A FATAL CASE OF SMALL BOWEL OBSTRUCTION DUE TO CONSTRICTION BAND ENCOUNTERED IN AN ADULT IN FORENSIC SETTING

Jadeja, Bhumiba; Moga, Hemal K; Singh, Amit; Vadgama, Divyesh; Parmar, Amit

doi:10.21608/ejfsat.2025.398185.1381

A FATAL CASE OF SMALL BOWEL OBSTRUCTION DUE TO CONSTRICTION BAND ENCOUNTERED IN AN ADULT IN FORENSIC SETTING

Document Type : Case Reports

Authors

Government Medical College, Bhavnagar

10.21608/ejfsat.2025.398185.1381

Abstract

Background: We report a case of mechanical small bowel obstruction due to a constriction band and subsequent necrosis of the herniated part, in a 27-year-old female patient with no previous abdominal surgery. Case Presentation: She had been experiencing mild intermittent abdominal pain over the past six months, and she took analgesics and antacids only. The day before her death, she complained severe pain and underwent an ultrasound scan, which indicated a distended intestinal loop. She didn’t seek a surgical opinion. In autopsy, a whitish fibrous constriction band of 1 to 2 cm width found attached to mesentery, from which distal jejunum and proximal ilium was herniating, which was gangrenous. Histo-pathological findings from herniated part showed coagulative necrosis of mucosal epithelial lining (transmural intestinal infarction). Conclusion: The timely diagnosis and intervention would have prevented the outcome. Though the constriction band is rare in adults, it should still be suspected as an etiology in patients without prior abdominal surgery.

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