Comparison of Imagiology with Operative Findings in a Case of Intestinal Obstruction

Introduction: The diagnosis of intestinal obstruction is a team work of radiologist and clinician. Acute abdominal conditionsrequire precise radiological diagnosis to achieve excellent results to reduce morbidity and mortality.Aims and Objectives: This study aims to study the various radiographical, ultrasonographic, and contrast-enhancedcomputerized tomography (CECT) findings associated with intestinal obstruction and to study the various causes of intestinalobstruction.Methodology: A prospective study of 50 patients admitted to the Mahatma Gandhi Memorial (MGM) Hospital, Warangal, duringthe period of November 2017–September 2019 with the diagnosis of intestinal obstruction.Results: A clinical study of 50 cases of intestinal obstruction was done at Osmania hospital at Hyderabad during November2017–September 2019. Intestinal obstruction whether in small bowel or large bowel occurs nearly in equal ratio in both sexes.Conclusion: Intestinal obstruction remains still a common and important surgical emergency. Obstruction due to adhesionsincreasing in incidence due to increased abdominal and pelvic surgeries. X-ray erect abdomen and ultrasonography abdomenare able to diagnose intestinal obstruction, but CECT has more sensitivity and specificity in diagnosing the intestinal obstruction.It also helps in the management of the intestinal obstruction.

Emergency Abdominoperineal Resection for Rectal Prolapse with Gangrenous Bowel.

Rectal prolapse is a relatively rare condition. Most cases are chronic and present electively. However, a complete rectal prolapse with gangrenous bowel is an uncommon life-threatening emergency condition. Gangrenous bowel significantly increases morbidity and mortality and thus an urgent surgical intervention is always indicated. We describe a case with the above mentioned rare presentation, and he was successfully treated with an emergency abdominoperineal resection (APR). Irreducible rectal prolapse with gangrenous bowel is rarely encountered and literature on this presentation is very scanty. Here, we present a patient with complete rectal prolapsed with gangrenous bowel treated successfully with emergency APR.