A Rare Case of Primary Midgut Volvulus Necessitating Extensive Bowel Resection in an Adult

Abstract

A cause of acute intestinal obstruction in adults, midgut volvulus can be categorized into two types: primary type with no identifiable underlying cause, and secondary type that occurs in the presence of a predisposing condition such as, postoperative adhesions. Primary midgut volvulus can lead to bowel ischemia and necrosis, making an extensive bowel resection imminent. A potential consequence of bowel resection is short-bowel syndrome - a failure of digestion and absorption by the intestines, leading to malnutrition and other complications. As such, we report the diagnosis and management of primary midgut volvulus - a rare entity in adults - occurring in an adult patient.

Midgut Volvulus on an Octogenarian Male: A Case Report

“…The annual incidence rate of this condition is reported to be 1.7-5.7 per 100,000 of the population, with rare occurrences in the Western world. However, it is more commonly encountered in the Eastern world [ 8 ]. In the Eastern world, this condition is more commonly observed in regions with lower socioeconomic status.…”

Prenatal diagnosis of fetal midgut volvulus: a case report

“…It refers to the twisting of bowel loops around the mesenteric artery. This may lead to catastrophic complications, including intestinal obstruction, bowel ischemia, necrosis, perforation, and peritonitis [ 1 ].…”

“…Author details 1 Jain Ultrasound, Jamshedpur, India. 2 Department of Radiology, Jeevandeep Diagnostics, Jamshedpur, India.…”

“…Midgut volvulus refers to the twisting of bowel loops around the mesenteric artery [1]. This leads to vascular congestion, poor venous return and eventual bowel obstruction, bowel infarction, perforation, or peritonitis [1][2][3][4][5][6]. It is more commonly seen postnatally than in the prenatal period [2,3,6,7].…”

Small Bowel Volvulus: A Rare Case Report

“…Urgent surgical exploration is the treatment of choice to prevent vascular complications as recommended by the world society of emergency surgery in international guidelines. 8,9 In this era ,laparoscopic surgery plays an important role in diagnosing as well as managing the cases of small intestinal volvulus though exploratory laparotomy was the conventional method used to manage these type of cases since long time. 2 To prevent recurrence in cases of a primary variety of small intestinal volvulus there is controversy about whether simple untwisting or intestinal resection and fixation will provide the long-term results.…”