Intestinal stenosis of Garre: A rare cause of small bowel obstruction in the virgin abdomen

INTRODUCTION: Small bowel obstruction (SBO) in the virgin abdomen usually requires operative intervention. Intestinal stenosis of Garre is a rare and frequently missed cause of SBO following hernia repair. METHODS: We describe a case of intestinal stenosis of Garre and provide a comprehensive review of the literature. Statistical analysis was performed using IBM SPSS Statistics V.22 software and included descriptive analysis. RESULTS: Most males developed a delayed stricture following an inguinal hernia repair (93.3%). 84.6% of females, on the other hand, developed intestinal stenosis following repair of a femoral hernia. 87.5% of strictures developed on the right side. The timing of development of a bowel obstruction is very variable and ranges from 5 days to 22 years. 22 patients (68.8%), however, presented with an obstruction within 5 months of hernia repair. CONCLUSIONS: Intestinal stenosis of Garre is an under-reported cause of delayed stricture formation.It is most common following right inguinal hernia repair in men and right femoral hernia repair in women. (C) 2016 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.