Bifid omental band: an unusual cause of small bowel obstruction. Issue 8 (17th August 2018)

• Record Type: Journal Article
• Authors: Waheed, Usman; Haughton, Crystal-Jade; Tudino, Athena; Carson, Katie; Mancini, Emma
• Is Part Of: Journal of surgical case reports. Issue 8(2018)
• Publication Date: 2018-08-17
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjy210
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Small bowel obstruction (SBO) in adults is most commonly caused by postoperative adhesions, hernias or neoplasms. Here, we report a unique case of SBO caused by a bifid omental band in a 65-year-old female who presented with abdominal pain, nausea and vomiting. Abdominal and pelvic computed tomography showed dilation of mid-small bowel suggestive of partial SBO. An abdominal x-ray and small bowel series confirmed a high grade SBO. When initial conservative treatment failed, exploratory laparoscopy was performed and it was discovered that the patient had a bifid omental band encircling the small bowel, resulting in obstruction. Following resection of the band, she had an uneventful post-surgical recovery.