Abstract
We report a case of ileal dissection caused by a fibrous adhesion. A 51-year-old man visited the hospital complaining of abdominal fullness and vomiting over the previous 3 days. He was diagnosed as having adhesive intestinal obstruction based on the examination findings and his previous history of total gastrectomy. Seven days after conservative treatment by insertion of a long tube, an emergency operation was performed. Laparotomy revealed that the small intestine was completely dissected by a fibrous adhesion in the right upper part of the abdomen. There was no evidence of ischemia or necrosis in the mucosal surface of the resected specimen.
