Chronic midgut volvulus with mesenteric lymphangioma

Kandpal, Harsh; Sharma, Raju; Madhusudhan, KS; Gupta, Arun Kumar; Bhatnagar, Veereshwar; Chappidi, Sridhar

doi:10.1016/j.ejrex.2004.09.010

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Small bowel volvulus is an uncommon but important cause of small intestine obstruction, mostly occurring in infants during the first weeks of life. It is rarely encountered in adults (3). There are two distinct categories of small bowel volvulus: the primary type and the secondary type.…”

Section: Discussionmentioning

confidence: 99%

“…The most frequently encountered cause is postoperative adhesions. However, many other causes have been reported in case reports or series, including internal hernias (10), tumors (e.g., leiomyoma of the mesentery, mesenteric lipoma (11), small bowel gastrointestinal stromal tumor), Meckel's diverticulum, ileal atresia, jejunostomy, jejunal diverticula, mesenteric lymph nodes (12), mesenteric lymphangioma (3), endometriosis, abscess, mycobacterial disease, aneurysms, hematomas, and loose surgical foreign body material in the abdomen (13). It also can be the result of congenital malrotation or midgut nonrotation, which is usually observed in newborns and young children.…”

Section: Discussionmentioning

confidence: 99%

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Postmortem Diagnosis of Primary Small Bowel Volvulus in an Adult

Garavan¹,

Hameed

2015

Academic Forensic Pathology

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Small bowel volvulus is a rare cause of intestinal obstruction. It is defined as the twisting of a segment of the bowel around the axis of its mesentery. Based on the cause, small bowel volvulus is divided into primary and secondary types. The primary type occurs in an otherwise normal abdominal cavity. The secondary type occurs in the presence of predisposing lesions, either congenital or acquired. This is a case report of a primary jejunal volvulus in an 82-year-old man who died suddenly. The autopsy findings included proximal small bowel obstruction and perforation with florid peritonitis secondary to jejunal volvulus. Histology confirmed infarction of the small bowel at the level of the jejunum. We concluded that the cause of death was peritonitis due to small bowel perforation caused by small bowel obstruction secondary to volvulus. No predisposing anatomical abnormality was identified at the site of the volvulus so, by definition, this is a primary type. Jejunal location is usually associated with primary volvulus, and these correlate with a higher incidence of necrotic loops requiring intestinal resection. Primary volvulus is more common in the jejunum than other parts of the small bowel, and these cases are more likely to result in necrosis requiring resection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Postmortem Diagnosis of Primary Small Bowel Volvulus in an Adult

Garavan¹,

Hameed

2015

Academic Forensic Pathology

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Mesenteric cysts associated with recurrent small-bowel volvulus: cause or effect?

et al. 2012

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Recurrent small-bowel volvulus is a state of recurrent intermittent or long-standing persistent twisting of small-bowel loops around its mesentery. The association of mesenteric cysts with recurrent small-bowel volvulus as the cause or effect is a much debated issue in the literature. We report two cases of mesenteric lymphangioma and one case of enteric duplication cyst seen in association with recurrent small-bowel volvulus of long duration in absence of malrotation.

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