BACKGROUND The goals of this study were to evaluate the specific computed tomography (CT) features of internal hernia (IH), and to verify CT features useful for the differential diagnosis of IH from adhesive small bowel obstruction (ASBO), and for the early detection of intestinal strangulation. METHODS CT findings for 28 patients with surgically proven IH were retrospectively reviewed and co...

PURPOSE Our aim was to investigate the predictive factors indicating strangulation, and the requirement for surgery in patients with acute mechanical intestinal obstruction due to adhesions. METHODS This study retrospectively evaluated the records of patients with adhesive acute mechanical intestinal obstruction. The surgical treatment (group S), conservative treatment (group C), intraoperati...

Acute appendicitis is the most common surgical emergency. A bowel obstruction due to in cases functional with a paralytic ileus mechanical obstructions are rare or exceptional. We describe case of strangulation last ileal loop by appendix.

Para-caecal hernias are a rare type of internal hernias. They can cause bowel obstruction, leading to strangulation the bowel. As such, urgent diagnosis and appropriate management important. Both laparoscopic open approaches options in terms surgical treatment. We report case para-caecal hernia causing small obstruction highlight approach as feasible effective way management.

BACKGROUND In patients with strangulation ileus, the severity of bowel ischemia is unpredictable before surgery. To consider a grading scale of anoxic damage, we evaluated the pathological findings and investigated predictive factors for bowel gangrene. METHODS We assessed 49 patients with strangulation ileus who underwent a laparotomy between January 2004 and November 2012. Laboratory tests ...

Obstruction is the most common surgical disorder of the small bowel. Complete small bowel obstruction (SBO) is usually treated surgically because bowel strangulation cannot be excluded with certainty. Acute SBO has been previously considered a relative contraindication for laparoscopic management especially due to the laparotomy conversion rate. We present a case of SBO for which laparoscopic m...

The authors report a case of spontaneous transmesenteric hernia with strangulation in an adult. Transmesenteric hernia (TMH) is a rare cause of small bowel obstruction and is seldom diagnosed preoperatively, and most TMHs in adults are related to predisposing factors, such as previous surgery, abdominal trauma, and peritonitis. TMH are more likely to develop volvulus and strangulation or ischem...

1. Early identification of strangulated bowel allows for faster treatment and improved outcomes. 2. Accurate diagnosis of strangulation cannot be made using physical exam or laboratory studies. 3. Most sensitive and specific modality for diagnosing strangulation is a non-contrast CT scan followed by an arterial and venous phase looking for enhancement of bowel wall. 4. Oral Gastrografin has bee...

Early detection of bowel strangulation is difficult in patients with mechanical bowel obstruction (MBO). There have been no previous reports of predicting strangulation in MBO cases using the delta neutrophil index (DNI), which is a measure of the proportion of circulating immature granulocytes, or the myeloperoxidase index (MPXI), which is a measure of serum myeloperoxidase level. Therefore, w...