CASE

Small bowel obstruction caused by massive fibroids.

A 44-year-old woman presented to the Emergency Department with abdominal pain. She had a history of fibroids and no prior surgeries. Ultrasonography and CT imaging revealed a small bowel obstruction and massive uterine fibroids. The patient required laparotomy to relieve the intestinal obstruction after conservative therapy failed. Massive uterine fibroids is a rare cause of small bowel obstruction which requires the vigilance of Emergency Medicine physicians.

as reported in: Sas D, Yang FJ, Agbayani N, Li SF. Am J Emerg Med. 2020 Aug doi: S0735-6757(20)30704-X.