ArticleJournal of surgical case reports2023
A rare case of intestinal internal hernia beneath the external iliac artery following radical cystectomy.
Article in Journal of surgical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Internal herniation beneath the external iliac vessels with deep vein thrombosis following pelvic lymphadenectomy: a rare cause of bowel obstruction.BMC surgery · 2026Article
- Ileal conduit obstruction secondary to tethering of the small bowel anastomosis to the pubic bone.BMJ case reports · 2024Article
- Internal Herniation of Small Bowel Underneath Iliac Vascular Axis After Pelvic Surgery: A Systematic Review.Cureus · 2023Review
- Small Bowel Strangulation under External Iliac Vessels after Robot-Assisted Prostatectomy.CRSLS : MIS case reports from SLSArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gastrointestinal complications following radical cystectomy (RC) are a common occurrence, with small bowel obstruction (SBO) a known complication. Limited cases have been reported of SBO following RC due to internal herniation of the small intestine around the ureter, ileal conduit, obturator nerve and, as a consequence of retroperitoneal lymphadenectomy, even the abdominal vasculature. We present a rare case in which intestinal herniation beneath the external iliac artery (EIA) resulted in a closed-loop SBO with ischaemia and necrosis. Intra-operative transection of the unrecognised EIA occurred, necessitating primary arterial repair. This case highlights the importance of maintaining a high index of suspicion for complex pathology and anatomical variations in patients following RC and other operations involving retroperitoneal lymphadenectomy.
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