A duodenal mass and acute pancreatitis.

Secondary SBV occurs generally in the presence of predisposing factors such as anatomic disorders, malrotations, or postoperative adhesive bands. Post-operative adhesive bands are major problems for all surgeons due to their morbidity (1-3). Post operative adhesive small bowel obstruction is a rare but documented complication of appendectomy. The frequency of this condition has been reported between 0,2 % and 10,7 % (4). Due to its rarity, long-term severe complications of appendectomy are generally neglected.