The findings are compatible with fibrous abdominal adhesion from an older surgical intervention.

This woman was operated 10 years ago for another small bowel obstruction. She didn't remember if the last time she had similar pain she had similar dark-brown (possibly fecaloid) vomiting.

This patient was been hospitalized and placed under aspiration precautions while waiting for surgical intervention.

CT scan was ordered by the surgeon for preoperative evaluation (she has a normal renal function so IV contrast was used). As with many older people, the patient didn't complain very much about the pain even though her abdomen was tense.