Closed loop small bowel obstruction due to mid urethral sling mesh

Closed loop small bowel obstruction is a surgical emergency, which when left untreated leads to vascular compromise resulting in intestinal ischemia, necrosis and perforation. We report the case of a 61 years old female with past surgical history of hysterectomy and a mid-urethral sling, who present...

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Bibliographic Details
Published inInternational Surgery Journal Vol. 7; no. 6; p. 2003
Main Authors Alaoudi, Marwan, Devanabanda, Bhavana, Haj, Roland, Louis, Martine, Shah, Darshak
Format Journal Article
LanguageEnglish
Published 26.05.2020
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Summary:Closed loop small bowel obstruction is a surgical emergency, which when left untreated leads to vascular compromise resulting in intestinal ischemia, necrosis and perforation. We report the case of a 61 years old female with past surgical history of hysterectomy and a mid-urethral sling, who presented to the emergency department for abdominal pain and obstipation. She was found on imaging to have a closed loop small bowel obstruction. An exploratory laparotomy revealed an adhesive band encompassing the distal terminal ileum, visceral peritoneum and the Mid‐urethral slings mesh. This is a rare complication that, to our knowledge, has not been reported in the surgical literature. This paper will discuss the clinical presentation, diagnostic studies, therapeutic intervention and outcome of this unique case.
ISSN:2349-3305
2349-2902
DOI:10.18203/2349-2902.isj20202419