title: Mucin as possible cause of early adhesional intestinal obstruction.
abstract: OBJECTIVE
  To report the case of a 24 year old female undergraduate who presented with bowel obstruction, three weeks following the excision of a mucinous ovarian cyst.
  
  
  METHODS
  The records of the patients past and recent medical history laboratory and imaging studies were reviewed.
  
  
  RESULTS
  Clinical findings of a distended and a plain abdominal radiogram showing distended loops of bowel(Figure 2) were in keeping with acute bowel obstruction. This was confirmed by the intraoperative finding of fibrous encasement of small bowel. This was excised ,and 12months thereafter, patient has remain in good health. Figure 2Preoperative A-P abdominal X-ray in erect position showing small distension.
  
  
  CONCLUSIONS
  Early and absolute adhesional bowel obstruction from abdominal surgery is failing conservative management rate. We attributed this to the ruptured mucinous cyst in our earlier operation. We therefore suggest that should a rupture cyst of this type occurs during a surgical procedure, any of the preventive methods discussed should be tried as a prophylactic measure.
authors.affiliation: University of Calabar, Department of Surgery.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Ugare
authors.affiliation: University of Calabar, Department of Surgery.
authors.forename: Godwin
authors.initials: G
authors.lastname: Osakwe
authors.affiliation: Univ. of Calabar, Department of Anaesthesiology.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Djunda
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000601:surgery*; D002288:Adenocarcinoma, Mucinous / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000000981:diagnostic imaging* / Q000601:surgery; D009077:Mucins / Q000009:adverse effects*; D010048:Ovarian Cysts / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D000267:Tissue Adhesions / Q000150:complications / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D009077:Mucins
keywords: Ruptured mucinous cyst; adhesional intestinal obstruction; literature review
references.citation: West Afr J Med. 1990 Jan-Mar;9(1):59-62
references.pmid: 2271424
references.citation: Aust N Z J Surg. 1993 May;63(5):367-71
references.pmid: 8481137
references.citation: Am J Surg. 1995 Oct;170(4):366-70
references.pmid: 7573730
references.citation: East Afr Med J. 1996 Nov;73(11):727-31
references.pmid: 8997863
references.citation: Eur J Surg Suppl. 1997;(577):5-9
references.pmid: 9076446
references.citation: Adv Surg. 1997;31:1-34
references.pmid: 9408486
references.citation: Arch Surg. 1989 Jun;124(6):699-701
references.pmid: 2730322
references.citation: J Trauma. 2008 Jun;64(6):1651-64
references.pmid: 18545135
references.citation: JSLS. 2002 Apr-Jun;6(2):99-109
references.pmid: 12113430
references.citation: JSLS. 2002 Apr-Jun;6(2):111-4
references.pmid: 12113412
references.citation: J Laparoendosc Adv Surg Tech A. 2002 Aug;12(4):241-7
references.pmid: 12269490
references.citation: Cent Afr J Med. 1975 Mar;21(3):53-7
references.pmid: 1125972
references.citation: Med Clin North Am. 2008 May;92(3):575-97, viii
references.pmid: 18387377