PMC9095931_01
Images of abdomen CT. (A-C) show intestinal obstruction, which possibly caused by torsion of adhesions; (D): part of the small intestine is wrapped by a fibrous tissue membrane and folded into a mass.
fsurg-09-856583-g0001.jpg
PMC9095931_01_fsurg-09-856583-g0001.jpg
F1
An emergency abdominal CT scan showed intestinal obstruction, possibly caused by the torsion of adhesions (Figure 1).
Photographs of laparoscopic surgery. (A,B) show that the small intestine is surrounded by fibrous membrane.
fsurg-09-856583-g0002.jpg
PMC9095931_01_fsurg-09-856583-g0002.jpg
F2
First, exploratory laparoscopic surgery was performed, and we observed that the small intestine and colon were conglutinated and twisted into a mass surrounded by a fibrous membrane (Figure 2).
Photographs of the surgery scene. (A) Part of the small intestine is wrapped by a fibrous membrane and is folded into a mass. (B) jejuno-ileo-colonic fistula.
fsurg-09-856583-g0003.jpg
PMC9095931_01_fsurg-09-856583-g0003.jpg
F3
After separating the adhesions and freeing the bowel, a small intestine obstruction was found approximately 80 cm from the ligament of Treves, and an enteroenteric fistula was observed between the jejunum, ileum, and sigmoid colon (Figure 3).