title: A case of closed loop small bowel obstruction within a strangulated incisional hernia in association with an acute gastric volvulus.
abstract: Small bowel obstruction is a common clinical problem presenting with abdominal distention, colicky pain, absolute constipation and bilious vomiting. There are numerous causes, most commonly attributed to an incarcerated hernia, adhesions or obstructing mass secondary to malignancy. Here we present an unusual cause of a small bowel obstruction secondary to an incarcerated incisional hernia in association with an acute organoaxial gastric volvulus.
authors.affiliation: Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Malaysia. nikkosai@yahoo.co.uk.
authors.forename: Nik Ritza
authors.initials: NR
authors.lastname: Kosai
authors.affiliation: Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Malaysia.
authors.forename: H S
authors.initials: HS
authors.lastname: Gendeh
authors.affiliation: Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Malaysia.
authors.forename: M
authors.initials: M
authors.lastname: Noorharisman
authors.affiliation: Institute of Translational Medicine, University of Liverpool, United Kingdom.
authors.forename: Paul Anthony
authors.initials: PA
authors.lastname: Sutton
authors.affiliation: Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Malaysia.
authors.forename: Srijit
authors.initials: S
authors.lastname: Das
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D046449:Hernia, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D014057:Tomography, X-Ray Computed
keywords: Incarcerated incisional hernia; Obstruction; Organoaxial gastric volvulus; Small bowel