Clinical Case Reports

Small bowel obstruction (SBO) is a medical emergency often associated with identifiable causes and risk factors. This condition can, however be enigmatic, as is the case with congenital peritoneal bands (CPBs). CPBs are intra-abdominal adhesions that form independently of any prior abdominal surgical procedures. The pathophysiology of CPBs is linked to abnormal adhesions of peritoneal folds during fetal development. SBO occurrence without prior abdominal surgery, trauma, or clinical hernia is rare and CPBs are an exceedingly rare etiology for SBO in adults, with most cases younger age. We report a case of a 29-year-old male presented with 10 days of severe abdominal pain and vomiting, with no history of abdominal surgery or trauma. Physical examination revealed abdominal distention, tenderness, and generalized rebound tenderness. Abdominal ultrasound revealed distention of the intestinal loops. Surgical exploration unveiled a congenital band constricting a jejunal loop. The band was subsequently removed, and the patient made a full recovery.

Pulmonary sequestration is a rare condition with no obvious symptoms, making it difficult to diagnose accurately. However, studying relevant cases can help to improve early diagnosis rates.

Small bowel encapsulation can appear as a saclike structure consisting of bowel loops in an abdominal CT scan.

Hematoxylin-eosin staining of parathyroid lipoadenoma.

Classic Koplik's spots in the oral cavity, a crucial indicator of measles infection.

Contrast-enhanced computed tomography showcasing a distinct lesion near the aortic bifurcation, consistent with a paraganglioma arising from the Organ of Zuckerkandl. This report delves into the challenges in diagnosing and managing a rare presentation of a functional paraganglioma in a 28-year-old male with resistant hypertension.