Christian A Adkisson1, Hui Zheng1, Jennifer Nichols1, Tatyan Clarke, MD2, Michael A Edwards, MD2, Rohit Soans, MD2. 1Temple University School of Medicine, 2Division of General and Minimally Invasive Surgery, Section of Metabolic and Bariatric Surgery, Temple University Hospital, Philadelphia, PA
We present a case of an acute small bowel obstruction in a patient with a diaphragmatic hernia. Patient was not a candidate for an elective repair secondary to high-risk comorbidities, which included a heart transplant and poor pulmonary status. An intra-abdominal laparoscopic approach was chosen in the acute presentation to minimize tissue trauma and avoid the extensive scar tissue in the thorax.