Intestinal bowel obstruction for flange in pediatrician patient clinical case review

Abstract

Intestinal obstruction is a significant health issue worldwide, being one of the most common indications for surgical intervention in pediatric patients. Accurate and prompt diagnosis is crucial regarding its impact on morbidity and mortality. An increased risk of developing intestinal obstruction due to adhesions has been described, which is even higher in the first postoperative year and progressively increases over time. Small bowel obstruction is more common, with adhesions being the direct cause. We present the case of a 12-year-old male patient admitted to the hospital with a diagnosis of intestinal obstruction. Relevant medical history includes an open appendectomy 2 years prior. During his hospital stay, conservative management was implemented, but the patient failed to respond adequately, with persistent abdominal pain, oral intolerance, and fever. Consequently, surgical management was decided. An exploratory laparotomy was performed, revealing an internal band with strangulation of the small intestine at the terminal ileum level, with 20cm of necrosis and serohemorrhagic fluid in the abdominal cavity. The surgical procedure consisted of exploratory laparotomy + intestinal resection + terminal ileostomy.