{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T19:59:12Z","timestamp":1794340752271,"version":"4.9.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Small bowel obstruction secondary to adhesions in a virgin abdomen is encountered very rarely. Its rarity may cause a delay in diagnosis that can lead to complications among which is sepsis and death. In contrast, On-time diagnosis constitutes one of many pillars of the best outcome for the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a case of a 46-year-old female exhibiting symptoms of small bowel obstruction that persisted for five days. Her previous surgical history was negative. Upon testing, we found a neutrophilic leukocytosis and an abdominal x-ray revealed dilated bowel loops with multiple air-fluid levels and no air under the diaphragm with an increased pulse rate and respiratory rate. An emergency exploratory laparotomy definitively identified congenital band adhesions as the root cause of the obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Abdominal x-ray is the starting investigation in rural health facilities of Low and Middle Income Countries (LMICs), but lacks the ability to detect complications such as strangulation and ischemia as can the multidetector Computed Tomography scan and the Magnetic Resonance Imaging. A non-resolving small bowel obstruction or the one associated with peritonitis or bowel ischemia should undergo a surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A negative surgical history should not annihilate the suspicion of band adhesions in small bowel obstruction. Early diagnostic imaging is helpful. When this is not possible, a laparotomy should be done if clinically indicated. The patient had an uneventful recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110427","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T02:15:04Z","timestamp":1728526504000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Band adhesions in a virgin abdomen: A case report"],"prefix":"10.1097","volume":"124","author":[{"given":"Olivier","family":"Iryivuze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasa Abdullahi","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf Mohamud","family":"Haile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-107-20260421","first-page":"47","article-title":"Intestinal obstruction","volume":"41","author":"Griffiths,","year":"2023","journal-title":"Surgery (United Kingdom)"},{"key":"R2-107-20260421","doi-asserted-by":"crossref","DOI":"10.1002\/ams2.587","article-title":"Adhesive small bowel obstruction - an update","volume":"7","author":"Tong,","year":"2020","journal-title":"Acute Med. Surg."},{"key":"R3-107-20260421","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.amjsurg.2019.02.011","article-title":"Small bowel obstruction in a virgin abdomen","volume":"218","author":"Strajina,","year":"2019","journal-title":"Am. J. Surg."},{"key":"R4-107-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"key":"R5-107-20260421","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1111\/ans.16392","article-title":"Non-operative management for small bowel obstruction in a virgin abdomen: a systematic review","volume":"91","author":"Yang,","year":"2021","journal-title":"ANZ J. Surg."},{"key":"R6-107-20260421","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.amsu.2018.11.007","article-title":"Band adhesions not related to previous abdominal surgery - a retrospective cohort analysis of risk factors","volume":"36","author":"Skoglar,","year":"2018","journal-title":"Ann. Med. Surg."},{"key":"R7-107-20260421","doi-asserted-by":"crossref","DOI":"10.1186\/s13017-021-00379-8","article-title":"Diagnosis and management of small bowel obstruction in virgin abdomen: a WSES position paper","volume":"16","author":"Amara,","year":"2021","journal-title":"World J. Emerg. Surg."},{"key":"R8-107-20260421","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1097\/00000658-195511000-00006","article-title":"Intestinal obstruction caused by adhesions; a review of 388 cases","volume":"142","author":"Perry,","year":"1955","journal-title":"Ann. 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Travma ve Acil Cerrahi Derg."},{"key":"R11-107-20260421","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1148\/radiol.15131519","article-title":"Review of small-bowel obstruction: the diagnosis and when to worry","volume":"275","author":"Paulson,","year":"2015","journal-title":"Radiology"},{"key":"R12-107-20260421","first-page":"13","article-title":"Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO)","volume":"13","author":"Broek,","year":"2018","journal-title":"World J. Emerg. Surg."},{"key":"R13-107-20260421","doi-asserted-by":"crossref","first-page":"899","DOI":"10.2214\/ajr.183.4.1830899","article-title":"MDCT of patients with acute abdominal pain: a new perspective using coronal reformations from submillimeter isotropic voxels","volume":"183","author":"Paulson,","year":"2004","journal-title":"Am. J. Roentgenol."},{"key":"R14-107-20260421","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1148\/radiol.2381050489","article-title":"Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT","volume":"238","author":"Jaffe,","year":"2006","journal-title":"Radiology"},{"key":"R15-107-20260421","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s00261-007-9348-4","article-title":"Location of the transition zone in CT of small-bowel obstruction: added value of multiplanar reformations","volume":"34","author":"Hodel,","year":"2009","journal-title":"Abdom. Imaging"},{"key":"R16-107-20260421","doi-asserted-by":"crossref","first-page":"2323","DOI":"10.1007\/s00330-005-2733-x","article-title":"Multidetector CT of bowel obstruction: value of post-processing","volume":"15","author":"Aufort,","year":"2005","journal-title":"Eur. 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