Intestinal obstruction from midgut volvulus after laparoscopic cholecystectomy

Barrett, William L.; Tannebaum, I. R.

doi:10.1007/pl00009628

Cited by 14 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Features of intestinal obstruction in patients who have had previous laparotomy always raise the suspicion of adhesions as the aetiological factor. The other possible causes to consider are either postoperative midgut volvulus or internal herniation and few of the latter have been reported following laparoscopic appendicectomy, cholecystectomy and gastric banding operations [12][13][14] . The reason(s) for this rare phenomenon following laparoscopic operations is not well understood.…”

Section: Discussionmentioning

confidence: 99%

Recurrent intestinal volvulus in midgut malrotation causing acute bowel obstruction: A case report

Sheikh¹

2013

WJGS

View full text Add to dashboard Cite

Intestinal malrotation occurs when there is a disruption in the normal embryological development of the bowel. The majority of patients present with clinical features in childhood, though rarely a first presentation can take place in adulthood. Recurrent bowel obstruction in patients with previous abdominal operation for midgut malrotation is mostly due to adhesions but very few reported cases have been due to recurrent volvulus. We present the case of a 22-year-old gentleman who had laparotomy in childhood for small bowel volvulus and then presented with acute bowel obstruction. Preoperative computerised tomography scan showed small bowel obstruction and features in keeping with midgut malrotation. Emergency laparotomy findings confirmed midgut malrotation with absent appendix, abnormal location of caecum, ascending colon and small bowel. In addition, there were small bowel volvulus and a segment of terminal ileal stricture. Limited right hemicolectomy was performed with excellent postoperative recovery. This case is presented to illustrate a rare occurrence and raise an awareness of the possibility of dreadful recurrent volvulus even several years following an initial Ladd's procedure for midgut malrotation. Therefore, one will need to exercise a high index of suspicion and this becomes very crucial in order to ensure prompt surgical intervention and thereby preventing an attendant bowel ischaemia with its associated high fatality.

show abstract

Section: Discussionmentioning

confidence: 99%

Recurrent intestinal volvulus in midgut malrotation causing acute bowel obstruction: A case report

Sheikh¹

2013

WJGS

View full text Add to dashboard Cite

show abstract

“…There is an increasing number of reported cases of SBV after laparoscopic procedures without previous malrotation or surgeries, pointing to predisposing factors such as pneumoperitoneum, bowel mobilization, inclination of the operating table, stasis, bowel bloating, and use of anaesthetics, all factors common to laparoscopy and PEG placement procedures 9-11. Although a PEG-associated pneumoperitoneum presents with less pressure than a laparoscopy-associated pneumoperitoneum, it may be large, persistent, and associated with bowel injury 5.…”

Section: Discussionmentioning

confidence: 99%

Midgut Volvulus after Percutaneous Endoscopic Gastrostomy

Martins

Sousa

Pinho

et al. 2017

ACG Case Reports Journal

View full text Add to dashboard Cite

We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Computed tomography imaging showed a well-positioned gastrostomy tube, small pneumoperitoneum, and small bowel volvulus (SBV) in the upper right abdomen with proximal small bowel dilated loops. Exploratory laparotomy revealed mesenteric torsion, leading to SBV, with no evidence of intestinal malrotation. Volvulus was successfully untwisted via surgery. This case highlights to the possible association between SBV and gastrostomy placement.

show abstract

“… 1,2 The presentation of small bowel volvulus due to intestinal malrotation in later life is reported. 3,4 Midgut volvulus may, further, present secondary to complications from previous surgery, including adhesive bands or stomas. 5 …”

Section: Discussionmentioning

confidence: 99%