Intestinal obstruction from a forgotten artery forceps: a case report

  • SO Fadiora Department of Surgery, Lautech Teaching Hospital, Osogbo
  • SA Oladoke Department of Surgery, Lautech Teaching Hospital, Osogbo
  • TO Bello Department of Radiology, Lautech Teaching Hospital, Osogbo
  • ML Adeoti Department of Surgery, Lautech Teaching Hospital, Osogbo
  • SO Agodirin Department of Surgery, Lautech Teaching Hospital, Osogbo
Keywords: obstruction, Artery forceps, Plain abdominal X-ray diagnosis

Abstract


A 43-year-old multiparous patient p2+0 all alive who had abdominal hysterectomy secondary to ruptured uterus 2 ½ years prior to presentation, was seen with acute (surgical) abdomen. An artery forceps was seen on plain abdominal X-ray and subsequent laparotomy revealed gangrenous ileum. The entire length of the ileum was involved, including the ileocecal valve and part of the cecum. The patient had limited right hemicolectomy and anastomosis of the distal part of the jejunum with the proximal section of the transverse colon. The post-operative period was uneventful and she was discharged to outpatient clinic 2 weeks post operatively.
Key Words: Intestinal obstruction, Artery forceps, Plain abdominal X-ray diagnosis.
Résumé
Un patient multipareux âgé de 43 tout qui avait subi une hystérectomie abdominale subtotale d'utérus rupturé deux ans et demi avant la présentation, était vu avec un abdomen aigu (chirurgical). On a vu un forceps artère à travers Rayons X abdominal clair et la laparatomie subséquente avait montré ileum grangreneux. La longeur entière d'ileum était concernée, y compris la valvule iléococale et une partie de caecum. Le patient a eu l'hémicolectomie du gauche bref et l'anastomose du côté distal du jejunum avec la section proximale du colon transversal. La période postopératoire était sans de l'incidents et elle a été envoyée au service des consultations externes 2 semaines postopertatoire.
West African Journal of Medicine Vol.23(4) 2004: 330-331
Published
2005-02-18
Section
Articles

Journal Identifiers


eISSN: 0189-160X