Laparoscopic diagnosis and treatment of acute small bowel obstruction resulting from a congenital band.
Acute small bowel obstruction is a common problem, especially for those patients with previous abdominal surgery that can cause postoperative adhesions. Acute, non-postoperative small bowel obstruction is less common and has various etiologies. We report a case of acute small bowel obstruction without previous abdominal surgery. The patient underwent laparoscopic exploration, and a congenital band was found to cause direct compression of the ileum and entrapment of a segment of bowel loop. There was evidence of bowel strangulation. The color and peristalsis of the entrapped bowel loop recovered gradually after division of the band, and segmental bowel resection was avoided. He has remained asymptomatic since the procedure. We suggest early and aggressive surgical intervention for patients with acute, non-postoperative small bowel obstruction to avoid possible complications of bowel strangulation and gangrene. A laparoscopic approach may be a safe, feasible, and favorable option for correct diagnosis and appropriate treatment in this situation.
Wu
Jiann-Ming
JM
Department of Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan.
Lin
Heng-Fu
HF
Chen
Kuo-Hsin
KH
Tseng
Li-Ming
LM
Huang
Shih-Horng
SH
D000208:Acute Disease; D000328:Adult; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D007082:Ileum; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small; D010535:Laparoscopy; D008297:Male; D009852:Omentum / Q000002:abnormalities*