Small bowel obstruction secondary to an adhesion between ovary and small intestine loops: Case report

Abstract

Adhesion-related small bowel obstruction is a common pathology in visceral surgery. Postoperative adhesion is the most common etiology of acute intestinal occlusion. We report the case of an intestinal occlusion caused by an adhesion between the ovary and the small bowel loops. In order to share the epidemiological, clinical, prognostic and therapeutic aspects of this affection, and also the unusual localization of the adhesion, this is described in our case report. Computed tomography has improved the diagnosis of adhesive small bowel obstruction and its findings in bowel ischemia are helpful to guide the therapeutic attitude. The treatment was surgical and the postoperative course was simple.

Keywords

• Obstruction,Small bowel,Adhesion

Ovaryan ve ince bağırsak iltihabı arasındaki yapışmaya bağlı ince bağırsak tıkanıklığı: Olgu sunumu

Öz

Adezyon ile ilişkili ince bağırsak tıkanıklığı, visseral cerrahide bir komatolojik patolojidir. Postoperatif yapışıklıklar, akut bağırsak tıkanıklığının en sık etyolojisidir. Bu durumu Epidemiyolojik, klinik, prognostik ve terapötik yönlerini paylaşmak için, ovaryan ve ince bağırsak ilmekleri arasındaki bir yapışma sonucu oluşan bir bağırsak tıkanıklığı olgusunu ve aynı zamanda, adezyonun alışılmadık lokalizasyonunu da olması sebebiye bildiririz. Bilgisayarlı tomografi yapıştırıcı ince bağırsak tıkanıklığı teşhisinde faydalıdır, ve bağırsak iskemisindeki bulguları, terapötik tutumu yönlendirmek için yararlıdır. Tedavisi cerrahi olup, hastanın postoperatif dönemi problemsiz idi.

Anahtar Kelimeler

• Obstrüksiyon,İnce bağırsak,Adezyon

References

1. 1. Kuremu RT, Jumbi G. Adhésive intestinal obstruction. East Afr Med J. 2006;83:333-6.
2. 2. ALAOUI MM. 
Les occlusions intestinales sur brides postopératoires, étude rétrospective à propos de 134 cas.
Thèse de Doctorat Médecine, Rabat. 2014;M1122014. 

3. 3. Miller G. Boman J, Shier I. 
Natural history of patients with adhesive small bowel obstruction. Br J Surg. 2000;8:1240-7. 

4. 4. Diakité MD et Gangaly D. 
Etude des occlusions sur bride dans les services des urgences chirurgicales, de chirurgie générale et pédiatrique du CHU Grabriel Touré.
Thèse de Médecine université de Bamako faculté de médecine, de pharmacie et d’odontostomatologie, 2008. 

5. 5. Harouna Y, Maazou I, Almoustapha I, Samir R, Amadou S, Baoua A, et al. 
Les occlusions intestinales aigues par brides : A propos de 87 cas. Med Afr Noire. 2005;935:317-9. 

6. 6. Catel L, Lefèvre F, Laurent V. Canard L, Bresier L, Guillemin FD et al. 
Occlusion sur bride. Quels critères scanographiques de gravité rechercher ? J Radiol. 2003;84:27-31. 

7. 7. Hiki N. Takeshita Y. Kubota K. Tsugi E, Yamaguchi H, Shimizu N, et al. 
A seasonal variation in the onset of postoperative adhesive small bowel obstruction is related to changes in the climate.
Dig liver Dis. 2004;36:125–9.
8. 8. Harouna Y, Maazou I, Almoustapha I, Samir R, Amadou S, Baoua A et al. Les occlusions intestinales aigues par brides : A propos de 87 cas. Med Afr Noire. 2005;935:317-9.

9. 9. Kossi J, Salminen P, Laato M. The epidemiology and treatment patterns of postoperative adhesion induced intestinal obstruction in varsinais-suomi Hospital District. Scand J Surg. 2004;93:68-70.
10. 10. Duron JJ, Silva NJ, Du Montcel ST, Berger A, Muscari F, Hennet H et al. Adhesive postoperative small bowel obstruction: Incidence and risk factors of recurrence after surgical treatment: a multicenter prospective study. Ann Surg. 2006;244:750-7.
11. 11. Sarraf S Y, Shapiro ML. Small bowel obstruction: The eternal dilemma of when to intervene. Scand J Surg. 2010;99:78-80.

12. 12. Irabor DO, Afuwape O. 
Primary Operative Management for Low Adhesive Bowel Obstruction. East Cent. Afr J Surg. 2012;17(1):65-9.

13. 13. Shih SC, Jeng KS, Lin SC, Kao CR, Chou SY, Wang HY, et al. 
Adhesive small bowel obstruction: How long can patients tolerate conservative treatment? World J Gastroenterol. 2003;9:603-5. 


14. 14. Audebert A. Darai E. Benifla JL, Yazbeck C. Déchaud H. Wattiez A, et al. Adhérences postopératoires et leur prévention en chirurgie gynécologique : I. Ce qu’il faut savoir.
EMC Gynécologie obstétrique et fertilité. 2011;10:1010-6. 

15. 15. Al-Sunaidi M, Tulandi T. 
Adhesion-related bowel obstruction after hysterectomy for benign conditions. Obstet Gynecol 2006;108:1162–6. 

16. 16. Shih SC, Jeng KS, Lin SC, Kao CR, Chou SY, Wang HY et al. Adhesive small bowel obstruction : How long can patients tolérate conservative treatment ? World J Gastroenterol. 2003;9:603-5.
17. 17. Delabrousse E, Bouland R, Salière P, Mickalakis D, Rodiere E, Kastler B. Le faces sign : valeur d’un signe TDM dans l’occlusion du grêle sur bride ou adhérence péritonéale. J Radiol. 2005;86:393-8.
18. 18. Ouaissi M, Gaujoux S, Veyrie N, Denève E, Bergand C, Castel B, et al. Les adhérences postopératoires après chirurgie digestive et leurs préventions: revue de la littérature. J Visc Surg. 2011;60:21-8.
19. 19. Ghariani B, Houssa H, Sebai F. Traitement laparoscopique des occlusions mécaniques du grêle. Tunis Med. 2011;89:274-7.
20. 20. Trésallet C, Roya B, Menegaux F. Occlusion du grêle de l’adulte. EMC techniques chirurgicales- appareil digestif. 2010;53:430-40.