Closed-Loop Small Bowel Obstruction from Internal Hernia: CT Diagnosis That Saves Lives (Radiology Deep Dive)
Introduction: A Subtle Emergency Hidden in Plain Sight A 46-year-old woman arrives at the emergency department with sudden epigastric pain, nausea, and vomiting . Her history includes a prior sleeve gastrectomy —a detail that should immediately raise suspicion among experienced clinicians. At first glance, this may resemble a routine gastrointestinal complaint. But beneath these symptoms lies a potentially fatal condition: 👉 Closed-loop small bowel obstruction (SBO) caused by an internal hernia This is not just another case of bowel obstruction. It is a time-sensitive surgical emergency , where delayed diagnosis can rapidly progress to bowel ischemia, necrosis, and death . In this article, we break down the pathophysiology, radiology interpretation, CT imaging findings, and emergency diagnosis workflow —optimized for both clinical excellence and SEO performance . What Is Closed-Loop Small Bowel Obstruction? Definition Closed-loop SBO occurs when a segment of bowel is occlu...