Midgut Volvulus in the Adult

Rowsom, J T; Sullivan, Stephen N.; Girvan, David

doi:10.1097/00004836-198704000-00021

Cited by 42 publications

(5 citation statements)

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“…Midgut malrotation is a rare cause of intestinal obstruction in adult life and only few of such cases have been reported in the literature [2,[4][5][6][7][8][9][10][11] . Recurrent intestinal obstruction is even rarer in adults who have been previously operated for gut malrotation and few of such cases have been reported.…”

Section: Discussionmentioning

confidence: 99%

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

Sheikh¹

2013

WJGS

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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.

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Section: Discussionmentioning

confidence: 99%

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

Sheikh¹

2013

WJGS

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“…Small bowel volvulus may present with acute abdominal pain, usually in the periumbilical or epigastric regions. The onset is frequently postprandial and its severity depends on the degree and duration of vascular occlusion 10 …”

Section: Discussionmentioning

confidence: 99%

“…In infants a clockwise ‘whirlpool sign’ on colour Doppler ultrasound has been shown to be an objective and definite sign of small bowel volvulus 13 . Selective superior mesenteric arteriography may demonstrate the typical corkscrewed ‘barber pole’ sign 10,12 …”

Section: Discussionmentioning

confidence: 99%

Computed tomography features of small bowel volvulus

Loh

Dunn

2000

Australasian Radiology

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“…Most adult cases are silent throughout life and are discovered incidentally unless they cause acute or chronic abdominal pain. Many patients have ill-defined abdominal complaints from childhood [10].…”

Section: Discussionmentioning

confidence: 99%