Small bowel obstruction due to mesenteric incarceration

Case contributed by Dr Ayush Goel

Presentation

Abdominal pain and constipation for 4 days.

Patient Data

Age: 25 years
Gender: Male

Dilated small bowel loops due to stricture in the terminal ileum with local adhesion and associated mesentery being incarcerated in the left inguinal hernia. There is also segmental small bowel wall thickening (7mm) with white enhancement and mesenteric edema (suggestive of early ischemic changes). The large bowel is collapsed, with the ascending colon pushed medially by the dilated small bowel loops.

Case Discussion

Small bowel obstruction due to incarceration of mesentery associated with distal most part of the ileum.

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Case information

rID: 31100
Case created: 19th Sep 2014
Last edited: 13th Mar 2016
Tag: sbo
Inclusion in quiz mode: Included

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