Strangulated Small Bowel Obstruction Involving the External Iliac Artery after Pelvic Lymph Node Dissection: A Case Report on Stepwise Intraoperative Decision-Making to Prevent Vascular Injury
Tomoyasu Kashiwagi, Yoshiaki Fujimoto, Yuya Ono, Takuma Izumi, Yukihiko Aoyagi, Fumihiko Hirai, Rintaro Yoshida, Takuya Honboh, Noboru Harada, Hiroyuki Itoh, Noriaki Sadanaga, Tomoharu Yoshizumi · 2026
Read Strangulated Small Bowel Obstruction Involving the External Iliac Artery after Pelvic Lymph Node Dissection: A Case Report on Stepwise Intraoperative Decision-Making to Prevent Vascular Injury by Tomoyasu Kashiwagi, Yoshiaki Fujimoto, Yuya Ono, Takuma Izumi, Yukihiko Aoyagi, Fumihiko Hirai, Rintaro Yoshida, Takuya Honboh, Noboru Harada, Hiroyuki Itoh, Noriaki Sadanaga, Tomoharu Yoshizumi (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13293625.txt.
Description
Tomoyasu Kashiwagi and colleagues report, in a 2026 surgical case, a strangulated small bowel blockage tangled with a major pelvic artery after lymph node surgery. A 77-year-old man arrived with severe belly pain after earlier bladder surgery.
Scans showed a closed loop of bowel with suspected blood cutoff near the right external iliac artery. At emergency surgery, dead bowel filled the right pelvis, and gentle freeing failed. Surgeons cut within the dead segment first to ease tension and see clearly, then found the artery as the pinching structure. About 230 centimeters of bowel were removed, the artery was saved, and recovery was smooth.
Catalog record
| CREATOR | Tomoyasu Kashiwagi, Yoshiaki Fujimoto, Yuya Ono, Takuma Izumi, Yukihiko Aoyagi, Fumihiko Hirai, Rintaro Yoshida, Takuya Honboh, Noboru Harada, Hiroyuki Itoh, Noriaki Sadanaga, Tomoharu Yoshizumi |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 19943 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |