E-ISSN 2577-2058
 

Case Report
Online Published: 27 Oct 2025
 


Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band

Chorouk Mountassir, Salaheddine Mouadib, Zineb Gourram, Mohamed Labied, Ghizlane Lembarki, Mouna Sabiri, Samira Lezar.


Abstract
We report the case of a 56-year-old woman with no significant medical or surgical history, who presented to the emergency department with diffuse abdominal pain, vomiting, and an inability to pass stool or gas. On physical examination, abdominal distension, tenderness, and decreased hydroaeric sounds were noted. Abdominal CT scan revealed significant jejunal distension, a "beak sign," and a fat notch, which were indicative of a mechanical small bowel obstruction due to a congenital fibrous band. Laparotomy confirmed the diagnosis of intestinal strangulation caused by the fibrous band, which was subsequently resected. The patient had an uneventful postoperative course. This case is unique due to the absence of any prior surgical history, highlighting that congenital fibrous bands can cause small bowel obstruction even in adults without previous abdominal surgery. The key takeaway for clinicians is the importance of considering congenital fibrous bands in the differential diagnosis of small bowel obstruction, particularly in patients without a history of abdominal surgery. Early diagnosis via imaging and timely surgical intervention are essential to prevent severe complications, such as intestinal necrosis.

Key words: Congenital Fibrous Band; Intestinal Obstruction; Computed Tomography; Case Report


 
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How to Cite this Article
Pubmed Style

Mountassir C, Mouadib S, Gourram Z, Labied M, Lembarki G, Sabiri M, Lezar S. Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band. A J Diagn Imaging. 2025; 11(4): 54-57. doi:10.5455/ajdi.20250403092157


Web Style

Mountassir C, Mouadib S, Gourram Z, Labied M, Lembarki G, Sabiri M, Lezar S. Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band. https://www.wisdomgale.com/ajdi/?mno=250572 [Access: November 09, 2025]. doi:10.5455/ajdi.20250403092157


AMA (American Medical Association) Style

Mountassir C, Mouadib S, Gourram Z, Labied M, Lembarki G, Sabiri M, Lezar S. Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band. A J Diagn Imaging. 2025; 11(4): 54-57. doi:10.5455/ajdi.20250403092157



Vancouver/ICMJE Style

Mountassir C, Mouadib S, Gourram Z, Labied M, Lembarki G, Sabiri M, Lezar S. Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band. A J Diagn Imaging. (2025), [cited November 09, 2025]; 11(4): 54-57. doi:10.5455/ajdi.20250403092157



Harvard Style

Mountassir, C., Mouadib, . S., Gourram, . Z., Labied, . M., Lembarki, . G., Sabiri, . M. & Lezar, . S. (2025) Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band. A J Diagn Imaging, 11 (4), 54-57. doi:10.5455/ajdi.20250403092157



Turabian Style

Mountassir, Chorouk, Salaheddine Mouadib, Zineb Gourram, Mohamed Labied, Ghizlane Lembarki, Mouna Sabiri, and Samira Lezar. 2025. Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band. American Journal of Diagnostic Imaging , 11 (4), 54-57. doi:10.5455/ajdi.20250403092157



Chicago Style

Mountassir, Chorouk, Salaheddine Mouadib, Zineb Gourram, Mohamed Labied, Ghizlane Lembarki, Mouna Sabiri, and Samira Lezar. "Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band." American Journal of Diagnostic Imaging 11 (2025), 54-57. doi:10.5455/ajdi.20250403092157



MLA (The Modern Language Association) Style

Mountassir, Chorouk, Salaheddine Mouadib, Zineb Gourram, Mohamed Labied, Ghizlane Lembarki, Mouna Sabiri, and Samira Lezar. "Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band." American Journal of Diagnostic Imaging 11.4 (2025), 54-57. Print. doi:10.5455/ajdi.20250403092157



APA (American Psychological Association) Style

Mountassir, C., Mouadib, . S., Gourram, . Z., Labied, . M., Lembarki, . G., Sabiri, . M. & Lezar, . S. (2025) Case Report: CT Diagnosis of Intestinal Obstruction Caused by a Primitive Band. American Journal of Diagnostic Imaging , 11 (4), 54-57. doi:10.5455/ajdi.20250403092157