exudates and Intestinal-Obstruction

Intestinal obstruction in infancy due to duplication cyst is rare. This is a case of a three-month old boy presented to the hospital with symptoms and signs of intermittent intestinal obstruction for three-week duration. Investigation with ultrasound revealed a small bowel duplication cyst. Patient underwent successful segmental jejunal resection and made an uneventful recovery. He made significant weight gain at one-year follow-up. The diagnostic approach to infant with intestinal obstruction is described with special emphasis on ultrasonographic features of jejunal duplication cyst.

Topics: Cysts; Humans; Infant; Intestinal Obstruction; Intestine, Small; Malaysia; Male; Treatment Outcome; Ultrasonography

Meconium ileus, rare in Malaysia, accounts for 3.7% of all neonatal intestinal obstructions (excluding imperforate anus) seen in the University Hospital, Kuala Lumpur, from 1980-1990. This paper retrospectively reviews our clinical experience with 5 cases of meconium ileus seen over a 12-year period from 1980-1991 in the University Hospital, Kuala Lumpur. Three of the neonates were Malays, and two were Punjabis. Four of them were full-term and one preterm. The birth weights ranged from 1900 to 3700 g, with a mean of 2670 g. One of them also had a sibling with meconium ileus. Two of them were found to have foetal ascites and one had intestinal obstruction, antenatally by ultrasonography. The remaining two were symptomatic soon after birth. Extensive calcification was observed on plain abdominal radiographs in three babies and dilated bowels in the other two. All of them underwent laparotomy and uncomplicated meconium ileus was confirmed in two cases, meconium peritonitis in two and one meconium pseudocyst in addition to meconium peritonitis. There was one intraoperative death, and one long-term survivor who did not have cystic fibrosis. The remaining three did not have additional features suggestive of cystic fibrosis, and finally succumbed to respiratory infection. Sweat test was not done to confirm the diagnosis for logistic reasons. The management of such patients proved to be a challenge to clinicians because of the rarity of this condition.

Topics: Female; Follow-Up Studies; Humans; Infant; Infant, Newborn; Intestinal Obstruction; Malaysia; Male; Meconium; Survival Rate; Tomography, X-Ray Computed

Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; China; Female; Gastrointestinal Neoplasms; Humans; Intestinal Obstruction; Malaysia; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Socioeconomic Factors; Tissue Adhesions

Topics: Digestive System Abnormalities; Female; Humans; Infant, Newborn; Infant, Newborn, Diseases; Intestinal Obstruction; Malaysia; Male; Postoperative Complications

This is a review of 261 patients operated for 271 instances of mechanical intestinal obstruction over a 5-year period in a developing country in the tropics. The pattern of intestinal obstruction in Chinese is similar to that in Caucasians, where adhesions account for the largest number of cases. The occurrence in Malays, Indians, Pakistanis and Ceylonese is similar to that in other developing communities where external hernia is commonest while adhesive or tumour obstruction is rare; however, these racial groups do not exhibit the high incidence of intussusception and volvulus found in Africa and India. The operative mortality was 13-9 per cent, which is comparable to that in Western series. The major adverse factors in intestinal obstruction, i.e. extremes of age, associated disease, gangrenous bowel, large bowel obstruction and malignancy, were confirmed. Fluid and electrolyte imbalance was frequent, as in other tropical series, but with intensive preoperative correction it was not an important adverse factor.

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Intestinal Obstruction; Malaysia; Male; Middle Aged; Racial Groups

Topics: Asian People; Diet; Humans; Intestinal Obstruction; Intestinal Volvulus; Intestine, Small; Intestines; Malaysia; Surgical Procedures, Operative