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Updated: Apr 14, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Small bowel obstruction secondary to greater omental encircling band-Unusual case report
1Assistant Professor General Surgery, Sardar Patel Medical College Bikaner, New pg Hostel Room No. 28, Rajasthan, India.
Background:
The most common cause of small-bowel obstructions in adults is postoperative adhesions. Intestinal obstruction due to omental band is very rare and only few cases are previously reported in literature.
Case Presentation:
We report a 42 year old male patient present with complaints of abdominal distention and obstipation. X-ray and ultrasound shows dilated bowel loops. On exploratory, laparotomy omental band presents encircling completely around mid ileum. Distal small bowel had multiple adhesions. Omental band resected and ileostomy formed. Multiple mesenteric lymph nodes present biopsy shows tubercular granuloma. Patient recovers uneventfully.
Conclusion:
Intensive diagnostic investigations and early surgical intervention should be considered in any adult patients with signs and symptoms of acute SBO to avoid possible complications of bowel strangulation and gangrene.
Insights
A rare case of small-bowel obstruction caused by an omental band in a 42-year-old male was successfully treated with surgery. This highlights the importance of prompt diagnosis and intervention for acute small-bowel obstruction (SBO).
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Surgical Pathology
Background:
- Postoperative adhesions are the most frequent cause of small-bowel obstructions in adults.
- Intestinal obstruction resulting from an omental band is exceptionally rare, with limited documented cases.
- This case presents a unique instance of omental band-induced obstruction.
Purpose of the Study:
- To report a rare case of small-bowel obstruction caused by an omental band.
- To emphasize the diagnostic and therapeutic approach for such rare conditions.
- To highlight the potential for unusual etiologies in acute abdominal emergencies.
Main Methods:
- A 42-year-old male presented with abdominal distention and obstipation.
- Imaging studies revealed dilated bowel loops.
- Exploratory laparotomy identified an omental band causing complete mid-ileum encirclement and distal adhesions; the band was resected, and an ileostomy was created. Mesenteric lymph node biopsy indicated tuberculosis.
Main Results:
- Surgical resection of the omental band and formation of an ileostomy successfully resolved the obstruction.
- Histopathological examination of mesenteric lymph nodes revealed tubercular granuloma.
- The patient experienced an uneventful recovery post-surgery.
Conclusions:
- Acute small-bowel obstruction (SBO) necessitates thorough diagnostic evaluation and timely surgical intervention.
- Early surgical management is crucial to prevent severe complications such as bowel strangulation and gangrene.
- This case underscores the need to consider rare causes like omental bands in the differential diagnosis of SBO.
