title: Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel: a first case report.
abstract: BACKGROUND
  We highlight the importance of considering rarer causes of small bowel obstruction in patients presenting after extra-anatomical arterial bypass.
  
  
  METHODS
  Our patient underwent a left common iliac-to-bifemoral bypass extra-anatomical graft for critical limb ischaemia. The patient developed mechanical small bowel obstruction on the 20th postoperative day. Emergency laparotomy revealed incarcerated, obstructed small bowel trapped in the graft tunnel. Recovery was satisfactory following small bowel resection.
  
  
  CONCLUSIONS
  To the best of our knowledge, small bowel herniation into an arterial bypass graft tunnel, with successful treatment outcome, has not been reported to date.
authors.affiliation: Department of Vascular Surgery, King's College Hospital, London, UK.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Simms
authors.forename: Karim
authors.initials: K
authors.lastname: El-Sakka
authors.forename: Domenico
authors.initials: D
authors.lastname: Valenti
authors.forename: Mark
authors.initials: M
authors.lastname: Tyrrell
authors.forename: Klaus-Martin
authors.initials: KM
authors.lastname: Schulte
mesh_terms: D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D046449:Hernia, Abdominal / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male