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Area of Science:

  • Gastroenterology
  • Surgical Emergency
  • Abdominal Trauma

Background:

  • Complete small bowel obstruction (SBO) is a frequent surgical emergency.
  • Adhesions, often from iatrogenic peritoneal injury, are the primary cause of SBO.
  • Rarely, SBO can occur without prior abdominal surgery.

Observation:

  • A male patient presented with a closed-loop small bowel obstruction.
  • The obstruction was attributed to an adhesive band.
  • The adhesive band likely formed after blunt abdominal trauma sustained over two decades prior.

Findings:

  • This case illustrates a rare instance of adhesive small bowel obstruction.
  • The etiology was linked to remote, non-surgical peritoneal trauma (blunt abdominal injury).
  • The study reviews the epidemiology, pathophysiology, and treatment of such rare SBO cases.

Implications:

  • Highlights the importance of considering remote trauma in SBO etiology.
  • Underscores the long-term consequences of peritoneal injury.
  • Informs diagnostic and treatment strategies for unusual SBO presentations.