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Intermittent obstruction resulting from multiple intestinal webs

Kristel Lobo Prabhu1, Robert Enns, Carl J Brown

  • 1Department of Surgery, University of British Columbia, Vancouver, Canada.

Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie
|February 13, 2010
PubMed

Insights

Multiple intestinal webs, a rare cause of bowel obstruction, were identified in a 32-year-old man. Successful treatment involved endoscopic balloon dilation, with no symptom recurrence observed post-procedure.

Area of Science:

  • Gastroenterology
  • Surgical Endoscopy

Background:

  • Intestinal webs are congenital or acquired anomalies of the small intestine, infrequently causing significant clinical symptoms.
  • Bowel obstruction due to intestinal webs is rare, often presenting with non-specific symptoms that can delay diagnosis.

Observation:

  • A case report details a 32-year-old male experiencing intermittent, partial bowel obstruction attributed to multiple intestinal webs.
  • Initial diagnosis was established using capsule endoscopy, a minimally invasive diagnostic tool for small bowel evaluation.

Findings:

  • The patient underwent successful treatment utilizing intraoperative endoscopy combined with balloon dilation to address the intestinal webs.
  • Histopathological examination of the resected web tissue confirmed the diagnosis.

Implications:

  • This case highlights capsule endoscopy as a valuable tool for diagnosing rare causes of bowel obstruction like intestinal webs.
  • Endoscopic balloon dilation offers a minimally invasive therapeutic option for managing intestinal webs, potentially avoiding more extensive surgical intervention.
  • Early follow-up suggests a favorable outcome and low recurrence rate following endoscopic management of multiple intestinal webs.

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