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A 74-year-old man presented with a 5-day history of diffuse abdominal pain, constipation, nausea, and vomiting. His abdomen was tympanitic without peritoneal signs. Radiography of the abdomen revealed a dilated small intestine that was consistent with intestinal obstruction. An exploratory laparotomy was performed, and the obstructed segment of intestine was resected. Gross pathological examination revealed a constricted segment of intestine in the region of the ileocecal valve. A sinus tract was present at the distal end of the constriction, adjacent to a 10.5-cm, nonabsorbable suture, with multiple dark-green fecaliths forming a structure resembling a beaded bracelet (inset). Both ends of . . . [Full Text of this Article] |
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