Strangulation Intestinal Obstruction

Leffall, LaSalle D.; Quander, Joseph; Syphax, Burke

doi:10.1001/archsurg.1965.01320160046010

Cited by 21 publications

(17 citation statements)

References 2 publications

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“…This result implies that this finding appears in early stages of CL-SBO with mild impairment of venous return and a viable bowel. Pathologically, in CL-SBO, venous return from the involved bowel is initially impaired while arterial influx continues [11,30]. Increased venous and capillary pressure in the bowel wall and mesentery leads to edema, engorgement of the veins, rupture of the small vessels, and intramural and mesenteric hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

“…Increased venous and capillary pressure in the bowel wall and mesentery leads to edema, engorgement of the veins, rupture of the small vessels, and intramural and mesenteric hemorrhage. Arterial insufficiency usually follows aggravating the anoxia and further contributing to the rapid development of ischemia [2,11,30]. CT findings would theoretically reflect these pathological changes.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic performance of CT findings for bowel ischemia and necrosis in closed-loop small-bowel obstruction

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Diagnostic performance of CT findings for bowel ischemia and necrosis in closed-loop small-bowel obstruction

et al. 2014

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“…They are rare, having been reported in the literature with an incidence of 0.2-0.9% of autopsy cases. Whilst the most commonly herniated viscus is small bowel, internal hernias present as the cause of small bowel obstruction in only 0.6-5.8% of cases (usually as a closed-loop strangulated obstruction) [1,[3][4][5].…”

Section: Discussionmentioning

confidence: 99%

Internal herniation of the caecum into the lesser sac: an unusual cause of an acute abdomen (2009: 10b)

2010

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Internal hernias are rare, occurring in 0.2-0.9% of autopsy cases. Hernias through the foramen of Winslow are even rarer, occurring in up to 8% of internal hernias. The clinical presentation is variable, making diagnosis difficult, and a delay in diagnosis can result in significant morbidity. As such, early radiological diagnosis is paramount. We report a rare case of caecal herniation through the foramen of Winslow in a 49-year-old female patient in whom the diagnosis was made radiologically and allowed appropriate and prompt management.

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“…[1][2][3][4][5][6][7][8][9] According to autopsy reports, the incidence of internal hernia ranges from 0.2% to 0.9%, 4,10,11 and various investigators have found that it causes 0.6%-5.8% of all small bowel obstructions. 8,[12][13][14][15][16][17][18] The orifi ce of a congenital internal hernia (CIH) is usually created by abnormal rotation of the bowel during the embryonic period, but it can also be caused by a pre-existing anatomic structure. Many types of CIH have been reported, including paraduodenal, transmesenteric, pericecal, transmesosigmoid, supra-or perivesical, Winslow's foramen, omental hernia, and rarely, hernia through the broad ligament, the mesoappendix, or the mesentery of a Meckel's diverticulum.…”

Section: Introductionmentioning

confidence: 99%