A CASE OF CLOSED LOOP SMALL BOWEL OBSTRUCTION WITHIN A STRANGULATED INCISIONAL HERNIA IN ASSOCIATION WITH AN ACUTE GASTRIC VOLVULUS

Kosai, Nik Ritza; Gendeh, H. S.; Noorharisman, M.; Sutton, Paul Anthony; Das, Srijit

doi:10.14712/18059694.2014.45

Acta Medica > Archive > 2014, Vol. 57 > Issue 2 > A CASE OF CLOSED LOOP SMALL BOWEL…

Acta Med. 2014, 57: 83-86

https://doi.org/10.14712/18059694.2014.45

A CASE OF CLOSED LOOP SMALL BOWEL OBSTRUCTION WITHIN A STRANGULATED INCISIONAL HERNIA IN ASSOCIATION WITH AN ACUTE GASTRIC VOLVULUS

Nik Ritza Kosai^a, H. S. Gendeh^a, M. Noorharisman^a, Paul Anthony Sutton^b, Srijit Das^c

^aDepartment of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Malaysia
^bInstitute of Translational Medicine, University of Liverpool, United Kingdom
^cDepartment of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Malaysia

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.