Journal of Womens Health and Reproductive Medicine

Gohary's phenomenon revisited

International Congress on Midwifery and Maternal health
April 11, 2022 | Webinar

Amin Gohary

Burjeel hospital, UAE

ScientificTracks Abstracts: J Womens Health Reprod Med

Abstract

Intussusception is a common condition that present with abdominal colic and is usually diagnosed by ultrasonography with appearance of (Target Sign). Over the last 35 years we have noticed a new phenomenon that mimic intussusception both clinically and radio logically but is not cause by bowel intussusception but by impacted stool at the terminal ileum. Whereas intussusceptions an emergency that require urgent attention to reduce either by air, saline or Barium and my need urgent exploration, Gohary’s phenomenon if recognized can be treated by simple fleet enema. We have encountered 56 cases between 1983 and 2018, their age varied from 9 months and 7 years. They have the common features of • Severe abdominal colic that is not responding to analgesic or antispasmodics • US feature suggestive of ileo-colic intussusception • No red current jelly stool .intussusception • Good response to fleet enemas More recently we have encountered a subgroup pf patients that have genuine intussusception on radiological examination but not causing complete bowel obstruction and still associated with had srool in the large bowel and still needs simple fleet enema to cure. We hope by highlighting this new phenomenon to avoid unnecessary radiological investigation and unnecessary abdominal exploration.

Biography

Amin Gohary completed his MBBS Degree at Cairo University, Egypt. He is a working as a Professor at Burjeel Hospital He was once an Ex-President and an Ex-Examiner for UAE Pediatric Surgical Association and Royal College of Surgeons, UK. He also worked as a Professor at Al Noor Hospital and also at Mafraq Hospital. He devoted himself in the field of Clinical Implications and in Pediatric Research. He has attended many National and International Conferences worldwide.