Overview for small bowel and appendicular pathology
Small bowel and appendicular pathologies encompass a range of conditions affecting the small intestine and the appendix. These conditions can cause symptoms such as abdominal pain, bloating, nausea, vomiting, and changes in bowel habits. Prompt diagnosis and treatment are crucial to prevent complications like perforation, obstruction, or infection.
Common Small Bowel Pathologies
Small Bowel Obstruction (SBO)
Causes include adhesions, hernias, tumors, or inflammatory diseases.
Symptoms: Severe abdominal pain, bloating, vomiting, constipation, and inability to pass gas.
Diagnosis: X-ray, CT scan, and ultrasound.
Treatment: Conservative management with fluids and bowel rest, or surgery in severe cases.
2. Crohn’s Disease
A chronic inflammatory condition affecting the small intestine.
Symptoms: Diarrhea, weight loss, abdominal pain, fatigue, and anemia.
Diagnosis: Endoscopy, MRI, CT enterography, and biopsy.
Treatment: Medications, dietary changes, and surgery for complications.
3. Small Bowel Tumors
Can be benign (adenomas, leiomyomas) or malignant (adenocarcinoma, lymphoma, carcinoid tumors).
Symptoms: Abdominal pain, gastrointestinal bleeding, anemia, and weight loss.
Diagnosis: CT scan, endoscopy, biopsy, and PET scan.
Treatment: Surgical resection, chemotherapy, or targeted therapy.
4. Meckel’s Diverticulum
A congenital abnormality where a small pouch is present in the lower small intestine.
Symptoms: Painless bleeding, obstruction, and inflammation similar to appendicitis.
Diagnosis: Meckel’s scan, CT scan, and ultrasound.
Treatment: Surgical removal if symptomatic.
Common Appendicular Pathologies
Acute Appendicitis
Inflammation of the appendix, usually due to obstruction.
Symptoms: Severe pain in the lower right abdomen, fever, nausea, and vomiting.
Diagnosis: Ultrasound, CT scan, and blood tests.
Treatment: Appendectomy (surgical removal of the appendix).
2. Appendicular Abscess
A complication of untreated appendicitis, leading to pus formation around the appendix.
Symptoms: High fever, localized pain, and signs of infection.
Diagnosis: CT scan and ultrasound.
Treatment: Antibiotics and drainage, followed by an interval appendectomy.
3. Appendicular Tumors
Rare but can be benign (mucinous cystadenoma) or malignant (carcinoid tumor, adenocarcinoma).
Symptoms: Chronic abdominal pain, bloating, and bowel obstruction.
Diagnosis: CT scan, MRI, and biopsy.
Treatment: Appendectomy or more extensive surgery depending on the type and stage of the tumor.
Why Choose Dr. Vikram Lotwala?
Dr. Vikram Lotwala specializes in the diagnosis and surgical treatment of small bowel and appendicular conditions. With expertise in minimally invasive and advanced surgical techniques, he ensures optimal patient outcomes with reduced recovery time.
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If you experience persistent abdominal pain or symptoms related to small bowel or appendicular pathology, consult Dr. Vikram Lotwala for expert evaluation and treatment.
