Intra-abdominal Hernia with Bowel Obstruction Triggering Multi-organ Failure: The Role of Preoperative Enteritis
- Author:
Yue-zhen Wang
1
;
Ben-yi Tian
1
;
Jian-hui Qin
2
;
Hao Liang
1
Author Information
- Publication Type:Case Reports
- Keywords: Bowel obstruction; enteritis; internal hernia; ischemia-reperfusion injury; multiple organ dysfunction syndrome; septic shock
- From: Journal of Surgical Academia 2026;16(1):1-4
- CountryMalaysia
- Language:English
- Abstract: Intra-abdominal Hernia with Bowel Obstruction Triggering Multi-organ Failure: The Role of Preoperative Enteritis:This report details the clinical course of a 41-year-old male who developed fulminant multiple organ dysfunction syndrome following emergency surgery for a strangulated intra-abdominal hernia. Preoperative manifestations, including diarrhea and marked leukocytosis, pointed towards an underlying infectious enteritis. We posited that surgical release of the obstructed, ischemic bowel segment precipitated a massive systemic influx of endotoxins and inflammatory mediators, triggering septic shock and rapid sequential organ failure. This case underscored the critical need to suspect concomitant gastrointestinal infection in patients presenting with mechanical bowel obstruction accompanied by infectious signs. Aggressive perioperative sepsis management encompassing early empiric antimicrobial therapy, vigilant hemodynamic monitoring, and preparedness for advanced organ support is essential to mitigate this severe complication.
- Full text:2026073008205406014Intra-abdominal Hernia.pdf
