Intestinal obstruction due to adhesions

Case contributed by Ali Abdullah Obaid , 28 Aug 2024
Diagnosis almost certain
Changed by Arlene Campos , 2 Sep 2024
Disclosures - updated 10 Jun 2024: Nothing to disclose

Updates to Case Attributes

Presentation was changed:
Vomiting and constipation Since 3for the past three days, with a history of an appendectomy.
Edit Without Moderation was set to true.
Body was changed:

The finding in this case, especially with a history of previous abdominal operation for an appendicectomy, is mostly intestinal obstruction due to adhesion.

The patient underwent a surgical laparotomy that proved, which revealed an adhesive segment in whichthat was removed, and an end-to-end anastomosis was performed.

lipomatosisLipomatosis of the ileocaecal valve is a common incidental finding with variable sizes and is considered a normal variant.

  • -<p>The finding in this case, especially with a history of previous abdominal operation for an <a href="/articles/appendicectomy" title="appendicectomy">appendicectomy</a>, is mostly <a href="/articles/bowel-obstruction" title="Intestinal obstruction">intestinal obstruction</a> due to adhesion.</p><p>underwent surgical laparotomy that proved an adhesive segment in which removed, and end-to-end anastomosis.</p><p><a href="/articles/lipomatosis-of-the-ileocaecal-valve" title="Lipomatosis of the ileocaecal valve">lipomatosis of the ileocaecal valve </a>is a common incidental finding with variable sizes and is considered a normal variant.</p>
  • +<p>The finding in this case, especially with a history of previous abdominal operation for an <a href="/articles/appendicectomy" title="appendicectomy">appendicectomy</a>, is mostly <a href="/articles/bowel-obstruction" title="Intestinal obstruction">intestinal obstruction</a> due to adhesion.</p><p>The patient underwent a surgical laparotomy, which revealed an adhesive segment that was removed, and an end-to-end anastomosis was performed.</p><p><a href="/articles/lipomatosis-of-the-ileocaecal-valve" title="Lipomatosis of the ileocaecal valve">Lipomatosis of the ileocaecal valve </a>is a common incidental finding with variable sizes and is considered a normal variant.</p>

Updates to Study Attributes

Findings was changed:

Dilated, fluid-filled bowel loops involving the small bowel, caecum, and ascending colon tillup to the hepatic flexure were seen as a transition point between the dilated proximal part and the collapsed distal part.

Incidental lipomatosis of the ileocaecal valve was noted.

Right Lowerlower lung consolidative change and cardiomegaly.

Images Changes:

Image 28 CT (non-contrast) ( update )

Annotation 26999 changed from till hepatic flexure were seen to NOT linked from the study findings - hepatic flexure were seen.

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