Sequential stenotic strictures of the small bowel leading to obstruction

Abstract

Small bowel obstructions (SBOs) are primarily caused by adhesions, hernias, neoplasms, or inflammatory strictures. Intraluminal strictures are an uncommon cause of SBO. This report describes our findings in a unique case of sequential, stenotic intraluminal strictures of the small intestine, discusses the differential diagnosis of intraluminal intestinal strictures, and reviews the literature regarding intraluminal pathology.

Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy

“…These techniques have also guided the observation and diagnosis of various small bowel lesions, although unidentified small bowel ulcers or stenosis are still encountered during DBE [ 2 ]. It can be difficult to diagnose these lesions, even in cases with endoscopic findings or histological results from a biopsy specimen [ 3 ].…”

Intermittent Obstruction Resulting from Multiple Intestinal Webs

“…A congenital etiology may be considered in our patient given the duration of his symptoms and the normal mucosa seen on pathology. There is one other case reported in the literature with similar presentation of which we are aware (7). Webs have become more apparent with the advent of capsule endoscopy (8,9).…”

Non-Steroidal Anti-Inflammatory Drug Induced Small Bowel Web Managed by Strictureplasty

“…SBOs are most commonly caused by adhesions, hernias, neoplasms, or inflammatory strictures [1] with most caused by extraluminal adhesions due to postoperative inflammatory changes [2]. Though our patient had previous operation for SBO, she had no evidence of adhesion in her previous operations.…”

“…Intramural strictures are an uncommon cause of small bowel obstruction [1,2]. Here we are presenting an unusual case of sequential, stenotic stricture leading to SBO of a patient who had prior history of non-steroidal anti-inflammatory drug (NSAID) abuse.…”