Presentation
Distended abdomen. Appendectomy 18 months prior.
Patient Data
Age: 25 years
Gender: Male
From the case:
Adhesional small bowel obstruction
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Gross dilated gas filled small bowel down to the level of the ileum.
The large bowel is collapsed.
From the case:
Adhesional small bowel obstruction
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The small bowel is markedly dilated down to the distal ileum.
Transition point centrally down within the pelvis, approximately 10-20cm from the terminal ileum.
Small volume pelvic free fluid. No free gas.
From the case:
Adhesional small bowel obstruction
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The transition point at the site of the adhesion is indicated (red arrows).
Case Discussion
A textbook example of a high grade adhesional small bowel obstruction.
A laparotomy was performed which identified an adhesive band causing obstruction at the level of the distal ileum consistent with the CT findings.