Abstract
A 80-year-old woman with a history of intracoronary stenting due to cardiac angina presented with epigastralgia and nausea on February 8, 2006 and went to a nearby hospital. Because examinations revealed her symptoms were not derived from cardiovascular diseases, she was admitted to our hospital for conservative medical treatment. On admission, she had tenderness in the entire abdomen but not muscular defense. Abdominal CT scan showed distension of small intestine and she was diagnosed with ileus. A long tube was inserted to initiate conservative treatment but was not effective. We diagnosed the case as strangulation ileus in light of her exacerbated symptoms, and conducted an emergency laparotomy. Upon laparotomy we saw large volumes of bloody ascites and the jejunal necrosis strangulated by the great omentum. We partially resected the great omentum and the necrotic jejunum. The patient recovered uneventfully after the surgery. Strangulation ileus is difficult to diagnose, and we considered early surgery to be desired.
