Small bowel obstruction caused by a congenital intestinal web with an enteric bezoar in an adult: report of a case.
An intestinal web is a rare congenital anomaly, typically reported in childhood, but often remaining asymptomatic throughout the entire life span of the individual. We report the case of a symptomatic intestinal web associated with an enteric bezoar in an adult, which to the best of our knowledge has never been documented before. A 25-year-old man presented with acute small bowel obstruction, and laparotomy revealed a stenotic area of the ileum as well as impaction of an enteric bezoar. We resected this segment of ileum and an intestinal web was subsequently found in the stenotic area. The patient recovered well and has remained asymptomatic for 3 years. Although rare, a congenital intestinal web may be a cause of adult small bowel obstruction requiring surgical resection.
Yu
Cheng-Chan
CC
Department of Surgery, Taichung Veterans General Hospital, Section 3, 160 Chung-Kang Road, Taichung, Taiwan.
Jan
Yee-Jee
YJ
Cheng
Shao-Bin
SB
Chen
Yu-Jeng
YJ
Wu
Cheng-Chung
CC
Liu
Tse-Jia
TJ
P'eng
Fang-Ku
FK
D000328:Adult; D001630:Bezoars / Q000150:complications* / Q000209:etiology / Q000601:surgery; D003251:Constriction, Pathologic; D004108:Dilatation, Pathologic; D006801:Humans; D007082:Ileum / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male