Fecalized small bowel content can be very helpful to locate the site of obstruction, and often indicates a low-grade or developing obstruction, as there is enough time for increased resorption of water content to occur. In this case, the fecalized contents lead to the transition point, which is at the enteroenteric anastomosis and likely due to adhesions.

Patient was successfully managed with nasogastric decompression and slow advancement of diet.