Small bowel obstruction secondary to greater omental encircling band–Unusual case report

Abstract

HighlightsSmall bowel obstruction (SBO) is a common occurrence in adult surgical procedures.About 60% of SBO are currently accounted for adhesion mainly due to previous laparotomy.Acute, non-postoperative SBO is less common.Preoperatively, it is often difficult to identify the cause of the ileus.

Complete ileal transection: A rare complication of adhesive bowel disease—A case report

“…Leading cause of small bowel obstruction is adhesions (60%), followed by hernia (25%) and neoplasm (5–10%) [2,3]. First adhesions were identified at post-mortem of a patient in 1836 [4].…”

“…Acute small bowel obstruction, previously seen only with incarcerated hernia, is now attributed majorly to postoperative adhesions as an increasing number of abdominal surgeries are being performed for varying etiologies [1]. As much as 60–70% of intestinal obstructions are caused by adhesions [2,3]. Adhesions form in 63–97% of patients undergoing major abdominal surgery [3,4] Adhesive small bowel obstruction (ASBO) is a major cause of readmissions, accounting for 4.5% of readmissions in the first year following surgery [4].…”

“…As much as 60–70% of intestinal obstructions are caused by adhesions [2,3]. Adhesions form in 63–97% of patients undergoing major abdominal surgery [3,4] Adhesive small bowel obstruction (ASBO) is a major cause of readmissions, accounting for 4.5% of readmissions in the first year following surgery [4]. According to data published around 20–40% are treated surgically whereas remainder being managed conservatively [1].…”

Bifid omental band: an unusual cause of small bowel obstruction

“…On review of literature, SBO caused by omental banding is very rare with only few reported cases in the literature [ 4 – 7 ]. Sinwar reported a case of a 42-year-old male with SBO secondary to greater omental encasement without previous history of abdominal surgery.…”

“…Sinwar reported a case of a 42-year-old male with SBO secondary to greater omental encasement without previous history of abdominal surgery. Biopsy ultimately demonstrated tubercular granuloma on histological exam causing chronic inflammation [ 4 ]. The second case involved a 31-year-old male with SBO secondary to lesser omental encasement and only mild inflammation of the omentum on histological exam, also without any prior history of abdominal surgery [ 5 ].…”