title: [Severe abdominal pain after colostomy].
abstract: A 57-year-old man with a history of laparoscopic loop colostomy presented with acute abdominal pain. An abdominal CT-scan demonstrated a closed-loop bowel obstruction. On exploratory laparotomy, we encountered an ischemic small bowel segment herniating through a mesocolic defect. After reposition, the bowel appeared viable. Internal herniation is a rare cause of small bowel obstruction and has a high mortality rate due to strangulation and bowel ischemia.
authors.affiliation: Rode Kruis Ziekenhuis, afd. Heelkunde, Beverwijk, the Netherlands.
authors.forename: Annelieke M K
authors.initials: AM
authors.lastname: Harmsen
authors.forename: Mark
authors.initials: M
authors.lastname: Tenhagen
authors.forename: Huib A
authors.initials: HA
authors.lastname: Cense
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003125:Colostomy / Q000009:adverse effects*; D006547:Hernia / Q000209:etiology; D046449:Hernia, Abdominal / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects; D007813:Laparotomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged