Table 3. Published reports relevant to ischemia–reperfusion injury and hyperkalemia associated with incarcerated bowel.
| Study | Hernia | Release/reduction | Potassium | Arrhythmia | Outcome |
|---|---|---|---|---|---|
| Allford et al.,14) | Inguinal | Surgical release of incarcerated bowel | Normal | VT/VF | Death |
| Xu et al.,6) | Inguinal | Intraoperative reduction, then resection | 6.1 mEq/L at arrest | SVT → asystole | Survived |
| Present case | Obturator | Manual reduction | 8.5 mmol/L | P-wave loss → QRS widening → sine wave →asystole | Death |
Only clinically relevant reports describing hyperkalemia or reperfusion-associated arrhythmias after incarcerated bowel were included.
SVT, supraventricular tachycardia; VF, ventricular fibrillation; VT, ventricular tachycardia