Small bowel obstruction due to a congenital adhesion: a rare case report

Author:

Tepelenis Kostas1,Stefanou Stefanos K2,Stefanou Christos K3,Tepelenis Nikolaos4,Margariti Persefoni5,Christopoulou Amalia6,Gogos-Pappas George1,Vlachos Konstantinos1

Affiliation:

1. Department of Surgery, University Hospital of Ioannina, Ioannina, Greece

2. Department of Surgery, General Hospital of Ioannina G. Xatzikosta, Ioannina, Greece

3. Department of Surgery, General Hospital of Filiates, Filiates, Greece

4. Department of Pathology, Agia Sofia Children’s Hospital, Athens, Greece

5. Department of Radiology, University Hospital of Ioannina, Ioannina, Greece

6. Department of Anesthesiology, University Hospital of Ioannina, Ioannina, Greece

Abstract

Abstract The exact incidence of small bowel obstruction (SBO) due to congenital adhesions remains unclear. Herein, we report a 59-year-old male who appeared in the emergency department with diffuse abdominal pain associated with vomiting. The patient reported no previous medical or surgical history. Clinical examination revealed a soft, distended abdomen and diffuse tenderness. Computed tomography indicated a close loop obstruction. A congenital band extending from mesentery to ileum and causing an internal hernia was identified via a midline incision. The band was ligated and divided. There is no difference in the clinical presentation, and the initial work-up of SBO on account of congenital adhesions was compared to other bowel obstruction causes. Surgical exploration is crucial for the diagnosis and treatment of congenital adhesions. Although laparotomy is considered the cornerstone of surgical management, laparoscopy has emerged as a feasible and safe alternative for the diagnosis and treatment of these congenital bands.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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