Small bowel volvulus: a rare twist in an adult

Authors

  • Madhuri Barabde Department of General Surgery, Dr. Panjabrao Alias Bhausaheb Deshmukh Memorial Medical College, Amravati, Maharashtra, India
  • Saurabh Tiwari Department of General Surgery, Dr. Panjabrao Alias Bhausaheb Deshmukh Memorial Medical College, Amravati, Maharashtra
  • Vasant Lavankar Department of General Surgery, Dr. Panjabrao Alias Bhausaheb Deshmukh Memorial Medical College, Amravati, Maharashtra

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20160503

Keywords:

Bowel infarction, Small bowel, Volvulus, Midgut

Abstract

Volvulus is a special form of mechanical intestinal obstruction. It is most commonly seen in sigmoid colon. It results from abnormal twisting of a loop of bowel around the axis of its own mesentery. Small bowel volvulus (SBV) is a rare condition even though the incidence in Africa and Asia is high. It is of two types; primary and secondary. It requires emergency surgical intervention; more so as consuming time increases the risk of bowel getting gangrenous. Here is a case of primary small bowel volvulus in an elderly man with evidence of ischemic bowel and perforation who was managed surgically by resection and anastomosis.

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References

White RR, Jacobs DO. Volvulus of the stomach and small bowel. In Charles Yeo et al, eds. Shackelford’s Surgery of the alimentary tract. vol 1. 6th ed. Philadelphia: Elsevier Saunders. 2007:1035-7.

Qayyum A, Cowling MG, Adam EJ. Small bowel volvulus related to a calcified mesenteric lymph node. Clin Radiol. 2000;55(6):483-5.

Bernstein SM, Russ PD. Midgut volvulus: a rare cause of acute abdomen in an adult patient. AJR Am J Roentgenol. 1998;171(3):639-41.

Roggo A, Ottinger LW. Acute small bowel volvulus in adults. A sporadic form of strangulating intestinal obstruction. Ann Surg. 1992;216(2):135-41.

Iwuagwu O, Deans GT. Small bowel volvulus: a review. JR Coll Surg Edinb. 1999;44(3):150-5.

Tiwari VS, Gupta HC, Varma MM, Garg RK. Volvulus of the small intestine.Int Surg. 1982;67(suppl 4):476:78.5.

Ghebrat K. Trend of small intestinal volvulus in north western Ethiopia. East Afr Med J. 1998;75(9):549-52.

Frazee RC, Mucha P Jr, Farnell MB, van Heerden JA. Volvulus of the small intestine. Ann Surg. 1988;208(5):565-8.

Wert MA, Sarpel U, Divino CM. Small bowel volvulus: time is of the essence. Surg Rounds. 2007;30(8):392-4.

Stewardson RH, Bombeck CT, Nyhus LM. Critical operative management of small bowel obstruction.Ann Surg. 1978;187:189-93.

Buranasiri SI, Baum S, Nusbaum M, Tumen H. The angiographic diagnosis of midgut malrotation with volvulus in adults.Radiology. 1973;109:555-6.

Cynn WS, Hodes PJ. A new sign of small bowel volvulus: gas in mesenteric vein without gas in portal vein.Radiolog. 1973;108:289-90.

Liauw JJ, Cheah WK. Laparoscopic management of acute small bowel obstruction. Asian J Surg. 2005;28:185-8.

Kirshtein B, Roy-Shapira A, Lantsberg L, Avinoach E, Mizrahi S. Laparoscopic management of acute small bowel obstruction. Surg Endosc. 2005;19:464-7.

Navez B, Arimont JM, Guiot P. Laparoscopic approach in acute small bowel obstruction. A review of 68 patients. Hepatogastroenterology. 1998;45:2146-50.

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Published

2016-02-25

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Section

Case Reports