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Case Reports
. 2013;157(20):A6046.

[Severe abdominal pain after colostomy]

[Article in Dutch]
Annelieke M K Harmsen  1 , Mark Tenhagen, Huib A Cense
Affiliations
  • PMID: 23676132
Case Reports

[Severe abdominal pain after colostomy]

[Article in Dutch]
Annelieke M K Harmsen et al. Ned Tijdschr Geneeskd. 2013.

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.

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