scholarly journals Single-Incision Laparoscopic Surgery for Undiagnosed Small Bowel Obstruction in a Patient without a History of Abdominal Surgery

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Noriaki Koizumi ◽  
Hiroki Kobayashi ◽  
Tsuyoshi Takagi ◽  
Kanehisa Fukumoto
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Abdominal Surgery ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Single Incision ◽  
Definitive Diagnosis ◽  
Single Incision Laparoscopic Surgery ◽  
Umbilical Incision ◽  
History Of

We herein report a 66-year-old female patient who developed an undiagnosed small bowel obstruction without a history of prior abdominal surgery and was successfully treated by single-incision laparoscopic surgery. A small bowel obstruction with unknown cause typically requires some sort of surgical treatment in parallel with a definitive diagnosis. Although open abdominal surgery has been generally performed for the treatment of small bowel obstructions, laparoscopic surgery for small bowel obstructions has been increasing in popularity due to its less invasiveness, including fewer postoperative complications and a shorter hospital stay. As a much less invasive therapeutic strategy, we have performed single-incision laparoscopic surgery for the treatment of an undiagnosed small bowel obstruction. We were able to make a definitive diagnosis after sufficient intra-abdominal inspection and to perform enterotomy through a small umbilical incision. Single-incision laparoscopic surgery appears to be comparable to conventional laparoscopic surgery and provides improved cosmesis, although it is an optional strategy only applicable to selected patients.

Role of single-incision laparoscopic surgery in the management of small bowel obstruction

2020 ◽  
Author(s):  
Yozo Suzuki ◽  
Mitsuyoshi Tei ◽  
Masaki Wakasugi ◽  
Toru Masuzawa ◽  
Masahisa Ohtsuka ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery

scholarly journals Small Bowel Obstruction Secondary to an Internal Hernia after a Robotic Sacrocolpopexy with Mesh

2020 ◽  
Vol 3 (2) ◽  
pp. 1-3
Author(s):  
James Chambers ◽  
Keyword(s):  
Robotic Surgery ◽  
Small Bowel ◽  
Abdominal Surgery ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Internal Hernia ◽  
Robotic Sacrocolpopexy ◽  
History Of

Small bowel obstruction has been noted to occur in anywhere from 1-10% of patients with a history of abdominal surgery, and in 4.7% of patients after robotic surgery, all of these studies have focused mainly on adhesions being the source of obstruction

scholarly journals CLINICAL CHARACTERISTICS OF SMALL BOWEL OBSTRUCTION WITHOUT A HISTORY OF ABDOMINAL SURGERY

2006 ◽  
Vol 67 (4) ◽  
pp. 741-745 ◽  
Author(s):  
Nobuyasu TAKAHASHI ◽  
Toshio SHIMAYAMA ◽  
Kikuo KAWANO ◽  
Masahide HIYOSHI ◽  
Motoaki NAGANO ◽  
...  
Keyword(s):  
Small Bowel ◽  
Abdominal Surgery ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Clinical Characteristics ◽  
History Of

scholarly journals Single-Incision Laparoscopic Surgery for Intersigmoid Hernia

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Takahiro Watanabe ◽  
Hidetoshi Wada ◽  
Masanori Sato ◽  
Yuichirou Miyaki ◽  
Norihiko Shiiya
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Internal Hernia ◽  
Closed Loop ◽  
Single Incision ◽  
Previous History ◽  
Uneventful Recovery ◽  
Single Incision Laparoscopic Surgery ◽  
Current Case ◽  
History Of

Intersigmoid hernia is a rare form of internal hernia. Here, we report a case of intersigmoid hernia and provide a brief review of the 62 cases involving the mesosigmoid reported in Japan from 2000 to 2013. In the current case, a 26-year-old man with no previous history of abdominal surgery presented with abdominal pain and vomiting. Abdominal computed tomography revealed an extensively dilated small bowel and a closed loop of small bowel in the mesosigmoid. The patient was diagnosed with an intestinal obstruction due to an incarcerated internal hernia involving the mesosigmoid. There was no blood flow obstruction at the incarcerated bowel. An elective single-incision laparoscopic surgery was performed after decompression of the bowel using ileus tube. As the ileum herniated into the intersigmoid fossa, the patient was diagnosed with an intersigmoid hernia. The incarcerated small bowel was reduced in order to make it viable, and the hernial defect was closed with interrupted sutures. The patient had an uneventful recovery and was discharged on postoperative day five.

563 A Rare Case of Small Bowel Obstruction Secondary to Peritoneal Encapsulation, Congenital Adhesional Band and Gallstone Ileus

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Gungadin ◽  
A Taib ◽  
M Ahmed ◽  
A Sultana
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Case Presentation ◽  
Peritoneal Encapsulation ◽  
History Of ◽  
Gall Stone Ileus

Abstract Introduction Small bowel obstruction can be caused by multiple factors. We describe an unusual case of small bowel obstruction secondary to three rare factors: gallstone ileus, peritoneal encapsulation and congenital adhesional band. Case Presentation A seventy-nine-year-old male presented with a four-day history of obstipation and abdominal pain. CT abdomen pelvis revealed small bowel obstruction secondary to gallstone ileus. The patient was managed by laparotomy. The intraoperative findings revealed the presence of a congenital peritoneal encapsulation with an adhesional band and gallstone proximal to the ileo-caecal valve. Although there was some dusky small bowel, this recovered following the release of the band. Discussion Peritoneal Encapsulation is a rare congenital pathology resulting in the formation of an accessory peritoneal membrane around the small bowel. This condition is asymptomatic and rarely presents as small bowel obstruction. The diagnosis is often made at laparotomy. There are less than 60 cases reported in literature. Gallstone ileus is another rare entity caused by an inflamed gallbladder adhering to part of the bowel resulting in a fistula. Conclusions The rarity of these conditions mean that they are poorly understood. A combination of this triad of gall stone ileus in the presence of peritoneal encapsulation and congenital band has not been reported before. Knowledge of this would raise awareness, facilitate diagnosis and management of patients.

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