Practices are shifting towards non-operative management of small bowel obstruction in the virgin abdomen. In this case, we discuss the clinical reasoning in context of the evolving literature for management of this uncommon general surgical presentation. A 54-year-old male presented with recurrent episodes of small bowel obstruction without previous history of abdominal surgery that was managed non-operatively. On his third hospital presentation, he underwent an exploratory laparotomy which revealed extensive small bowel adhesions of an unusual appearance. This highlights the importance of tailored treatment in the era of modern medicine.
Juliana Ying Liang Mai* and Andrea Nicole Rodrigues