Small intestinal diverticula

Парфенов, А И; Krums, L M; Павлов, М. В.

doi:10.26442/00403660.2019.02.000080

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…In comparison to small bowel diverticulosis, in Western countries, colonic diverticulosis and diverticulitis predominately affect the sigmoid colon [ 1 ]. The prevalence of colonic diverticulosis in the United States by age 60 is 60% [ 1 ], whereas the prevalence of small bowel diverticulosis within the population is 0.5-2.3% [ 8 ]. Both small intestine and colonic diverticula are associated with complications, including diverticulitis, hemorrhage, perforation, abscess formation, and obstruction, although clinical presentation varies, [ 1 , 3 , 4 ], and, as in this case presentation, may mimic other pathologies.…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Right Lower Quadrant Abdominal Pain: Uncomplicated Ileal Diverticulitis

Betit,

Stansell

2024

Cureus

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Ileal diverticulitis is a rare cause of abdominal pain. Even though small intestine diverticulosis is relatively rare, resulting pathologies including diverticulitis are still clinically relevant in both an inpatient and outpatient setting often presenting with varying levels of severity. Most reported cases of ileal diverticulitis are complicated and managed surgically. In contrast to these more complicated presentations, this report illustrates an uncomplicated case of ileal diverticulitis presenting with right lower quadrant abdominal pain and leukocytosis treated successfully conservatively with medical management. Although rare, uncomplicated ileal diverticulitis is clinically pertinent and should be included in the differential diagnosis of abdominal pain as this disease presentation can cause symptoms that are commonly associated with more prevalent pathologies such as acute appendicitis. Thus, these presentations are often mistaken for other more common and/or emergent pathologies depending on the region of the symptomatic small bowel diverticulitis. In this case report, the patient’s presentation initially mimicked mild atypical appendicitis and was thus managed with this diagnosis in mind without the need for more extensive treatment including surgery. There are currently fewer case reports available that display a patient with uncomplicated ileal diverticulitis and the difference in the presentation and management of these patients compared to more severe cases. Physicians should have a heightened awareness of this disease process to avoid delayed management or prevent/postpone complications. This lack of current awareness in part may be due to the less volatile presentation associated with uncomplicated ileal diverticulitis and thus delayed patient presentation, as was seen with this case. However, it is important to note that as with any patient’s care, proper treatment must be individualized, especially given the variable nature of patient presentations with ileal diverticulitis. All in all, one hope is that improving clinician awareness of uncomplicated cases of ileal diverticulitis such as this patient presentation will result in improved outcomes for a multitude of future patients.

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Section: Discussionmentioning

confidence: 99%

A Rare Cause of Right Lower Quadrant Abdominal Pain: Uncomplicated Ileal Diverticulitis

Betit,

Stansell

2024

Cureus

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“…At the same time, we also found that diseases are often found in living organisms, such as Ascarislumbricoides , suspected Crohn's disease and small intestinal diverticulum[ 22 - 24 ]. Ascarislumbricoides can be cured quickly by the combined application of albendazole and ivermectin[ 25 ].At present, there isno good solution for small intestinal diverticulum and small intestinal tumor[ 26 , 27 ]. In the future, the precise treatment of lesions may be realized through small intestine endoscopes and laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the performance of MS enteroscope series and Japanese double- and single-balloon enteroscopes

