Primary small bowel volvulus: A case report and literature review

Bouassida, Mounir; Beji, Hazem; Chtourou, Mohamed Fadhel; Othmane, Nadia Ben; Hamzaoui, Lamine; Touinsi, Hassen

doi:10.1016/j.amsu.2022.104250

Cited by 4 publications

(8 citation statements)

References 20 publications

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“…Enteropexy is a therapeutic option but carries a risk of fistula formation. 7 In this patient, the management was exploratory laparotomy followed by simple devolvulation without fixation, then resection perfomed on the necrotic bowel and anastomoses.…”

Section: Discussionmentioning

confidence: 95%

“…Intestinal strangulation causes bowel ischemia, necrosis, perforation, and peritonitis, as was the case in this case. 7 Abdominal plain radiographs are nonspecific radiological investigations for small bowel volvulus but are very sensitive to diagnosis of intestinal obstruction. The most frequent findings are loop dilatation and hydro-aerial level.…”

Section: Discussionmentioning

confidence: 99%

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Primary small bowel volvulus in adult: an unusual case report

Singgih,

Soewardi,

Mintardi

2023

Int Surg J

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Small bowel volvulus (SBV) is an uncommon case which the small intestine rotates around its own mesenteric axis. SBV generally occurs in newborns. We report the case of a 69-year-old man who has been coming with complaints of pain all over his abdomen, vomiting, no bowel movement, and flatus since 2 days ago. The patient underwent plain abdominal radiography and was found to have a high-lying obstructive ileus. The patient was treated with exploratory laparotomy surgery and found to have necrotic bowel sections. During the 5 days postoperative, the complaints improved.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Primary small bowel volvulus in adult: an unusual case report

Singgih,

Soewardi,

Mintardi

2023

Int Surg J

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“…Primary volvulus manifests without obvious anatomical abnormalities or predisposing factors and the precise etiology remains unknown. Primary volvulus can manifest in various gastrointestinal locations, including the small intestine, as in our case, stomach, or large intestine [ 1 , 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Primary small bowel volvulus (SBV) is an extremely rare condition in adults with no underlying anatomic abnormalities or known predisposing factors. Secondary SBV is more common with postoperative adhesions representing the main cause [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Primary Midgut Volvulus: An Unusual Case of a Young Adult Necessitating Extensive Bowel Resection

El Nogoomi,

Jumah,

Zaidan

et al. 2024

Cureus

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Primary small bowel volvulus (SBV), commonly known as midgut volvulus, is an uncommon condition in which the small intestine rotates around its own mesenteric axis. This case report details the diagnostic and management challenges encountered in a rare presentation of primary SBV in a previously healthy 19-year-old male. Our patient presented with acute abdominal pain, vomiting, and signs of shock, prompting urgent medical attention. He was sent for exploratory laparotomy and underwent extensive resection of the gangrenous bowel. Diagnosis involved an abdominal computed tomography scan revealing the characteristic “whirl sign.” According to the World Society of Emergency Medicine, surgical intervention should be done to address the SBV through resection of the gangrenous bowel segments. Despite efforts, the patient’s prognosis remained guarded, necessitating ongoing supportive measures. This case highlights the complex challenges associated with primary SBV, emphasizing the need for continued research to enhance diagnostic precision and refine management strategies.

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“…El diagnóstico temprano es sumamente importante puesto que permite establecer un tratamiento que evite el desarrollo de necrosis, perforación y peritonitis. El tratamiento inicial incluye la colocación de una https://doi.org/10.55204/trc.v4i1.e300 sonda nasogástrica y fluidoterapia; sin embargo, el tratamiento definitivo es quirúrgico (11). La cirugía debe estar orientada a la devolvulación y restablecimiento de la circulación para evitar el desarrollo de complicaciones; no obstante, en aproximadamente el 50% de los casos se realiza resección intestinal por el compromiso vascular existente (12).…”

Section: Introduciónunclassified

Vólvulo intestinal como causa de abdomen agudo: Reporte de caso

Maldonado Armijos,

Maldonado Cabrera,

Sanmartin Jaramillo

et al. 2024

Tesla rev. cient.

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Introducción: El vólvulo intestinal es una condición infrecuente caracterizada por la torsión anormal de un asa intestinal alrededor de su propio eje o de su mesenterio; su cuadro clínico y hallazgos radiográficos son muy inespecíficos, por lo que requiere de un alto grado de sospecha para su diagnóstico y temprana resolución. Objetivo: Documentar y exponer nuestra experiencia con un caso de vólvulo intestinal en edad adulta y realizar una revisión bibliográfica actualizada sobre el diagnóstico y tratamiento de esta entidad. Exposición del caso: Paciente femenino de 74 años de edad con antecedentes de hipertensión arterial crónica, hipotiroidismo, cesárea y apendicectomía laparoscópica que presenta cuadro clínico de 3 días de evolución caracterizado por dolor abdominal, náuseas y vómitos. La tomografía computarizada con contraste muestra obstrucción intestinal a nivel de íleon por probable origen adherencial. Se realizó laparotomía exploratoria, se liberan adherencias ileo-ileales y se reduce vólvulo intestinal. Conclusiones: El vólvulo intestinal es una causa muy rara de abdomen agudo obstructivo cuyo diagnóstico clínico y radiológico es difícil. El tratamiento es quirúrgico para corregir el vólvulo y reestablecer la circulación, pero aún no se ha establecido cual es la mejor técnica quirúrgica.

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Primary small bowel volvulus: A case report and literature review

Cited by 4 publications

References 20 publications

Primary small bowel volvulus in adult: an unusual case report

Primary small bowel volvulus in adult: an unusual case report

Primary Midgut Volvulus: An Unusual Case of a Young Adult Necessitating Extensive Bowel Resection

Vólvulo intestinal como causa de abdomen agudo: Reporte de caso

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