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Query: UMLS:C0021843 (bowel obstruction)
 9,927 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Reduction of gangrenous small bowel by taxis on an inguinal hernia is an extremely rare event. We present a case in which this occurred, leading to a bowel obstruction and urgent laparotomy.
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PMID:Reduction of gangrenous small bowel by taxis on an inguinal hernia. 2405 57

Strangulated hernia remains one of the most common emergencies encountered in general surgery. During induction of general or spinal anesthesia, the potential self-reduction of a gangrenous bowel can occur in approximately 1% of cases. In these cases, bowel viability can no longer be directly assessed unless a more extensive operation (laparoscopy or laparotomy) is performed. A simple alternative to unnecessary laparotomy or to a standard laparoscopy is a hernia sac laparoscopy (hernioscopy). Here, we presented 4 patients with a diagnosis of small-bowel obstruction secondary to incarcerated inguinal hernias, in which the incarcerated hernia content was evaluated by hernioscopy. Only 1 case presented persistent signs of bowel ischemia after hernia reduction and required a small-bowel segmental resection. All hernias were repaired using prosthetic tension-free technique. Hernia sac laparoscopy (hernioscopy), the introduction of the laparoscope through an open inguinal hernia sac, can be useful to evaluate the viability of the incarcerated hernia content, to avoid unnecessary laparotomy.
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PMID:Hernioscopy: a simple application of single-port endoscopic surgery in acute inguinal hernias. 2448 76

Inguinal hernias may contain the small or large bowel. About 10% of inguinal hernias become incarcerated, causing strangulation, bowel obstruction or infarction. Malignant lesions in groin hernias are rare; most intrasaccular neoplasms are colonic, and the most common reported site is the sigmoid colon, usually in a left inguinal hernia. We report a case of an incarcerated inguinal hernia containing carcinoma of the sigmoid colon.
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PMID:[Carcinoma of the sigmoid colon in an incarcerated inguinal hernia]. 2541 44

A laparoscopic bilateral inguinal hernia repair was performed on a 62-year-old man. The peritoneum was sutured on both sides laterally to medial with the V-loc unidirectional barbed suture. An end of approximately 2 cm was left on both sides. Five days later the patient returned to hospital with intestinal obstruction. Exploratory laparoscopy revealed that the two ends of the sutures had formed a string medially, and the small intestine was caught over the string, causing the obstruction. This case demonstrates the need for fast diagnosis in our patients after surgery, when introducing new surgical material.
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PMID:[Ileus caused by V-loc sutures]. 2549 18

Obturator hernia is a rare form of abdominal hernia and a diagnostic challenge. It is commonly seen in elderly thin females. Its diagnosis is often delayed with resultant increased morbidity and mortality due to bowel ischemia/gangrene. It is mistakenly diagnosed as femoral or inguinal hernia on USG. Computed tomography is diagnostic and is a valuable tool for preoperative diagnosis. This report presents a case of 70-year-old thin female presenting with intestinal obstruction due to left sided obstructed obturator hernia. USG showed small bowel obstruction and an obstructed left sided femoral hernia. CT scan of abdomen and pelvis with inguinal and upper thigh region disclosed left sided obturator hernia. It also detected clinically occult right sided obturator hernia. Early diagnosis and surgical treatment contribute greatly in reducing the morbidity and mortality rate.
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PMID:Bilateral obturator hernia diagnosed by computed tomography: a case report with review of the literature. 2554 96

A 68-year-old gentleman presented with abdominal distension and faeculent vomiting. He had a background of cerebral palsy with learning difficulties making history taking problematic. A CT scan suggested small bowel obstruction secondary to gallstone ileus. The most likely differential diagnosis was an inguinal hernia which was noted adjacent to the transition point. Laparotomy revealed grossly dilated small bowel with a 3-cm intraluminal gallstone. The gallstone was freely mobile within the lumen on the ileum and thus could not be causing obstruction. A caecal mass was also found, which was determined to be the cause of the obstruction. Limited ileocaecectomy was performed, which revealed a Duke's A adenocarcinoma. Gallstone ileus and caecal tumour can commonly be confused prior to surgery. There are however no previous reports of concurrent gallstone ileus and caecal tumour. Communication issues with the patient are likely to have contributed to the difficulty in diagnosis.
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PMID:A simple case of gallstone ileus? 2558 39

