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Article
Neonatal Intestinal Obstruction in Mosul City

Authors: Sinan Nief Lotfi Aljarrah --- Kais Alwattar
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: supplement Pages: 704-711
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Intestinal obstruction is the most common surgical emergency of the newborn. Those cases require specialized care and facilities for survival. It may be caused by several embryonic and functional anomalies. we studied the causes of neonatal intestinal obstruction in mosul in the north of Iraq to get data that was not available about this subject.OBJECTIVE :To study the causes of neonatal intestinal obstruction and the pattern of their distribution in Mosul city and its drainage areas in the north of Iraq.METHODS:A prospective study of 156 cases with neonatal intestinal obstruction ,all of our patients were managed in Al-Khansa' teaching hospital in the period between( February 2001-2003).RESULTS:The male:female ratio was 1.9:1. Mean duration of symptoms 4.33 days. The most common cause was imperforate anus(22.4%), followed by intestinal atresia (15.4%), meconium plug syndrome (13.5%), medical causes (12.2%), congenital megacolon (11.5%), neonatal perforation (4.5%), necrotizing enterocolitis (NEC) and simple meconium ileus (3.9%) malrotation (2.6%), respectively and other rare causes (< 2%). The overall mortality was 22.2%. the mean duration of hospital stay 5.4 days.CONCLUSION:The causes of neonatal intestinal obstruction and the percentage of each cause are in variance with other studies. Imperforate anus and functional causes (e.g. ileus, sepsis) were higher, while intestinal artesia , meconium ileus and malrotation were lower than recorded by others.The mortality is near to that in developing countries with higher mortality in cases of necrotizing enterocolitis, meconium ileus and other rare causesof obstruction; delayed presentation and the lack of neonatal intensive care units at the time of the study being the main problems, that resulting in high mortality rate


Article
The role of oral gastrografin (Diatrizoic acid) in the management of postoperative adhesive small bowel obstruction

Author: Dr. Waleed Q. Rajab, Dr. Ahmed S. Khazaal, Dr. Hamid H Sarhan, Dr. Ziad T. Abbas
Journal: The Medical Journal of Tikrit University المجلة الطبية لجامعة تكريت ISSN: 18131638 Year: 2016 Volume: 21 Issue: 1 Pages: 88-96
Publisher: Tikrit University جامعة تكريت

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Abstract


Article
Neonatal Intestinal Obstruction Due to Intussusception: A Case Report and Review of Literature

Authors: Sadik H. Kadhem صادق حسن كاظم --- Omer Salman عمر سلمان
Journal: Iraqi National journal of Medicine المجلة العراقية الوطنية للطب ISSN: ISSN:26647516(Print) ISSN:26647524(Online) Year: 2019 Volume: 1 Issue: 1 Pages: 9-13
Publisher: Iraqi Association for medical research and studies الجمعية العراقية للبحوث والدراسات الطبية

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Abstract

Intussusception is a very rare cause of neonatal intestinalobstruction, particularly in preterm neonates. This raritymay lead to a significant delay in diagnosis. We presenta case report of ileo-ileal intussusception occurring in apreterm neonate. Intussusception should be suspected inany neonate suffering from intestinal obstruction.Performing an abdominal ultrasound may confirm thediagnosis.


Article
Evaluation of Adhesions Induced Intestinal Obstructionfollowing Abdominal Penetrating Missile Injuries

Authors: Bassam Farouk بسام فاروق --- Warqaa Mazin Akram ورقاء مازن اكرم --- Mohammed A. Al-Atroshi محمد التروشي
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2009 Volume: 5 Issue: 1 Pages: 91-98
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: To evaluate the incidence of adhesions induced intestinal obstruction after explorative laparotomy due to bullet/shell injury in Al-Kindi teaching hospital/Baghdad.Results: Thirty-six out of the 76 cases with adhesionsinduced intestinal obstruction (A.I.I.O.) had history oflaparotomy for penetrating missile injury, 26 of them wereexplored as a method of management of A.I.I.O. withmean age (22 for those explored, ٣٧ for those treatedconservatively), 16 of them presented within a year or lessfrom the previous surgery.Methods: Comparative interventional prospective study of cases with adhesions induced intestinal obstruction admitted to the surgical wards in Al-Kindi teaching hospital from the 1st of January 2008 to 31st of December 2008. cases were followed considering the indications of previous laparotomies, the patients age, gender, duration between previous surgery and their presentation with intestinal obstructionConclusion: Cases required surgical interventions for treatment were mainly those following explorative laparotomy for penetrating missile injury they were mainly of young age Groups.


Article
Mesenteric cyst causing intestinal obstruction
المساريقي كيس يسبب انسداد معوي

Authors: Mustafa K. Hameed --- Ayoub. M. Zedan --- Maki. K. Allaw
Journal: The Medical Journal of Tikrit University المجلة الطبية لجامعة تكريت ISSN: 18131638 Year: 2008 Volume: 2 Issue: 142 Pages: 87-88
Publisher: Tikrit University جامعة تكريت

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Abstract

A 5-years old girl presented to us as recurrent attack of vomiting, abdominal pain, abdominal distention and absolute constipation (with cardinal feature of intestinal obstruction) for ten days duration. Abdominal radiography (erect position) shows multiple fluid levels (more than 7). At lapratomy distended small bowel and collapsed cecum, a small bowel was delivered to wound and was show a mesenteric cyst 30 cm proximal to ileocecal valve, encircling all sides of small bowel (multiloculated cyst) as shown in figure (1). Bowel resection was done for cyst containing segment with end. Histopathological results show chylolymphatic multi loculated cyst encirculing all sides bowel wall. The patient remains well at 8-month follow-up

