Abstract
The patient was a 66-year-old woman who was referred to our hospital with abdominal pain. She had no previous history of undergoing abdominal surgery. An abdominal contrast-enhanced CT scan showed dilatation of the small bowel and closed loop findings. She was diagnosed as having strangulated ileus. Therefore, she underwent emergency laparoscopic surgery under general anesthesia. Laparoscopic observation indicated that the ileum was strangulated by a loop of fatty appendices of the sigmoid colon. The adhesions of the fatty appendices to the mesentery were resected. As the strangulated small bowel did not exhibit any ischemic changes, bowel resection was not required. The patient was discharged 9 days after the surgery without complications. There have been few reports of strangulated ileus caused by fatty appendices of the sigmoid colon. Herein, we discuss this case with a review of the literature.
