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.
Department of Surgery, Taichung Veterans General Hospital, Section 3, 160 Chung-Kang Road, Taichung, Taiwan.
Cheng-Chan
CC
Yu
Yee-Jee
YJ
Jan
Shao-Bin
SB
Cheng
Yu-Jeng
YJ
Chen
Cheng-Chung
CC
Wu
Tse-Jia
TJ
Liu
Fang-Ku
FK
P'eng
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