Rare Forms of Intestinal Obstruction in Children

The article analyzes two rare cases of acquired intestinal obstruction in children. In the first child at the age of 2 years, who suffered a retrosternal total coloesophagoplasty for extended post-burn chemical esophageal stenosis, early postoperative adhesive intestinal obstruction appeared on the...

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Autores principales:	V. N. Stalmakhovich, I. N. Kaigorodova, A. S. Strashinsky, I. B. Li, E. V. Sapukhin
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	rare intestinal obstruction children Science Q
Acceso en línea:	https://doaj.org/article/e0bb1020315a4e348f186249af1d6e30
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spelling	oai:doaj.org-article:e0bb1020315a4e348f186249af1d6e302021-11-23T06:14:42ZRare Forms of Intestinal Obstruction in Children2541-94202587-959610.29413/ABS.2019-4.2.21https://doaj.org/article/e0bb1020315a4e348f186249af1d6e302019-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2059https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article analyzes two rare cases of acquired intestinal obstruction in children. In the first child at the age of 2 years, who suffered a retrosternal total coloesophagoplasty for extended post-burn chemical esophageal stenosis, early postoperative adhesive intestinal obstruction appeared on the 8th day of the postoperative period, which was eliminated laparoscopically. The next day, against the background of drug stimulation of the intestine, a small intestinal invagination developed, diagnosed with ultrasound examination. Relaparotomy and disinvagination were performed.The second patient, the 15 years old girl, who had suffered from closed abdominal injury and a pancreatic injury, manifested the signs of high partial intestinal obstruction a day after the trauma occurred. Initially, its cause was considered to be hematoma of the omental bursa. Fibrogastroduodenoscopy (FGDS) and X-ray diagnostics did not reveal the cause of intestinal obstruction, but after FGDS procedure the patient’s condition improved within 3–4 days, and then the clinical signs of small bowel obstructive adhesion confirmed by X-ray and laparoscopy. With laparoscopy in the middle section of the small intestine, a hyperinflate “whitish” section about 12 cm long, dense in palpation, was identified, which was the cause of obstruction. Through minilaparotomic umbilical access from the abdominal cavity, a loop of the jejunum with a foreign body inside was exteriorized. With transverse enterotomy trihobezoar 10×4×4 cm was removed from the lumen, which moved from the stomach and led to obstruction of small intestine. The outcome of the treatment was good in both cases.V. N. StalmakhovichI. N. KaigorodovaA. S. StrashinskyI. B. LiE. V. SapukhinScientific Сentre for Family Health and Human Reproduction Problemsarticlerare intestinal obstructionchildrenScienceQRUActa Biomedica Scientifica, Vol 4, Iss 2, Pp 144-147 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	rare intestinal obstruction children Science Q
spellingShingle	rare intestinal obstruction children Science Q V. N. Stalmakhovich I. N. Kaigorodova A. S. Strashinsky I. B. Li E. V. Sapukhin Rare Forms of Intestinal Obstruction in Children
description	The article analyzes two rare cases of acquired intestinal obstruction in children. In the first child at the age of 2 years, who suffered a retrosternal total coloesophagoplasty for extended post-burn chemical esophageal stenosis, early postoperative adhesive intestinal obstruction appeared on the 8th day of the postoperative period, which was eliminated laparoscopically. The next day, against the background of drug stimulation of the intestine, a small intestinal invagination developed, diagnosed with ultrasound examination. Relaparotomy and disinvagination were performed.The second patient, the 15 years old girl, who had suffered from closed abdominal injury and a pancreatic injury, manifested the signs of high partial intestinal obstruction a day after the trauma occurred. Initially, its cause was considered to be hematoma of the omental bursa. Fibrogastroduodenoscopy (FGDS) and X-ray diagnostics did not reveal the cause of intestinal obstruction, but after FGDS procedure the patient’s condition improved within 3–4 days, and then the clinical signs of small bowel obstructive adhesion confirmed by X-ray and laparoscopy. With laparoscopy in the middle section of the small intestine, a hyperinflate “whitish” section about 12 cm long, dense in palpation, was identified, which was the cause of obstruction. Through minilaparotomic umbilical access from the abdominal cavity, a loop of the jejunum with a foreign body inside was exteriorized. With transverse enterotomy trihobezoar 10×4×4 cm was removed from the lumen, which moved from the stomach and led to obstruction of small intestine. The outcome of the treatment was good in both cases.
format	article
author	V. N. Stalmakhovich I. N. Kaigorodova A. S. Strashinsky I. B. Li E. V. Sapukhin
author_facet	V. N. Stalmakhovich I. N. Kaigorodova A. S. Strashinsky I. B. Li E. V. Sapukhin
author_sort	V. N. Stalmakhovich
title	Rare Forms of Intestinal Obstruction in Children
title_short	Rare Forms of Intestinal Obstruction in Children
title_full	Rare Forms of Intestinal Obstruction in Children
title_fullStr	Rare Forms of Intestinal Obstruction in Children
title_full_unstemmed	Rare Forms of Intestinal Obstruction in Children
title_sort	rare forms of intestinal obstruction in children
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/e0bb1020315a4e348f186249af1d6e30
work_keys_str_mv	AT vnstalmakhovich rareformsofintestinalobstructioninchildren AT inkaigorodova rareformsofintestinalobstructioninchildren AT asstrashinsky rareformsofintestinalobstructioninchildren AT ibli rareformsofintestinalobstructioninchildren AT evsapukhin rareformsofintestinalobstructioninchildren
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Rare Forms of Intestinal Obstruction in Children

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