Large bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus.

2.50
Hdl Handle:
http://hdl.handle.net/11287/620725
Title:
Large bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus.
Authors:
Smith, Radford Arran James; Abdalkoddus, Muhammad; Bethune, Rob
Abstract:
A 27-year-old woman presented to the emergency department with a 24-hour history of severe left iliac fossa pain associated with vomiting. She reported a history of ovarian cysts and was provisionally diagnosed with a ruptured ovarian cyst and admitted under the obstetrics and gynaecology team for further investigation. 24 hours later, she became haemodynamically unstable with increasing abdominal distention and developed a metabolic acidosis. A CT scan revealed large bowel obstruction (LBO) secondary to a faecal bolus in the sigmoid colon with appearances suggestive of adult-onset Hirschsprung's disease. She underwent an emergency laparotomy and decompressive transverse colotomy and was admitted to the intensive care unit overnight. After discharge, she presented again with small bowel obstruction (SBO) which resolved with conservative management. A follow-up colonoscopy and biopsies showed no anatomical abnormalities to account for the LBO and were inconclusive for Hirschsprung's disease.
Citation:
Large bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus. 2018, 2018 BMJ Case Rep
Publisher:
BMJ
Journal:
BMJ case reports
Issue Date:
14-May-2018
URI:
http://hdl.handle.net/11287/620725
DOI:
10.1136/bcr-2018-224811
PubMed ID:
29764832
Additional Links:
http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=29764832
Type:
Case Report
Language:
en
ISSN:
1757-790X
Appears in Collections:
Colorectal Surgery; 2018 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorSmith, Radford Arran Jamesen
dc.contributor.authorAbdalkoddus, Muhammaden
dc.contributor.authorBethune, Roben
dc.date.accessioned2018-06-22T15:41:30Z-
dc.date.available2018-06-22T15:41:30Z-
dc.date.issued2018-05-14-
dc.identifier.citationLarge bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus. 2018, 2018 BMJ Case Repen
dc.identifier.issn1757-790X-
dc.identifier.pmid29764832-
dc.identifier.doi10.1136/bcr-2018-224811-
dc.identifier.urihttp://hdl.handle.net/11287/620725-
dc.description.abstractA 27-year-old woman presented to the emergency department with a 24-hour history of severe left iliac fossa pain associated with vomiting. She reported a history of ovarian cysts and was provisionally diagnosed with a ruptured ovarian cyst and admitted under the obstetrics and gynaecology team for further investigation. 24 hours later, she became haemodynamically unstable with increasing abdominal distention and developed a metabolic acidosis. A CT scan revealed large bowel obstruction (LBO) secondary to a faecal bolus in the sigmoid colon with appearances suggestive of adult-onset Hirschsprung's disease. She underwent an emergency laparotomy and decompressive transverse colotomy and was admitted to the intensive care unit overnight. After discharge, she presented again with small bowel obstruction (SBO) which resolved with conservative management. A follow-up colonoscopy and biopsies showed no anatomical abnormalities to account for the LBO and were inconclusive for Hirschsprung's disease.en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=29764832en
dc.rightsArchived with thanks to BMJ case reportsen
dc.subjectWessex Classification Subject Headings::Gastroenterologyen
dc.titleLarge bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus.en
dc.typeCase Reporten
dc.identifier.journalBMJ case reportsen
dc.type.versionPublisheden

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