Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel: A first case report

Jacqueline Simms; Karim El-Sakka; Domenico Valenti; Mark Tyrrell; Klaus Martin Schulte

doi:10.1308/147870810X476728

Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel: A first case report

Jacqueline Simms, Karim El-Sakka^*, Domenico Valenti, Mark Tyrrell, Klaus Martin Schulte

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Introduction:We highlight the importance of considering rarer causes of small bowel obstruction in patients presenting after extra-anatomical arterial bypass. Case presentation: Our patient underwent a left common iliac-to-bifemoral bypass extra-anatomical graft for critical limb ischaemia. The patient developed mechanical small bowel obstruction on the 20th postoperative day. Emergency laparotomy revealed incarcerated, obstructed small bowel trapped in the graft tunnel. Recovery was satisfactory following small bowel resection. Conclusions: To the best of our knowledge, small bowel herniation into an arterial bypass graft tunnel,with successful treatment outcome, has not been reported to date.

Original language	English
Pages (from-to)	W20-W22
Journal	Annals of the Royal College of Surgeons of England
Volume	92
Issue number	2
DOIs	https://doi.org/10.1308/147870810X476728
Publication status	Published - Mar 2010
Externally published	Yes

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title = "Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel: A first case report",

abstract = "Introduction:We highlight the importance of considering rarer causes of small bowel obstruction in patients presenting after extra-anatomical arterial bypass. Case presentation: Our patient underwent a left common iliac-to-bifemoral bypass extra-anatomical graft for critical limb ischaemia. The patient developed mechanical small bowel obstruction on the 20th postoperative day. Emergency laparotomy revealed incarcerated, obstructed small bowel trapped in the graft tunnel. Recovery was satisfactory following small bowel resection. Conclusions: To the best of our knowledge, small bowel herniation into an arterial bypass graft tunnel,with successful treatment outcome, has not been reported to date.",

keywords = "Extra-anatomical graft, Herniation, Limb ischaemia, Small bowel obstruction",

author = "Jacqueline Simms and Karim El-Sakka and Domenico Valenti and Mark Tyrrell and Schulte, {Klaus Martin}",

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T1 - Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel

T2 - A first case report

AU - Simms, Jacqueline

AU - El-Sakka, Karim

AU - Valenti, Domenico

AU - Tyrrell, Mark

AU - Schulte, Klaus Martin

PY - 2010/3

Y1 - 2010/3

N2 - Introduction:We highlight the importance of considering rarer causes of small bowel obstruction in patients presenting after extra-anatomical arterial bypass. Case presentation: Our patient underwent a left common iliac-to-bifemoral bypass extra-anatomical graft for critical limb ischaemia. The patient developed mechanical small bowel obstruction on the 20th postoperative day. Emergency laparotomy revealed incarcerated, obstructed small bowel trapped in the graft tunnel. Recovery was satisfactory following small bowel resection. Conclusions: To the best of our knowledge, small bowel herniation into an arterial bypass graft tunnel,with successful treatment outcome, has not been reported to date.

AB - Introduction:We highlight the importance of considering rarer causes of small bowel obstruction in patients presenting after extra-anatomical arterial bypass. Case presentation: Our patient underwent a left common iliac-to-bifemoral bypass extra-anatomical graft for critical limb ischaemia. The patient developed mechanical small bowel obstruction on the 20th postoperative day. Emergency laparotomy revealed incarcerated, obstructed small bowel trapped in the graft tunnel. Recovery was satisfactory following small bowel resection. Conclusions: To the best of our knowledge, small bowel herniation into an arterial bypass graft tunnel,with successful treatment outcome, has not been reported to date.

KW - Extra-anatomical graft

KW - Herniation

KW - Limb ischaemia

KW - Small bowel obstruction

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JO - Annals of the Royal College of Surgeons of England

JF - Annals of the Royal College of Surgeons of England

IS - 2

ER -

Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel: A first case report

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