dc.contributor.author | Brown, KM | |
dc.contributor.author | Gundara, JS | |
dc.contributor.author | Mittal, A | |
dc.date.accessioned | 2021-11-02T01:25:04Z | |
dc.date.available | 2021-11-02T01:25:04Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 1265-4906 | |
dc.identifier.doi | 10.1007/s10029-016-1519-1 | |
dc.identifier.uri | http://hdl.handle.net/10072/409634 | |
dc.description.abstract | Purpose: Whilst situs inversus is associated with intestinal malrotation and volvulus particularly in infants, this is the first known report of acute intestinal obstruction in an adult patient with a situs anomaly specifically due to a congenital transmesenteric hernia. Case: A 54-year-old woman presented with a 12-h history of progressive abdominal pain. Contrast-enhanced computed tomography scan of the abdomen revealed an incidental finding of situs inversus abdominus, ischemic small bowel obstruction and a potential occlusive thrombus of the superior mesenteric artery. At operation, the cause of intestinal obstruction was found to be secondary to herniation of the intestine through a congenital mesenteric defect. The hernia was reduced and a strong pulse was subsequently felt in the distal superior mesenteric artery. The patient required resection of a segment of compromised small bowel, and was later anastomosed at a planned second laparotomy. Her laparostomy was closed using an absorbable BioA mesh. Conclusion: A high index of suspicion and low threshold for exploratory surgery should be maintained in patients with major congenital abdominal anomalies presenting with an acute abdomen. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.publisher | Springer | |
dc.relation.ispartofpagefrom | 649 | |
dc.relation.ispartofpageto | 651 | |
dc.relation.ispartofissue | 4 | |
dc.relation.ispartofjournal | Hernia | |
dc.relation.ispartofvolume | 21 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.keywords | Science & Technology | |
dc.subject.keywords | Life Sciences & Biomedicine | |
dc.subject.keywords | Surgery | |
dc.subject.keywords | Situs | |
dc.subject.keywords | Inversus | |
dc.title | Acute gastrointestinal manifestation of situs inversus abdominus | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Brown, KM; Gundara, JS; Mittal, A, Acute gastrointestinal manifestation of situs inversus abdominus, Hernia, 2017, 21 (4), pp. 649-651 | |
dcterms.dateAccepted | 2016-07-29 | |
dc.date.updated | 2021-11-02T01:23:34Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Gundara, Justin | |