Small Bowel Obstruction in the Virgin Abdomen

Abstract

This article highlights the quagmire of the surgeon who encounters a small bowel obstruction in the absence of previous abdominopelvic surgery. Historic literature implies urgent surgical intervention is required; however, there is no current standard of care to guide management. Key principles of general surgery apply, and definitive management is based on the provider's clinical judgment after synthesizing key clinical history and additional diagnostic imaging studies.

Keywords: General surgery; Interval laparoscopy; Small bowel obstruction; Virgin abdomen.