AbstractCongenital peritoneal band is an exceptional etiology for small bowel obstruction on virgin abdomen especially in the elderly. It is still a diagnosis by elimination.Herein we present a surgical image of congenital peritoneal band causing small intestine obstruction.Key-words: Congenital band, small bowel obstruction, Virgin abdomen

Introduction:Necrotizing Fasciitis (NF) is an aggressive, life threatening, soft tissue infection with an incidence of 0.5 – 1.5 cases per 100,000 population [1]. It is usually due to synergetic polymicrobial infection. Most common causes of NF are trauma, urinary tract disease and perineal abscess [1]. Treatment involves early surgical debridement of infected tissue followed by broad-spectrum antimicrobial therapy and supportive measures [2]. However only few cases of NF associated with intestinal diseases such as perforated colon cancer have been reported [1]. We present a case of colonic cancer complicated by NF of the thigh.

Internal hernias represent only 0.5 to 1% of all causes of bowel obstruction. A 59-year-old patient presented acuetly with small bowel obstruction. Laparotomy revealed a left paraduodenal hernia with most of the small bowel herniating through a space between the inferior mesenteric vein and duodenojejunal junction.

Intussusception in adults is quite rare. The computed tomography scan has proved to be more accurate.The surgical approach is influenced by the prevalence of associated malignancy, the anatomic site, and various local factors. Primary surgical resection without prior reduction is the treatment of choice in colocolic adult intussusception.

COVID-19 cases are increasing worldwide. With such emerging disease the medical community should be aware of atypical clinical presentations in order to help with correct diagnosis, and to take the proper measures to isolate and treat patients to avoid healthcare professionals being infected and to limit its spread (SARS-CoV-2).