Open AccessAdhesive bowel obstruction? Not always
Author(s) -
Devender Mittapalli,
Boby John Sebastian,
Eric Leung,
N. C. Barnes,
P. S. P. Senapati
Publication year - 2011
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.76826
Subject(s) - laparotomy , medicine , bowel obstruction , abdomen , lesion , radiology , ileum , surgery
A 58-year-old man presented acutely with features of post-surgical adhesive small bowel obstruction. Following an unsuccessful trial of conservative management, computed tomography (CT) of the abdomen was performed. This revealed a mass in the ileocaecal region, for which he underwent a subsequent right hemicolectomy. Histology revealed diffuse B-cell Non-Hodgkin's lymphoma of the terminal ileum. Confounding obstructive lesion of the intestine in patients with a history of previous laparotomy is extremely uncommon. Early high resolution imaging may predict diagnosis and consolidate clinical management plans.