSIONS: Our findings suggest that laparoscopic repairs of duodenal atresia are associated with shorter postoperative LOS but longer operative times when compared to open repairs. (bvsalud.org)
  • Duodenal atresia and jejunoileal (JI) atresia are appropriately seen as distinct entities. (bvsalud.org)
  • Duodenal atresia is more commonly associated with comorbidities, whereas JI atresia is more often an isolated finding. (bvsalud.org)
  • Excellent short- and long-term outcomes for isolated duodenal atresia and JI atresia are expected. (bvsalud.org)
  • Duodenal atresia is the 2nd most common. (msdmanuals.com)
  • Small bowel obstruction is visible on a plain radiograph caused by intussusception in a 5-month-old patient. (medscape.com)
  • The surgical photograph depicts a transition zone in a patient with small bowel obstruction. (medscape.com)
  • Intrinsic or extrinsic small bowel obstruction leads to accumulating secretions that dilate the intestine proximal to the obstruction. (medscape.com)
  • A sampling of the many etiologies that can cause small bowel obstruction in children are discussed in greater detail below. (medscape.com)
  • While superior mesenteric artery syndrome is an uncommon cause of small bowel obstruction, the general pediatrician and child psychiatrist should be aware of this complication of anorexia nervosa. (biomedcentral.com)
  • Scans for hyperemergent conditions such as ruptured aneurysm, aortic dissection, or high-grade bowel obstruction with suspected ischemia should not be delayed for administration of oral contrast. (radiologykey.com)
  • N-butyl-cyanoacrylate/thrombin) is recommended for acute bleeding from isolated gastric varices and type 2 gastro-oesophageal varices that extend beyond the cardia. (thesecretsofmedicine.com)
  • Staging of the disease followed by CAT scanning of the upper and lower abdomen and of the retroperitoneal space showed multiple, enlarged bilateral para-aortic, and mesenteric lymph nodes. (ispub.com)
  • 1. The lymph drainage of the jejunum and ileum occur in 3 areas. (gastrotraining.com)
  • Jejunoileal atresias occur as a result of an ischemic insult during pregnancy. (msdmanuals.com)
  • This is followed by venous obstruction, which accelerates edema formation because blood can enter the affected bowel segment but does not have a drainage route. (medscape.com)
  • Budd-Chiari syndrome is also seen in tuberculosis , congenital venous webs and occasionally in inferior vena caval stenosis . (wikipedia.org)
  • Any obstruction of the venous vasculature of the liver is referred to as Budd-Chiari syndrome, from the venules to the right atrium . (wikipedia.org)
  • There have been reported cases of a tentative diagnosis of AN, where upon treatment for SMA syndrome the patient is asymptomatic. (wikipedia.org)
  • [2] The syndrome can be fulminant , acute, chronic, or asymptomatic. (wikipedia.org)
  • Transient cystic duct obstruction results in colicky pain, whereas persistent obstruction usually produces inflammation and acute cholecystitis. (tripod.com)
  • Stones may traverse the cystic duct with or without symptoms of obstruction. (tripod.com)
  • Acute infection is generally characterized by gastrointestinal (GI) and pulmonary symptoms, whereas chronic infection is characterized by skin involvement. (medscape.com)
  • Symptoms usually occur in the early weeks of life, and the malrotations are generally diagnosed during this period. (panafrican-med-journal.com)
  • This sequence may occur more rapidly in a closed-loop obstruction because there is no proximal escape for pressurized bowel contents. (medscape.com)
  • Malabsorption of fat and vitamin B-12 has been reported in chronic infections and has been successfully treated by deworming. (medscape.com)
  • Prolonged malabsorption of both fat and protein can lead to a celiac-like syndrome, characterized by steatorrhea, hypoalbuminemia, and peripheral edema, such as a syndrome of infantile infection caused by S fulleborni described in western Papua New Guinea. (medscape.com)
  • [1] [7] An ulcer in the stomach is called a gastric ulcer , while one in the first part of the intestines is a duodenal ulcer . (wikizero.com)
  • This compression results from the loss of fatty tissue, which surrounds the superior mesenteric artery and its neurovascular pedicle. (biomedcentral.com)
  • Secondary Budd-Chiari syndrome, which is very rare compared to the primary variant, is due to compression of the hepatic vein by an outside structure (such as a tumor or polycystic kidney disease ). (wikipedia.org)
  • Cutaneous polyarteritis nodosa (CPN) is an uncommon form of vasculitis of the small-and medium-sized arteries in the reticular dermis and subcutaneous tissue. (annals.edu.sg)
  • Small bowel metastases from primary carcinoma of the lung are very uncommon and occur usually in patients with terminal stage disease. (ispub.com)
  • CLASSIFICATION OF DISEASES AND INJURIES I. INFECTIOUS AND PARASITIC DISEASES (001-139) Includes: diseases generally recognized as communicable or transmissible as well as a few diseases of unknown but possibly infectious origin Excludes: acute respiratory infections (460-466) influenza (487. (cdc.gov)
