title: Adhesive bowel obstruction? Not always.
abstract: A 58-year-old man presented acutely with features of post-surgical adhesive small bowel obstruction. Following an unsuccessful trial of conservative management, computed tomography (CT) of the abdomen was performed. This revealed a mass in the ileocaecal region, for which he underwent a subsequent right hemicolectomy. Histology revealed diffuse B-cell Non-Hodgkin's lymphoma of the terminal ileum. Confounding obstructive lesion of the intestine in patients with a history of previous laparotomy is extremely uncommon. Early high resolution imaging may predict diagnosis and consolidate clinical management plans.
authors.affiliation: Department of Surgery, Rochdale Infirmary, Whitehall Street, Rochdale, OL12 0NB, UK.
authors.forename: D
authors.initials: D
authors.lastname: Mittapalli
authors.forename: B J
authors.initials: BJ
authors.lastname: Sebastian
authors.forename: E
authors.initials: E
authors.lastname: Leung
authors.forename: N
authors.initials: N
authors.lastname: Barnes
authors.forename: P S P
authors.initials: PS
authors.lastname: Senapati