Small bowel volvulus after laparoscopic appendectomy

González-Urquijo, Mauricio; Quevedo-Fernández, E.; Morales-Morales, Carlos Antonio; Alejandro-Rodríguez, H.; Leyva‐Alvizo, Adolfo

doi:10.1016/j.rgmxen.2021.08.004

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…A whirl sign is indicative of a portion of the bowel looping around the axis of its mesentery [ 7 ]; therefore, an emergency decompression is often done as ischaemia and necrosis may occur. Ultrasound may be used to identify obstruction due to volvulus in pediatric patients, while X-ray may appear normal or show nonspecific bowel dilation [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Recurrent Pouch Volvulus Following Ileoanal J-Pouch Anastomosis: A Case Report

Alabdulrahman

Stuart

Smith

et al. 2023

Cureus

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For individuals suffering from severe refractory ulcerative colitis (UC) who are unresponsive to medical treatment, a total proctocolectomy and ileal pouch-anal anastomosis (IPAA) surgery is the gold-standard treatment. However, its complications include anastomotic leaks, pelvic or perianal abscesses, and rare complications such as pouch volvulus. To our knowledge, there is a scarcity of case reports on patients with, specifically, a recurrent pouch volvulus. We present a case of a 57-year-old female with refractory UC who had undergone this treatment with no initial complications; 15 years later, she presented with intermittent bouts of obstruction. An exploratory laparotomy was performed; however, no adhesions or necrosis were found. Following investigations, pouch volvulus was confirmed. She subsequently underwent four endoscopic decompressions in the same year and ultimately received an enteropexy of the pouch. The volvulus reoccurred and, ultimately, the decision was made to perform a loop ileostomy. The patient, to date, is alive and doing well with her permanent ileostomy.

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Section: Discussionmentioning

confidence: 99%

“…Ultrasound may be used to identify obstruction due to volvulus in pediatric patients, while X-ray may appear normal or show nonspecific bowel dilation [8,9].…”

Section: Figure 3: Flexible Pouchoscopy Revealing a "Spokes Of A Whee...mentioning

confidence: 99%

Recurrent Pouch Volvulus Following Ileoanal J-Pouch Anastomosis: A Case Report

Alabdulrahman

Stuart

Smith

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“… 2009 Page et al [6] 13 M Sudden acute abdominal pain Day 3 Surgical staples Laparotomy, reduction of volvulus 2002 Nottingham et al [7] 34 M Colicky diffuse abdominal pain Day 10 Surgical staple Laparotomy, reduction of the volvulus 2019 Kim et al [8] 27 F Epigastric pain Day 9 Surgical staple Laparotomy, the volvulated necrotic bowel was resected and enteroenteric anastomosis was done. 2021 González-Urquijo et al [9] 19 M Nausea with abdominal pain Day 6 No evident cause, free intraperitoneal staple was found Laparotomy, the volvulated necrotic bowel was resected and enteroenteric anastomosis was done. 2001 Cuadra et al [10] 30 M Day 8 Midgut volvulus with absence of congenital malformation 2002 Ly [11] , [12] 21 M Abdominal pain Few days after laparoscopic appendectomy Midgut volvulus due to malrotation …”

Section: Discussionmentioning

confidence: 99%