{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T21:20:00Z","timestamp":1773091200100,"version":"3.50.1"},"reference-count":4,"publisher":"IMR Press","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:p>An 83-year-old man was admitted with a 1-day history of worsening, colicky central abdominal pain associated with vomiting and abdominal distension. A suprapubic catheter had been inserted under cystoscopic vision 4 years previously for a hypotonic, trabeculated bladder complicating long-term bladder outlet obstruction as a result of benign prostatic hyperplasia. The catheter was changed every 8 weeks without the need for any further surgical intervention.<\/jats:p>\n                  <jats:p>On this admission, physical examination revealed a grossly distended abdomen with central and left upper quadrant tenderness. He also had a left inguinal hernia, which was easily reducible. The suprapubic catheter was placed two fingerwidths above the upper border of the pubic bone.<\/jats:p>\n                  <jats:p>A chest radiograph was normal while a plain abdominal film showed dilated small bowel (Figure 1). A computed tomography scan of the abdomen showed the suprapubic catheter passing through the mesentery of the small bowel with dilated small bowel loops proximal to it (Figure 2). An urgent lower midline laparotomy was performed. The suprapubic catheter passed transperitoneally through the mesentery of the distal jejunum, very close to the bowel, before entering the bladder. The suprapubic catheter acted as a sling, kinking the jejunal loop, which looked discoloured (Figure 3). The suprapubic catheter tract within the mesentery and the short segment of ischaemic jejunum were resected and anastomosis performed. Another suprapubic catheter was inserted extraperitoneally inferior to the laparotomy wound. The postoperative period was uneventful apart from a wound infection, which was treated with antibiotics.<\/jats:p>\n                  <jats:p>Histological examination of the resected specimen showed a strictured inflamed segment of jejunum about 20 mm wide. Sections from this area showed an actively inflamed granulation tissue-lined tract within the subserosa and muscularis propria, consistent with the tract formed by the suprapubic catheter.<\/jats:p>","DOI":"10.12968\/hmed.2009.70.12.45512","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T09:46:53Z","timestamp":1400838413000},"page":"720-720","source":"Crossref","is-referenced-by-count":4,"title":["A rare cause of small bowel obstruction"],"prefix":"10.31083","volume":"70","author":[{"given":"Etienne Cassar","family":"Delia","sequence":"first","affiliation":[{"name":"Watford General Hospital, Watford, Herts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodney","family":"Hallan","sequence":"additional","affiliation":[{"name":"Watford General Hospital, Watford, Herts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900965"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2004.10.011"},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00235.x"},{"key":"p_13","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)66268-4"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2009.70.12.45512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:17:14Z","timestamp":1770373034000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/70\/12\/10.12968\/hmed.2009.70.12.45512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12]]},"references-count":4,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.12968\/hmed.2009.70.12.45512"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2009.70.12.45512","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12]]}}}