Adhesive bowel obstruction? Not always


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.

DOI: 10.4103/0974-2700.76826

Cite this paper

@inproceedings{Mittapalli2011AdhesiveBO, title={Adhesive bowel obstruction? Not always}, author={Devender Mittapalli and Boby John Sebastian and Eastwood Leung and Nakita Barnes and Polybody S P Senapati}, booktitle={Journal of emergencies, trauma, and shock}, year={2011} }