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. 2026 Aug 28;12(1):26-0515. doi: 10.70352/scrj.cr.26-0515

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