  • In patients fulfilling the criteria for pre-emptive TIPS, acute-on-chronic liver failure, hepatic encephalopathy at admission and hyperbilirubinemia at admission should not be considered contraindications. (thesecretsofmedicine.com)
  • Primary Budd-Chiari syndrome occurs due to thrombosis of the hepatic vein. (wikipedia.org)
  • [2] Inherited disorders of hypercoagulability may lead to thrombosis of the hepatic vein and Budd-Chiari syndrome. (wikipedia.org)
  • HIAA levels increase significantly in acute appendicitis and decrease when the inflammation shifts to necrosis of the appendix. (medscape.com)
  • However, excess myoglobin can occlude the renal filtration system leading to acute tubular necrosis and acute renal dysfunction. (passmed.uk)
  • it most often occurs in neonates with cystic fibrosis. (msdmanuals.com)
  • Malnutrition increases the risk of adverse outcomes in patients with cirrhosis and acute variceal bleeding (AVB) and oral nutrition should be started as soon as possible. (thesecretsofmedicine.com)
  • The middle meningeal artery is typically the third branch of the first part of the maxillary artery, one of the two terminal branches of the external carotid artery. (passmed.uk)
  • Periods of alternation between diarrhea and constipation may occur. (medscape.com)
  • acute pandysautonomia is one form of an autonomic neuropathy, which is a collection of various syndromes and diseases which affect the autonomic neurons of the autonomic nervous system (ANS). (wikipedia.org)
  • If the disease is a chronic disorder, then the patient may not even be aware that something is wrong, since they often gradually adapt to the condition. (tripod.com)
  • AIDS-like syndrome: AIDS-like disease (illness) (syndrome) ARC AIDS-related complex Pre-AIDS AIDS-related conditions Prodromal-AIDS 3. (cdc.gov)
  • [1] Other, less common causes include tobacco smoking , stress as a result of other serious health conditions, Behçet's disease , Zollinger-Ellison syndrome , Crohn's disease , and liver cirrhosis . (wikizero.com)
  • Gastric acid evokes duodenal secretin release, which then stimulates pancreatic fluid and bicarbonate secretion. (veteriankey.com)
  • To the best of our knowledge, there have been no previous publications detailing successful management of a patient with anorexia nervosa and superior mesenteric artery syndrome. (biomedcentral.com)
  • Initial management focused on relieving the obstruction and supporting the nutritional needs of the patient. (biomedcentral.com)
  • We therefore describe various treatment options for managing both anorexia and SMA syndrome, and illustrate how we utilized a variety of resources to develop a novel and appropriate care strategy for this patient. (biomedcentral.com)
  • In our patient, SMA syndrome resulted from weight loss associated with anorexia nervosa. (biomedcentral.com)
  • A remarkable variety of endocrinologic disorders may cause virilization syndromes. (annals.edu.sg)
  • First, lymphatic obstruction occurs because of the lower pressure in these vessels. (medscape.com)
  • Vomiting is also an important sign of obstruction in children, and its characteristics can suggest the level of the obstruction. (medscape.com)
  • Migration of the larvae through the lungs produces a pneumonitis that resembles Loeffler syndrome. (medscape.com)
  • Anorexia and weight loss also may occur with SLE and while rare it may be misdiagnosed as AN. (wikipedia.org)
  • The classic history of anorexia and periumbilical pain followed by nausea, right lower quadrant (RLQ) pain, and vomiting occurs in only 50% of cases. (medscape.com)
  • This case illustrates important points regarding the pathogenesis of superior mesenteric artery syndrome in the setting of anorexia, and it highlights the complexities that arise when managing an adolescent with both medical and psychiatric needs, as well as outlining a viable solution. (biomedcentral.com)
  • Aim : The HerniaSurge Group established inguinal hernia repair guidelines to reduce recurrence and chronic pain. (researchgate.net)
  • Neutrophilic eccrine hidradenitis (NEH) is a neutrophilic dermatosis primarily affecting the eccrine glands and occurs most commonly in patients undergoing chemotherapy for a malignancy. (annals.edu.sg)
  • Cervical Spondylotic Myelopathy occurs if cervical canal diameter falls from 17 mm to below 13 mm as the cord itself, is 8-11.5 mm in diameter. (abcmedicalnotes.com)
  • [13] [2] Other acquired hypercoagulable disorders that may result in Budd-Chiari syndrome include antiphospholipid syndrome and paroxysmal nocturnal hemoglobinuria , which are responsible for 10-12% and 7-12% of Budd-Chiari syndrome cases, respectively. (wikipedia.org)
  • [2] [14] Budd-Chiari syndrome may be the presenting sign of these hypercoagulable disorders. (wikipedia.org)
  • How to treat acute variceal bleeding? (thesecretsofmedicine.com)
  • Ligation is the recommended form of endoscopic therapy for acute oesophageal variceal bleeding. (thesecretsofmedicine.com)
  • [2] Bleeding occurs in as many as 15% of cases. (wikizero.com)
  • this can occur due to bleeding directly from a gastric ulcer or from damage to the esophagus from severe/continuing vomiting. (wikizero.com)