PMC8035025_01
PMC8035025_02
CT of the abdomen and pelvis with contrast showing distended loops of small bowel with wall thickening, enhancement, decompressed loops of bowel distally, and fecalization of small bowel.
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fig1
Fecalization of the small bowel was also apparent (Figure 1).
Timeline of symptom onset through hospital discharge. Day 0 represents symptom onset. Each event on timeline has time of occurrence listed in military time. SBFT, small bowel follow-through; WNL, within normal limits; US, ultrasound; GI, gastrointestinal; CT, computed tomography; A/P, abdomen and pelvis; SBO, small bowel obstruction; NPO, nil per os; NGT, nasogastric tube; mIVF, maintenance intravenous fluids; LR, lactated ringers solution; CMP, comprehensive metabolic panel; CBC, complete blood count; beta-HCG, human chorionic gonadotropin; ED, emergency department; CLD, clear liquid diet; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate.
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fig2
The timeline of events is illustrated in Figure 2.
PMC8035025_03
Upper gastrointestinal study with small bowel follow-through revealing no acute obstruction (radiographic images taken in series and are exhibited chronologically from 1-4.).
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fig3
The US was only significant for trace free fluid in the Pouch of Douglas, and the SBFT showed resolution of the SBO at 12 hours after admission (Figure 3).
Chronologic depiction of return to play (RTP) and outpatient follow-up with days calculated since the time of symptom onset defined as day 0. SBO, small bowel obstruction; GI, gastroenterology; MRE, magnetic resonance enterography.
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fig4
The patient was seen by GI seven days after presentation at which point magnetic resonance enterography (MRE) was ordered (Figure 4).