{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T21:19:02Z","timestamp":1769548742341,"version":"3.49.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T00:00:00Z","timestamp":1679097600000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Gastrointestinal complications following radical cystectomy (RC) are a common occurrence, with small bowel obstruction (SBO) a known complication. Limited cases have been reported of SBO following RC due to internal herniation of the small intestine around the ureter, ileal conduit, obturator nerve and, as a consequence of retroperitoneal lymphadenectomy, even the abdominal vasculature. We present a rare case in which intestinal herniation beneath the external iliac artery (EIA) resulted in a closed-loop SBO with ischaemia and necrosis. Intra-operative transection of the unrecognised EIA occurred, necessitating primary arterial repair. This case highlights the importance of maintaining a high index of suspicion for complex pathology and anatomical variations in patients following RC and other operations involving retroperitoneal lymphadenectomy.<\/jats:p>","DOI":"10.1093\/jscr\/rjad118","type":"journal-article","created":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T22:16:09Z","timestamp":1679177769000},"source":"Crossref","is-referenced-by-count":3,"title":["A rare case of intestinal internal hernia beneath the external iliac artery following radical cystectomy"],"prefix":"10.1093","volume":"2023","author":[{"given":"Lachlan","family":"Allan","sequence":"first","affiliation":[{"name":"General Surgery, Westmead Hospital , Hawkesbury Rd, Westmead, NSW 2145 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinushi","family":"Perera","sequence":"additional","affiliation":[{"name":"General Surgery, Westmead Hospital , Hawkesbury Rd, Westmead, NSW 2145 , 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