PT  - JOURNAL ARTICLE
AU  - Vijay Anand Ismavel
AU  - Moloti Kichu
AU  - David Paul Hechhula
AU  - Rebecca Yanadi
TI  - Right paraduodenal hernia with extensive bowel gangrene treated with staged surgery: a Bogota bag followed by resection in a low-resource setting
AID  - 10.1136/bcr-2020-239250
DP  - 2021 Apr 01
TA  - BMJ Case Reports
PG  - e239250
VI  - 14
IP  - 4
4099  - http://casereports.bmj.com/content/14/4/e239250.short
4100  - http://casereports.bmj.com/content/14/4/e239250.full
SO  - BMJ Case Reports2021 Apr 01; 14
AB  - We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.