Presentation
Crampy abdominal pain and vomiting for 1 day.
Patient Data
Diffuse fluid-filled small bowel dilated with a transitional point at the lower part of the abdomen. At this point, two adjacent transition points are entering and exiting a collapsed segment of the small intestine with mild mesenteric oedema. A small amount of free fluid in the pelvic area.
Intra-operation image shows a closed loop obstruction due to the right ovary and a fibrous band that is attached to the anterior abdominal wall. The fibrous band was released with no sign of bowel ischaemia.
Case Discussion
On the CT scan, there are two tapering bowel loops at the point of obstruction, which is double beak sign
Adhesions are the most common cause of closed-loop obstruction.
In this case, the patient has a history of C-section. During the operation, the surgeon also noted that her uterine adhered to the anterior abdominal wall.
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