Abstract
A 54-year-old man who had undergone a left hemi-colectomy for transverse colon cancer presented on day 10 after the operation with severe epigastralgia. Abdominal CT revealed an obstruction in the proximal portion of the jejunum. The patient was diagnosed as having postoperative intestinal obstruction and received conservative therapy, but with no improvement. Therefore, on day 17 after the operation, exploratory laparotomy was performed. The proximal portion of the jejunum was tightly adherent to the omentum, therefore, it was dissected along with the omentum. After re-operation, the intestinal obstruction improved. A case of omental panniculitis occurring in response to a foreign body causing intestinal obstruction is rare.
