TY - JOUR
T1 - Cryptorchidism as an obscure cause of adhesive small bowel obstruction in an adult, a case report
AU - Satoskar, Savni
AU - Kashyap, Sarang
AU - Ziehm, Joshua
AU - Benavides, Francisco
AU - Chang, Avian
AU - Singhal, Vinay
N1 - Funding Information:
Dr. David Livert.
Publisher Copyright:
© 2021
PY - 2021/9
Y1 - 2021/9
N2 - Introduction and importance: Cryptorchidism is seen in 3% of fullterm neonates. Rarely, it may cause small bowel obstruction. Knowledge of this presentation of cryptorchidism is essential to treat bowel obstruction arising due to cryptorchidism before the patient suffers complications. Case presentation: We present a case of a patient who underwent exploratory laparotomy for small bowel obstruction that did not resolve with conservative management. At laparotomy, on initial exploration, this patient had adhesive bands causing the small bowel obstruction. On further exploration, the bands were found to arise from a cryptorchid testis. Clinical discussion: Cryptorchidism is a common finding among newborns and needs to be corrected by 1 year of age. Failure to correct cryptorchidism in a timely manner can result in complications such as bowel obstruction. Conclusion: Thorough intraoperative exploration is key at operation for all cases of small bowel obstruction, so as to find and treat anatomic causes of obstruction. Congenital causes of bowel obstruction should be suspected in all unexplained cases of bowel obstruction and may be revealed by careful physical examination and thorough intraoperative exploration.
AB - Introduction and importance: Cryptorchidism is seen in 3% of fullterm neonates. Rarely, it may cause small bowel obstruction. Knowledge of this presentation of cryptorchidism is essential to treat bowel obstruction arising due to cryptorchidism before the patient suffers complications. Case presentation: We present a case of a patient who underwent exploratory laparotomy for small bowel obstruction that did not resolve with conservative management. At laparotomy, on initial exploration, this patient had adhesive bands causing the small bowel obstruction. On further exploration, the bands were found to arise from a cryptorchid testis. Clinical discussion: Cryptorchidism is a common finding among newborns and needs to be corrected by 1 year of age. Failure to correct cryptorchidism in a timely manner can result in complications such as bowel obstruction. Conclusion: Thorough intraoperative exploration is key at operation for all cases of small bowel obstruction, so as to find and treat anatomic causes of obstruction. Congenital causes of bowel obstruction should be suspected in all unexplained cases of bowel obstruction and may be revealed by careful physical examination and thorough intraoperative exploration.
KW - Cryptorchidism
KW - Small bowel obstruction
KW - Undescended testes
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U2 - 10.1016/j.ijscr.2021.106319
DO - 10.1016/j.ijscr.2021.106319
M3 - Article
AN - SCOPUS:85113416888
SN - 2210-2612
VL - 86
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 106319
ER -