Swati Kamari

Bronxcare Hospital
United States

Abstract Title: Rare Presentation of Postoperative Small Bowel Obstruction through a Minute Peritoneal Defect: A Case Report

Biography:

Dr. Swati Kumari is a dedicated OB/GYN resident at Bronx Care Hospital, with a focus on reproductive endocrinology and infertility. She has presented at multiple national conferences and is actively involved in quality improvement projects aimed at enhancing patient care in underserved communities.

Research Interest:

Postoperative small bowel obstruction (SBO) resulting from herniation through a diminutive peritoneal defect is an exceedingly rare phenomenon, presenting unique diagnostic and management challenges. This case involves a 28-year-old female who underwent elective open myomectomy and developed progressive nausea, vomiting, and abdominal distension by postoperative day two. Initial imaging suggested a mechanical obstruction, and exploratory laparotomy confirmed internal herniation of a segment of small bowel through a tiny peritoneal defect, approximately 1 cm in diameter. Remarkably, the bowel was viable, obviating the need for resection. The hernia was reduced, and the defect closed. This case exemplifies the critical importance of distinguishing between postoperative ileus and mechanical SBO, particularly when symptoms persist beyond the expected recovery timeline. The rarity of internal herniation through such a small defect highlights the need for high clinical suspicion and timely surgical intervention to prevent complications like bowel ischemia or necrosis. The report contributes to the limited literature on this rare etiology, underscoring the need for meticulous surgical technique, including thorough peritoneal closure, to prevent such complications. This case emphasizes the value of early diagnosis and intervention, offering insights into managing rare postoperative SBO presentations effectively.