{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:14:22Z","timestamp":1792131262121,"version":"4.4.0"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Blind loop syndrome (BLS) is a clinical condition characterized by bacterial overgrowth and stasis within intestinal blind loops, which may result from anatomical abnormalities such as diverticula, fistulae, or surgical anastomoses. While end-to-side and side-to-side intestinal anastomoses are common surgical techniques, the latter has been associated with a higher risk of BLS due to the potential formation of stagnant segments. This case report presents a rare instance of small intestinal obstruction caused by large fecalith formation within a blind loop 1\u202fyear after side-to-side anastomosis. The clinical presentation, diagnostic approach, and management strategies are discussed in detail. This report highlights the importance of surgical technique selection and standardization in preventing BLS-related complications, providing valuable insights for clinical practice.<\/jats:p>","DOI":"10.3389\/fmed.2025.1644026","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T05:27:54Z","timestamp":1757482074000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Small bowel obstruction by a giant fecal bezoar in a blind loop of small intestine: a case 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