Abstract
Complete small bowel obstruction (SBO) is a common surgical emergency often resulting from adhesive bands that form following iatrogenic peritoneal injury. Rarely, adhesive SBO may arise without previous intra-abdominal surgery through other modes of peritoneal trauma. We present the case of a male evaluated in the emergency department for a closed-loop small bowel obstruction due to an adhesive band that likely formed after blunt abdominal trauma over two decades earlier. We review the epidemiology, pathophysiology, and treatment options for similar cases of adhesive SBO.
Highlights
Small bowel obstruction (SBO) is a common clinical entity in emergency medicine and globally remains an important source of morbidity and mortality
We present the case of a male evaluated in the emergency department for a closed-loop small bowel obstruction due to an adhesive band that likely formed after blunt abdominal trauma over two decades earlier
We examine the unusual case of a patient with a closed-loop SBO secondary to an omental band adhesion likely associated with a remote history of blunt abdominal trauma
Summary
University of Florida Health, Department of Emergency Medicine, Gainesville, Florida. Complete small bowel obstruction (SBO) is a common surgical emergency often resulting from adhesive bands that form following iatrogenic peritoneal injury. Adhesive SBO may arise without previous intra-abdominal surgery through other modes of peritoneal trauma. We present the case of a male evaluated in the emergency department for a closed-loop small bowel obstruction due to an adhesive band that likely formed after blunt abdominal trauma over two decades earlier. Pathophysiology, and treatment options for similar cases of adhesive SBO. Pathophysiology, and treatment options for similar cases of adhesive SBO. [Clin Pract Cases Emerg Med. 2018;2(1):31-34.]
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