Jejunal transection caused by postoperative adhesive small bowel obstruction: managed simultaneously with abdominal aortic aneurysm.
BMJ Case RepSep 28, 2026 (epub)
Kimiya Maemura, Yuji Takayama, Shiori Ando et al.
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Case in brief
A man in his 90s presented with abdominal pain, diagnosed with postoperative adhesive small bowel obstruction and an abdominal aortic aneurysm (AAA). Initial conservative management failed, leading to a decision for simultaneous surgical intervention. During surgery, a complete transection of the jejunum was discovered due to severe adhesions, necessitating partial resection and anastomosis. The patient was discharged to rehabilitation on postoperative day 24.
Diagnostic / clinical pearl
Clinicians should consider the possibility of bowel obstruction due to adhesions in patients with a history of abdominal surgery, especially when presenting with abdominal pain.