a 41-year old mentally retarded patient presented acutely with a 3 day history of vomiting and absolute constipation.  intestinal obstruction was diagnosed following an abdominal x ray. at laparotomy, a left paraduodenal hernia was present, without incarceration of small bowel. the herniated loops were reduced and the hernia orifice closed. the anatomy, treatment and importance of considering t...

BACKGROUND AND OBJECTIVES There is a wide variation of reported incidence of small bowel obstruction (SBO) after laparoscopic Roux-en-Y gastric bypass (LGB). There is also wide variation in technique, not only in placement of the Roux limb, but also regarding closure or nonclosure of the mesenteric defects. The objective of this study was to examine the incidence and characteristics of SBO afte...

Small bowel obstructions (SBOs) are a known perioperative complication of laparoscopic Roux-en-Y gastric bypass and common etiologies include internal hernia, port site hernia, jejunojejunostomy stricture, ileus and adhesions. Less commonly, SBO can be caused by superior mesenteric artery syndrome, intussusception and intraluminal blood clot. We present a case of SBO caused by intraluminal bloo...

DESCRIPTION A 92-year-old lady presented to the emergency department with a 2-day history of generalised colicky abdominal pain, diarrhoea and vomiting. Her medical history included gallstones and a right hemicolectomy for a benign caecal neoplasm in 2008. Abdominal palpation revealed suprapubic tenderness with no peritonism. Initial investigations included a white cell count of 12.5×10/l, C-re...

BACKGROUND Celiotomy is the most common approach for refractory small bowel obstruction (SBO). Small reviews suggest that a laparoscopic approach is associated with shorter stay and less morbidity. Given the limitations of previous studies, we sought to evaluate outcomes of laparoscopic (L) compared with open (O) adhesiolysis for SBO, using the National Surgical Quality Improvement Program data...

A review was made in the MR studies including cine MR and surgical and pathological reports of ten patients with surgically confirmed strangulated small bowel obstruction to establish criteria for a definite MR diagnosis and indications for surgery. Akinesis of the closed loop and movement in surrounding bowel loops (peristalsis gap) were noted in all patients. lntraluminal low-intensity on TPw...

BACKGROUND Gallstone ileus is a complication of acute cholecystitis that accounts for 25% of bowel obstruction cases in the elderly. To our knowledge, only one other case of gallstone ileus presenting as intussusception has been reported in the literature, and involved non-operative management with an unfavorable outcome. CASE PRESENTATION Here we report the case of 69year old woman presentin...

AIM This study is to investigate the short-term outcomes of small bowel obstruction (SBO) patients undergoing laparoscopic versus open adhesiolysis. PATIENTS AND METHODS A total of 202 patients with SBO were enrolled in this study. The patients underwent either laparoscopic (n=101) or open adhesiolysis (n=101). The primary end point was 30-day overall complications and secondary outcomes incl...

Abstract Introduction Small Bowel Obstruction (SBO) is a common presentation requiring multidisciplinary approach to its management. However, patient outcomes remain poor. Until the NASBO 2018 report1, there were no standard protocols. This study an evaluation of our local service, assessing compatibility guidelines and identifying areas improve outcomes. Method A retrospective cohort was carri...

Internal hernia represents only a small fraction of the patients with intestinal obstruction, however 50% of paraduodenal hernia present as an acute intestinal obstruction. The case is a 28-year old man with presentation of complete bowel obstruction. Diagnosis confirmed through physical examination and abdominal radiography. Laparatomy was performed during which total herniation of small intes...