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. 2007 Dec;1(2):175-7.
doi: 10.5009/gnl.2007.1.2.175. Epub 2007 Dec 31.

Strangulation Resulting from an Encasement of the Small Intestinal Loop by the Omentum without an Adhesive Band

Affiliations

Strangulation Resulting from an Encasement of the Small Intestinal Loop by the Omentum without an Adhesive Band

Jung Mook Kang et al. Gut Liver. 2007 Dec.

Abstract

The most common cause of small-bowel obstructions in adults is postoperative adhesions. However, strangulation of the small intestine in a patient without history of laparotomy is a rare condition. We experienced an unusual case of a small-bowel obstruction secondary to omental encasement in a patient without previous history of abdominal surgery or acute inflammatory process in the abdomen.

Keywords: Intestinal obstruction; Ischemia; Omentum.

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Figures

Fig. 1
Fig. 1
Radiologic findings of the abdomen. The upright abdominal film demonstrates multiple air-fluid levels.
Fig. 2
Fig. 2
Findings of contrast-enhanced CT scan. On (A, B) axial and (C) coronal images, several loops are dilated and filled with fluid. Two transitional points reveales a beaklike appearance (arrows). No obvious cause is identified.
Fig. 3
Fig. 3
Macroscopic findings of the resected specimen. Several thinned bowel walls are observed near the resection margin (arrows) without abnormal mucosal lesion such as mass or ulceration.

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