Liu¹,

Liu²,

Yuan³

et al. 2022

WJG

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BACKGROUND Small intestine disease endangers human health and is not easy to locate and diagnose. AIM To observe the effect of the MS series of small intestine endoscopes on the gastrointestinal tract, the changes in serum gastrin levels and intestinal tissue, and the time required for the examination. METHODS In vivo experiments in 20 Living pigs were conducted, Bowel preparation was routinely performed, Intravenous anesthesia with propofol and ketamine was applied, the condition of the small intestine was observed and the detection time of the MS series of small intestine endoscopes were recorded, The changes in intestinal tissue using the MS series of small intestine endoscopes observed and compared before and after the examination, Venous blood (3-5 mL) from pigs was collected before and after the experiment; changes in intestinal tissue after use of the MS series of small intestine endoscopes observed after examination. After completion of each type of small intestine endoscope experiment, the pigs were allowed to rest and the next type of small intestine endoscope experiment was performed after 15 days of normal feeding. The detection time data of the single-balloon small intestine endoscope and double-balloon small intestine endoscope were collected from four hospitals. RESULTS One case of Ascarislumbricoides , one of suspected Crohn's disease, one small intestinal diverticulum and one anesthesia accident were observed in pigs. The small intestine showed no differences in the MS series of small intestine endoscopes and there were no differences in serum gastrin between the groups ( P > 0.05). The time required for inspection was recorded, and the overall detection time for the Japanese small intestine endoscopes was approximately 1.68 ± 0.16 h. CONCLUSION Intestinal ascariasis is a common disease in pigs. Some pigs have abnormal intestinal variation. After continuous upgrade and improvement, the MS-3 and MS-4 small intestine endoscope appear superior in terms of detection time.

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“…TB itself can present as an intestinal disease mimicking a malnutrition status (19). In fact, intestinal TB may be misdiagnosed as a malabsorption syndrome (20)(21)(22)(23)(24)(25)(26). In one study, 13% and 9% of severely malnourished children were diagnosed with CD and TB respectively (27).…”

Section: Discussionmentioning

confidence: 99%

A Cross Sectional Survey on Tissue Transglutaminase Auto-Antibodies in Patients with Pulmonary and Extra Pulmonary Tuberculosis

Shahramian

Keikhaei

Aval

et al. 2020

Arch Clin Infect Dis

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Background: Mycobacterium tuberculosis (TB) is a widespread life-threatening infection worldwide. There is an uncertainty in the association between the emergence of autoimmune antibodies and TB. Objectives: We hereby aimed to screen anti-tissue transglutaminase (anti-tTG) IgA in patients with TB in an Iranian population. Methods: This was a cross sectional study conducted on smear positive TB patients admitted to the Respiratory Diseases Management Center of the city of Zabol, Sistan and Baluchestan Province of Iran during 2017 -2018. Anti-tTG IgA level was determined using an ELISA kit (Pars Azmoun, Iran). Statistical analyses were performed in SPSS 19 software. Results: Overall, 162 patients were evaluated. Females and males constituted 87 (53.7%) and 75 (46.3%) of the patients respectively.The mean age was 51.7 ± 22.3 years (range of 1 -83). Afghan patients constituted 16 (9.9%) and the remaining were Iranians. The therapy course was successfully completed in 78 (48.1%) patients, and 67 (41.4%) improved following treatments. Overall, 5 patients had active TB with 2 drug-resistant cases. Pulmonary tuberculosis was diagnosed in 127 (78.4%) while 35 (21.6%) had extra-pulmonary disease. The mean titer of anti-tTG IgA was 22.59 ± 107.7 (range of 0.8 -940). Overall, 19 (11.9%) of the patients showed elevated levels of the antibody. There was no significant association between anti-tTG IgA titer with neither demographic nor clinical variables. Conclusions: Although anti-tTG IgA antibody test was positive in a relatively high ratio of our patients with TB, the clinical implications of this phenomenon were not significant.

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Small intestinal diverticula

Cited by 6 publications

References 11 publications

A Rare Cause of Right Lower Quadrant Abdominal Pain: Uncomplicated Ileal Diverticulitis

A Rare Cause of Right Lower Quadrant Abdominal Pain: Uncomplicated Ileal Diverticulitis

Comparison of the performance of MS enteroscope series and Japanese double- and single-balloon enteroscopes

A Cross Sectional Survey on Tissue Transglutaminase Auto-Antibodies in Patients with Pulmonary and Extra Pulmonary Tuberculosis

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