Aetiologies and prognosis of small bowel obstruction in virgin abdomen: a retrospective cohort study

SBO-VA exhibits diverse etiologies, with adhesions being the most common. Conservative management is feasible in select patients, particularly those with inflammatory conditions, while early surgery is critical for cases with signs of strangulation or ischemia. CT imaging plays a pivotal diagnostic role. Incorporating water-soluble contrast agents may optimize non-operative management. These advocate for tailored treatment strategies based on etiology and clinical risk stratification.