Small bowel obstruction - Case 2

A patient with recurrent abdominal pain

This patient had recurrent episodes of abdominal pain.
Now she presented to the ER with more pain and on a plain abdominal film there were signs of a small bowel obstruction.

What is the cause of the obstruction?

Press one of the options and then press check

• Intra-abdominal adhesions
  
• Closed loop obstruction
  
• Obstructive tumor