Closed loop small bowel obstruction due to mid urethral sling mesh

Authors

  • Marwan Alaoudi Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York
  • Bhavana Devanabanda St. George’s University School of Medicine, Grenada
  • Roland Haj Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York
  • Martine Louis Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York
  • Darshak Shah Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York, USA

DOI:

https://doi.org/10.18203/2349-2902.isj20202419

Keywords:

Closed loop small bowel obstruction, Mid urethral sling mesh, Adhesion, Retropubic space, Intraperitoneal, Extraperitoneal

Abstract

Closed loop small bowel obstruction is a surgical emergency, which when left untreated leads to vascular compromise resulting in intestinal ischemia, necrosis and perforation. We report the case of a 61 years old female with past surgical history of hysterectomy and a mid-urethral sling, who presented to the emergency department for abdominal pain and obstipation. She was found on imaging to have a closed loop small bowel obstruction. An exploratory laparotomy revealed an adhesive band encompassing the distal terminal ileum, visceral peritoneum and the Mid‐urethral slings mesh. This is a rare complication that, to our knowledge, has not been reported in the surgical literature. This paper will discuss the clinical presentation, diagnostic studies, therapeutic intervention and outcome of this unique case.

Author Biographies

Marwan Alaoudi, Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York

MD, General Surgery Resident PGY2

ATTN: Department of Surgery

Flushing Hospital Medical Center

4500 Parsons Blvd, NY, NY, USA, 11355

Bhavana Devanabanda, St. George’s University School of Medicine, Grenada

B.Sc, Medical Student

Address:

ATTN: Department of Surgery

Flushing Hospital Medical Center

4500 Parsons Blvd, NY, NY, USA, 11355

Roland Haj, Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York

MD, General Surgery Resident PGY5

Address:

ATTN: Department of Surgery

Flushing Hospital Medical Center

4500 Parsons Blvd, NY, NY, USA, 11355

Martine Louis, Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York

MD, FACS, General Surgery Attending

Address:

ATTN: Department of Surgery

Flushing Hospital Medical Center

4500 Parsons Blvd, NY, NY, USA, 11355

Darshak Shah, Department of Surgery, Flushing Hospital Medical Centre, Flushing, New York, USA

MD, FACS, General Surgery Attending

Address:

ATTN: Department of Surgery

Flushing Hospital Medical Center

4500 Parsons Blvd, NY, NY, USA, 11355

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Published

2020-05-26

Issue

Section

Case Reports