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Rare disease
CASE REPORT
Small bowel obstruction caused by vas deferens: a first documented report
  1. J Davies,
  2. J Parmar,
  3. I Finlay,
  4. J Day
  1. Gastrointestinal surgery, Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, United Kingdom
  1. Correspondence to Dr J Davies, joshua.davies{at}nhs.net

Summary

Small bowel obstruction (SBO) is one of the most common causes for an acute surgical admission. Most of the time SBO is a result of common causes such as postoperative adhesions. However, rare and unusual causes of SBO do exist which can be challenging for surgeons. We report a first documented case of SBO caused by a remnant of the vas deferens in a 24-year-old patient with a history of gastroschisis and left orchidectomy. Clinical presentation, investigations, imaging and management of this case are described. To summarise, clinicians should keep an open mind in dealing with patients with intestinal obstruction due to the rare and atypical causes.

  • gastrointestinal surgery
  • general surgery

https://doi.org/10.1136/bcr-2017-221575

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    Footnotes

    • Contributors JoD reviewed the literature and drafted the first and second draft. JP edited the report and provided the CT images and completed the third draft. IF contributed to the final submission of the report and oversaw completion of the paper. JD assisted with providing an accurate schematic diagram and contributed to drafting the final paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.