Small bowel obstruction accounts for 80% all mechanical intestinal obstruction; the remaining 20% result from large bowel obstruction.
An abdominal adhesion refers to a band of scar tissue (ﬁbrous band or ﬁbrous fatty tissue), most often occurring as a complication related to prior abdominal surgery. Adhesions interconnect loops of bowel or stick to the parietal peritoneum, mainly the abdominal wall and the sub-peritoneal organs.
The diagnosis on imaging and in this case is made by excluding other causes of obstruction, usually in the setting of a surgical history of previous abdominal/pelvic surgery.
The case was treated as such.