Surgery 2026

Small bowel obstruction (SBO) is a surgical emergency commonly caused by adhesions from prior abdominal surgeries or hernias. In contrast, SBO caused by omental bands with no history of trauma or abdominal surgeries is rare, and only a few cases have been reported. We present a case of a previously healthy 44-year- old male presented with sudden, severe generalized colicky abdominal pain after eating, associated with nausea, vomiting, and abdominal tenderness, without distension. Initial Lab results and Xray findings were unremarkable. Intravenous contrast computed tomography (CT) scan revealed closedloop jejunal obstruction with irreversible ischemic changes. Emergency intra-operative findings indicated mechanical obstruction caused by an omental band, which led to bowel necrosis. Laparoscopic necrotic bowel resection and anastomosis were performed, and the patient recovered uneventfully. The lack of specific signs and symptoms associated with internal hernias (IH) poses a tremendous diagnostic challenge, with CT scans playing a pivotal role in guiding management.

Shooq Faqeeh is a medical intern in the Dubai Health Authority (DHA) internship program, currently training at HMS Al Garhoud Hospital. She is a graduate of the University of Sharjah (MBBS) with a strong interest in surgery, strengthened by clinical training in general surgery and neurosurgery across major UAE hospitals such as Cleveland Clinic Abudhabi, Zayed Military Hospital and Rashid Hospital, and multiple surgical skills courses. She has published several research articles as a first author in peerreviewed journals and presented her work at multiple medical conferences. Shooq is actively involved in ongoing research and is committed to advancing her surgical career and delivering high-quality patient care.