Adhesive small bowel obstruction in a virgin abdomen in an elderly: a case report


  • Althaf Adnan Ismail Department of General Surgery, Kulhudhuffushi Regional Hospital, Maldives
  • Ahmed Hegazy Mahdy Sasy Department of General Surgery, Kulhudhuffushi Regional Hospital, Maldives
  • Mohamed Abdelraouf Hassan Saadullah Department of General Surgery, Kulhudhuffushi Regional Hospital, Maldives



Small bowel obstruction, De novo adhesions, Virgin abdomen


Small bowel obstruction (SBO) is a major cause of morbidity and financial burden in hospitals around the world. Although adhesions account for more than 70% of SBO, they were thought to be less likely etiologies in a virgin abdomen. However, emerging evidence appears to challenge such a dogmatic approach. Here, we report a case of a 68 years old Maldivian man with a virgin abdomen who presented as small bowel obstruction secondary to de novo adhesions at terminal ileum. He was treated successfully with uneventful postoperative outcome in a government regional referral hospital.


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