Closed loop small bowel obstruction due to small intestine volvulus associated with early adhesion after laparoscopic appendectomy: Case report and review of the literature

Sghaier, Asma; Lamloum, Eya; Debaibi, Mehdi; Sridi, Azza; Chouchene, Adnene

doi:10.1016/j.ijscr.2023.108217

International Journal of Surgery Case Reports

2023

DOI: 10.1016/j.ijscr.2023.108217

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Closed loop small bowel obstruction due to small intestine volvulus associated with early adhesion after laparoscopic appendectomy: Case report and review of the literature

Asma Sghaier¹,

Eya Lamloum²,

Mehdi Debaibi³

et al.

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2024

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Staple-Related Midgut Volvulus Following Appendectomy: A Pediatric Case Report and a Comprehensive Literature Review

Montero,

Villafañe,

Ruiz

2024

Preprint

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The development of an intestinal volvulus after an appendectomy is an exceptional and extremely serious complication. A 12-year-old female patient underwent surgery for uncomplicated acute appendicitis. The surgery and postoperative period were uneventful. Two and a half months later, she presented with an acute abdomen. Radiological studies confirmed a midgut volvulus and identified a free surgical staple close to it. A midgut volvulus secondary to a bridle in the mesenteric root was identified during surgery. Adhesiolysis and manual detorsion were performed, with adequate recovery of intestinal tissue perfusion. The free staple was not found during surgery. The patient evolved favorably and is asymptomatic and under follow-up. Although it is difficult to demonstrate a causal association, several post-appendectomy intestinal volvulus reported cases (including ours) seem related to free surgical staples in the peritoneal cavity acting as a mesenteric or intestinal anchor point. Thorough cavity cleaning after surgery, avoiding free staples, is essential to prevent this complication. A targeted computed tomography review can help identify free staples in the abdominal cavity.

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Staple-Related Midgut Volvulus Following Appendectomy: A Pediatric Case Report and a Comprehensive Literature Review

Montero,

Villafañe,

Ruiz

2024

Preprint

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Closed loop small bowel obstruction due to small intestine volvulus associated with early adhesion after laparoscopic appendectomy: Case report and review of the literature

Cited by 1 publication

References 12 publications

Staple-Related Midgut Volvulus Following Appendectomy: A Pediatric Case Report and a Comprehensive Literature Review

Staple-Related Midgut Volvulus Following Appendectomy: A Pediatric Case Report and a Comprehensive Literature Review

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