The Scar-ey Side of Endometriosis Resection: Small Bowel Obstruction by Post-Operative Scar Tissue

A 38-year-old nulligravid female with a longstanding history of severe endometriosis requiring four previous excisional procedures, including ileocecal resection and reanastomosis, developed severe epigastric and right upper quadrant pain without inciting incident. Abdominal upright film revealed multiple dilated small bowel loops with air/fluid levels.  Conservative management with bowel decompression was initiated. CT scan two days later demonstrated dilated loops of small bowel consistent with a small-bowel obstruction with a transition point at the ileocecal junction near the anastomotic line from her previous resection.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research