Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2011  |  Volume : 4  |  Issue : 1  |  Page : 135-136

Adhesive bowel obstruction? Not always


1 Department of Surgery, Rochdale Infirmary, Whitehall Street, Rochdale, OL12 0NB; Manor Hospital, Moat road, Walsall, WS2 9XS, United Kingdom
2 Department of Surgery, Rochdale Infirmary, Whitehall Street, Rochdale, OL12 0NB, United Kingdom
3 Manor Hospital, Moat road, Walsall, WS2 9XS, United Kingdom

Correspondence Address:
E Leung
Manor Hospital, Moat road, Walsall, WS2 9XS
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.76826

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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.


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