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Updated: Apr 24, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Blind loop: rare but important surgical complication
John Michael DiBianco1, Robert A Brenes, J Alexander Palesty
1Ross University School of Medicine, Roseau, Commonwealth of Dominica, West Indies. John.DiBianco@yahoo.com.
Background:
Surgical complications worldwide are dreaded by both patients and physicians alike. They represent significant and serious morbidity and mortality, and contribute substantially to increased costs of healthcare.
Case Presentation:
Our Case Report describes a 65yo Caucasian man with an extensive operative history for Crohn's disease, including 4 laparotomies with small bowel resections to ameliorate small bowel obstructions. He presented with signs and symptoms of a chronic draining sinus, but was found to have a Blind Loop of bowel. This finding is believed to be the result of a surgical complication.
Conclusion:
While the Case Reports discusses this particular patient presentation, the paper defines, describes and offers treatment strategies for Enterocutaneous Fistulas (ECF). We offer aim to add Blind Loop to the differential diagnosis when presented with a patient with signs and symptoms of ECF.

