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Papers of the Week

2021 Jul

J Surg Case Rep



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


Tepelenis K, Stefanou SK, Stefanou CK, Tepelenis N, Margariti P, Christopoulou A, Gogos-Pappas G, Vlachos K
J Surg Case Rep. 2021 Jul; 2021(7):rjab282.
PMID: 34234943.


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.