A case of adhesive small bowel obstruction with pelvic inflammatory disease due toChlamydia trachomatis

Abstract

A 17-year-old woman, who was hospitalized because of pelvic infl ammatory disease due to Chlamydia trachomatis, developed emesis on 5th hospital day. On 7th day, vomiting and abdominal pain was aggravated. Plain radiography and contrast enhanced abdominopelvic computed tomography (CT) scan revealed small bowel obstruction with possible ischemic change at the level of the mid to distal ileum. Emergent exploratory laparotomy wad done and revealed adhesive band between small bowel mesentery and omentum, which resulted in closed loop and small bowel obstruction. Partial omentectomy, adhesive band adhesiolysis and incidental appendectomy was done. After surgery, the symptom was completely resolved with no further recurrence after outpatient department follow-up for 11 months. The present case calls for inclusion of abdominopelvic CT scan as well as plain radiography of the abdomen in the evaluation of pelvic infl ammatory disease (PID) associated with emesis to detect bowel obstruction, rare sequlela of PID.

Anti‐inflammatory and anticancer activities of water‐soluble peptide extracts of buffalo and cow milk Cheddar cheeses

“…Inflammation is an essential normal immune response against microbial infections, lesions and chemical and/or physical irritants. During defensive reactions, the activated macrophages secrete different bioactive inflammatory mediators including nitric oxide (NO) (Lee et al 2012). The NO is an ubiquitous cellular mediator of physiological and pathological processes, being largely released at inflammatory sites for vasodilation, neurotransmission and host immune defence (Pacher et al 2007).…”