Intermittent Obstruction Resulting from Multiple Intestinal Webs

Abstract

Intestinal webs are a rare cause of bowel obstruction. A case of a 32-year-old man with multiple intestinal webs causing intermittent, partial bowel obstruction is described. The webs were initially detected with capsule endoscopy. The patient was treated with intraoperative endoscopy and balloon dilation. At early follow-up, no recurrence of his symptoms was evident.

A Rare Case of Recurrent Small Bowel Obstructions

“…Intestinal webs of the bowel are an exceedingly rare cause of mechanical bowel obstruction in adults, with only a few case reports described to date. 1 Congenital webs of the gastrointestinal tract are more commonly found in children. 2 Management typically involves surgical resection of the involved bowel.…”

Spider-Man Was Here and NSAIDs Were Not: Report of a Nonobstructing Fenestrated Colonic Mucosal Web Complex Seen on Colonoscopy

“…Colonic web/diaphragm disease is a very rare entity; its incidence is unknown and is a very rare cause of obstructive symptoms in pediatric patients and adults. 1,2 While diaphragm disease is more common in the pediatric population, it remains a very rare occurrence. 1 In pediatric patients, webs are commonly congenital and most likely localized in the small bowel.…”

“…1 In the adult population, diaphragm disease is commonly associated with the use of NSAIDs and is much more common in the small bowel as opposed to the colon. [2][3][4] As a corollary, finding a colonic web/diaphragm should prompt treating physicians to consider NSAID cessation in that patient population. 3 Most of these lesions are associated with NSAID use chronically over the time frame of years.…”

“…3 There are very few reported cases of colonic webs/diaphragm disease in adults. [2][3][4] The largest known published study of diaphragm/web disease described a cohort of 2 patients with a solitary colonic diaphragm/web disease that was associated with NSAID use. 3 The first known reported case of a large intestinal web/diaphragm in an adult was also linked to NSAID use.…”