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Total small bowel strangulation: a case report.

G Pettersson, J O Svensson, N Darle

The British Journal of Surgery

|September 1, 1979

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A case of internal hernia strangulation led to severe small intestine compromise. Prolonged conservative management allowed bowel recovery, avoiding resection and highlighting its importance.

Area of Science:

Gastroenterology
Surgical Case Reports

Background:

Internal hernias can cause bowel strangulation, a surgical emergency.
Small intestine strangulation poses risks of resection and significant morbidity.

Observation:

A patient presented with strangulation of the entire small intestine due to an internal incarcerated hernia.
Initial laparotomy revealed severely discolored, paralytic bowel with questionable viability.

Findings:

No bowel resection was performed during the initial surgery.
A second laparotomy 10 hours later showed hyperemic bowel with active motor function.

Implications:

This case underscores the value of prolonged conservative management in strangulated small intestine.

Related Experiment Videos

Avoiding extensive resection can lead to complete recovery and reduced patient morbidity.