Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel: a first case report.
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.
Simms
Jacqueline
J
Department of Vascular Surgery, King's College Hospital, London, UK.
El-Sakka
Karim
K
Valenti
Domenico
D
Tyrrell
Mark
M
Schulte
Klaus-Martin
KM
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