Meckel's diverticulum (MD) represents one of the most common malformations of the digestive tract, being a vestige of the proximal end of omphalo-mesenteric duct, which normally obliterates and atrophiates between the sixth and ninth week of intrauterine life. It is estimated that 2-4% of people are carriers of this malformation. The interest in this organ study lies in the fact that it presents its own non-specific pathology, mimicking a cecal, colon or small intestine pathology. It seems that most MD cases are asymptomatic (AS MD), being arbitrary discovered during surgeries, whereas only a small part are being symptomatic (S MD). MD may be clinically expressed at any age but it is more common in children. In our study, we evaluated a group of 44 children, aged between 0 and 16 years, diagnosed with AS MD (15 cases) or S MD (29 cases). Of the 29 S MD cases, 14 had intestinal obstruction, seven cases showed lower gastrointestinal bleeding, five cases presented acute inflammation (diverticulitis) and three cases were complicated with peritonitis; 15 cases of AS MD were discovered during surgical interventions for acute appendicitis (14 cases) or inguinal hernia (one case). Most cases of MD were recorded between 1-4-year-old and 7-16-year-old.
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PMID:Meckel's diverticulum in children, clinical and pathological aspects. 2560 1

Transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) are the two types of laparoscopic repair of the inguinal hernia. The main advantages of laparoscopic repair, as compared to open repair, are a shorter hospital stay and a quicker recovery to normal activities. However, we cannot be overlooked or neglected the complication of laparoscopic inguinal hernia repair although it brings us lots of benefits. We report a case of small bowel obstruction caused by a displaced mesh used for the laparoscopic inguinal hernia repair and review of literature.
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PMID:Mesh erosion causes small bowel obstruction: a rare complication of laparoscopic inguinal hernia repair: case description and review of literature. 2591 67

Reduction en masse refers to the rare occurrence of an incarcerated inguinal hernia arising from the manual reduction of a hernia. Such a condition constitutes a medical emergency because the hernia contents, such as the small bowel, remain strangulated in the preperitoneal space. Therefore, an early and accurate diagnosis, with early treatment, is important. A 61-year-old Japanese man presented with an irreducible lump over his left groin, leading to the reduction of an incarcerated inguinal hernia by a doctor at another hospital. Later, he was admitted to our hospital with vomiting and abdominal pain. Computed tomography showed a ball-like lesion containing an incarcerated bowel loop over his left pelvis. The patient was diagnosed with an incarcerated small bowel obstruction due to a reduction en masse; a laparoscopic transabdominal preperitoneal (TAPP) hernioplasty was performed. TAPP hernioplasty is a safe method for treating reductions en masse that allows confirmation of bowel viability.
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PMID:Reduction en masse can be treated using pure laparoscopic transabdominal preperitoneal hernioplasty following early CT diagnosis: report of a case. 2595 55

Congenital mesenteric defects are rare and often recognized only in surgery or autopsy. Preoperative diagnosis of an internal hernia is quite rare. A common symptom of trans-mesenteric intestinal herniation is intermittent postprandial pain. If there is strangulation of the mesenteric internal herniation, there is often vomiting and constipation. Signs and symptoms of a bowel obstruction in a patient without previous abdominal surgery or inguinal hernia as well as without history of intra-abdominal operation and infection suggest the possibility of a congenital mesenteric defect with internal herniation. Early diagnosis and surgical treatment are important to reduce morbidity and mortality. This study aimed to present the case of a 20-year-old female patient on whom preoperative diagnosis of internal trans-mesenteric internal hernia was made.
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PMID:Strangulated congenital mesenteric hernia: a case report. 2638 81


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