Aim: The aim of this paper is to report a case of a child with adhesive small bowel obstruction treated by laparoscopic ap-proach.

Case Report: A 13-year old patient developed a small bowel obstruction caused by adhesion. He was successfully treated by laparoscopic adhesiolysis and was discharged from the hospital on the 7th post-operative day in satisfacto-ry condition.

Discussion: this disease is treated by laparoscopy very rarely, especially in children. In patients without comorbidities, such as pulmonary or cardiovascular diseases, laparoscopic approach could be considered as the first approach in children because the patient has the advantage of less pain and short hospitalization.

Conclusion: Until clinical trials will address guidelines, when possible, laparoscopic approach should be attempted.

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