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dubeczattila

Economia e finanças

Misdiagnosis of Crohn’s Disease. Small bowel obstruction caused by retained operative material chronically treated as Crohn’s disease. A case history. Dr. Attila Dubecz 6th Annual Meeting of European Society of Surgery Young Clinicians’ Session Budapest 2002

Past medical history ,[object Object],[object Object],[object Object],[object Object],02.02 Caesar. section ,[object Object],[object Object],[object Object],07.02 Subileus Cons.th.

Past medical history ,[object Object],[object Object],[object Object],[object Object],02.02 Caesar. section ,[object Object],07.02 Subileus Cons.th. ,[object Object],[object Object],[object Object],[object Object],07.02 CT scan

Past medical history ,[object Object],[object Object],[object Object],07.02 Colono-scopy ,[object Object],[object Object],02.02 Caesar. section ,[object Object],07.02 Subileus Cons.th. ,[object Object],07.02 CT scan ,[object Object],[object Object],07.02 Steroids

Current complaints ,[object Object],[object Object],Small bowel obstruction 02.02 Caesar. section 07.02 Subileus Cons.th. 07.02 CT scan 07.02 Colono-scopy 07.02 Steroids 09.02 Ileus

Current complaints ,[object Object],[object Object],[object Object],[object Object],Small bowel obstruction 02.02 Caesar. section 07.02 Subileus Cons.th. 07.02 CT scan 07.02 Colono-scopy 07.02 Steroids 09.02 Ileus

At admission ,[object Object],Our treatment considerations were : ,[object Object],[object Object],[object Object],[object Object],Operation was decided u pon

Surgical intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Review of previous diagnostic procedures ,[object Object],[object Object]

Inserts: Unidentified structure in the dilated small bowel lumen

Discussion Suspected mechanisms ,[object Object],Mokanszki I, Adorjan T. Endoscopic removal of a toothbrush from a 13-year-old girl's stomach Orv Hetil. 2002;143:1755-7 . Lin CK, Lee KS, et al. Removal of a mis-swallowed long spoon via gastrotomy-a case report. Kaohsiung J Med Sci. 2002;18:208-10. ,[object Object],[object Object]

Complete migration of retained surgical sponge into ileum without sign of open intestinal wall. Arch Gynecol Obstet (2001) 265:103–104.

Discussion Rappaport W, Haynes K. The retained surgical sponge following intra-abdominal surgery. A continuing problem. Arch Surg. 1990;125:405-7. ,[object Object],[object Object],The Royal College of Surgeons of England guidelines for clinicians on medical records and notes. 1990 (Revised and reissued 1994). ,[object Object],[object Object]

Thank You for Your Attention! ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Foreign body

1. Misdiagnosis of Crohn’s Disease. Small bowel obstruction caused by retained operative material chronically treated as Crohn’s disease. A case history. Dr. Attila Dubecz 6th Annual Meeting of European Society of Surgery Young Clinicians’ Session Budapest 2002

10. Intraluminally retained surgical sponge

11.

12. Inserts: Unidentified structure in the dilated small bowel lumen

13.

14. Complete migration of retained surgical sponge into ileum without sign of open intestinal wall. Arch Gynecol Obstet (2001) 265:103–104.

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Foreign body

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