Mechanical ileus due to a peritoneal band in a patient without a history of surgery
Keywords:Emergency, ileus, laparotomy
This case report is aimed to present the diagnosis and treatment process of a patient who underwent laparotomy for ileus, and a peritoneal band was detected during laparotomy. A 65-year-old male patient was admitted to the emergency department with abdominal pain, nausea, and vomiting. He had no other disease or previous surgery. The patient had extensive tenderness and defence in the all-abdominal quadrants. Ampulla was empty on digital rectal examination. Multiple air-fluid levels were present on plain radiography. Computed tomography (CT) was planned for the patient for a detailed diagnosis. CT scan showed an approximately 40 mm diameter enlargement in the jejunal and ileal bowel loops. Despite the conservative treatment, the patient's abdominal physical examination worsened, so emergency surgery was planned for the patient. During laparotomy, enlargement was observed in all small bowel segments. It was observed that a single peritoneal band in the ileal intestinal part, approximately 100 mm proximal to the ileocecal valve, completely obstructed the small intestine lumen. Only bridectomy was performed, and the patient was discharged on the fifth postoperative day without complications.
How to Cite
Copyright (c) 2023 Journal of Medicine and Applied Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.