قدمت فتاة 5 سنة بالنسبة لنا والهجوم المتكرر من الألم، والتقيؤ في البطن، وانتفاخ البطن والإمساك المطلق (مع ميزة أساسية من انسداد معوي) لمدة عشرة أيام. التصوير بالأشعة في منطقة البطن (موقف منتصب) يبين مستويات السوائل متعددة (أكثر من 7). وكان في lapratomy منتفخة الأمعاء الدقيقة وانهار الأعور، ألقى الأمعاء الدقيقة على الجرح وكان عرض الكيس المساريقي 30 سم الأقرب إلى صمام اللفائفية، يلتف جميع الاطراف من الأمعاء الدقيقة (كيس multiloculated) كما هو موضح في الشكل (1). وقد تم استئصال الأمعاء عن كيس يحتوي على قطعة مع نهاية. النتائج التشريحية المرضية تظهر chylolymphatic متعددة كيس loculated encirculing كل جدار الامعاء الجانبين. المريض لا يزال جيدا في 8 الشهر المتابعة


Article
Causes of Intestinal Obstruction in Erbil Teaching Hospital Province –North of Iraq

Author: Abdulqadir Maghded Zangana
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 3 Pages: 215-225
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Bowel obstructions are not uncommon should be suspected in any patient with persistent vomiting, distention, and abdominal pain because delayed diagnosis and treatment can have devastating consequences. Undiagnosed or improperly managed obstructions can lead to vascular compromise, which causes bowel ischemia, necrosis, perforation, sepsis, and death.OBJECTIVE:The object of this study is to focus attention on the causes of intestinal obstruction and the role of abdominal radiographs and imaging in the diagnosis and operative procedures undertaken.Setting: The study was conducted at the Department of Surgery, Erbil Teaching Hospital Erbil province (2.5 million populations) –Iraq, between years 1996 and 2005 inclusive.METHODS:A prospective study was carried out spread over 10-years, and involving 591 patients with intestinal obstruction, among them only 570 patients underwent operations included in this study and 21 patients with conservative management had been excluded.Of the 570 patients with intestinal obstruction, 411were male patients (72.1%) their mean ages were 51.25% and 159 were female patients (27.9%) their mean ages was 39.8%.RESULTS:The most common cause was the entrapment of bowel in an external hernia (30.7%). Postoperative adhesions accounted for obstruction in a third of our patients (28.7%), and (59%) of them followed appendectomy. The operative findings of all patients who presented obstructed hernias still account for the highest percentage of cases. Other minor causes constitute the rest of cases.All 570 patients with the diagnosis of IO underwent surgical procedures in 68 patients (11.9%)who developed serious complications in the form of Sepsis, Intra-abdominal abscess, Wound dehiscence, Aspiration, Short-bowel syndrome (as a result of multiple surgeries)Forty patients died (7%) mostly because of irreversible shock, pulmonary embolism, and multiorgan failure .CONCLUSION:entrapment of bowel in an external hernia and adhesions remain the leading causes of acute intestinal obstruction in our environment. Sustained efforts at elective repair of hernias and research aimed at reducing adhesions are likely ways to reduce the high mortality from intestinal obstruction.


Article
VALUE OF PLAIN ABDOMINAL RADIOGRAPH, ULTRASOUND AND COMPUTERIZED TOMOGRAPHY IN THE DIAGNOSIS OF INTESTINAL OBSTRUCTION

Author: Nawfal K. Salih نوفل كامل صالح
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2017 Volume: 15 Issue: 3 Pages: 227-233
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: The diagnosis of mechanical intestinal obstruction is sometimes very challenging especially in the absence of previous abdominal surgery or obstructed hernia and there are limited studies comparing or evaluating the usefulness of plain abdominal x-ray, ultrasonography, and computerized tomography (CT) in intestinal obstruction.Objective: To compare the efficacy of plain abdominal x-ray, ultrasound and CT in the diagnosis of intestinal obstruction. Also, to assess ultrasound value and usefulness in pregnant women and critically bed ridden patients with intestinal obstruction.Methods: In this prospective study with signs and symptoms of mechanical intestinal obstruction, a total of sixty two patients were investigated by plain x-ray, ultrasound, CT scan and the findings were compared with reference to the presence or absence of obstruction, the level, site, cause and strangulation of bowel for a period of eight years (2009-2016). The final diagnosis was obtained by surgery and only those with proved intestinal obstruction per-operative were included in the study.Results: Out of the sixty two patients (41 males and 21 females) included with an age incidence (22-65 yr), 58 had mechanical intestinal obstruction (50 had small bowel obstruction and 8 had large bowel obstruction), of the remaining 4 patients; 2 had mesenteric vascular occlusion and 2 had pseudo-obstruction. The level and site of obstruction was correctly predicted in 91.9% on CT, in 82% on ultrasound and 90.3% on plain film. CT was the best 85.4% to both, ultrasound 24% and plain film 8% in determining the cause of obstruction. Regarding strangulation of bowel, CT was superior while plain film was the least informative with the ultrasound in between.Conclusion: CT is the best tool for the diagnosis, strangulation of the bowel and detecting cause of intestinal obstruction and recommended to be the investigation of choice in equivocal cases. Ultrasound is the best and sole investigation in pregnant women and critically bed ridden patients especially in early cases.Keywords: Intestinal obstruction, plain abdominal x-ray, ultrasound, CT scan.Citation: Salih NK. Value of plain abdominal radiograph, ultrasound and computerized tomography in the diagnosis of intestinal obstruction. Iraqi JMS. 2017; Vol. 15(3): 227-233. doi: 10.22578/IJMS.15.3.3

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