Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 8 4 2024 01 10 163 165 Hadi Fardis General Surgery Resident, Shiraz University of Medical Sciences, Faculty of Medicine, Shiraz, Iran 2023 09 04 2023 11 11 Small bowel obstruction (SBO) is a common surgical emergency, accounting for almost 50% of all emergency laparotomies with significant in-hospital morbidity. History of previous intra-abdominal surgery is very common in SBO patients, which can include up to 80% of these patients. However, there are cases of SBO with no prior abdominal surgery caused by omental bands, which are very rare and have a high probability of misdiagnosis, referred to as a virgin abdomen. In this article, a rare case of adhesion band small bowel obstruction in a virgin abdomen is presented. Although the factors related to SBO in a virgin abdomen and its underlying causes are not yet fully understood. In this case, the most possible explanation is considering the patient’s age and congenital condition because of the absence of previous abdominal surgeries or inflammation history. https://crcp.tums.ac.ir/index.php/crcp/article/view/867