Adhesions had completely severed a man's jejunum, leaving two blind ends
In a man in his 90s with bowel obstruction, surgeons found the jejunum fully transected by adhesions, after first repairing an abdominal aortic aneurysm.
A man in his 90s came in with abdominal pain. CT showed a markedly dilated small bowel, consistent with adhesive obstruction after earlier surgery, and also an unruptured abdominal aortic aneurysm (AAA).
A long intestinal tube did not relieve the obstruction. He first declined surgery and returned to the referring hospital, then agreed once symptoms persisted. After a multidisciplinary team conference, the team chose to treat both problems in one session: endovascular aneurysm repair first, then laparotomy.
During the laparotomy, the jejunum turned out to be completely transected by severe adhesions, forming two blind ends. Surgeons resected part of the affected bowel and performed a primary anastomosis. He went to a rehabilitation facility on postoperative day 24.
This is a single case report, so it cannot show how often such findings occur or whether this combined approach is better than alternatives.
Summary prepared with AI assistance from the published abstract and reviewed by a physician. Not medical advice. Learn more
