The development of a small bowel volvulus in the early postoperative period following a distal gastrectomy: Report of a case

Sakamoto, Tomosaburo; Miyata, Masahiko; Nakamuro, Makoto; Izukura, Masaaki; Kamiike, Wataru; Matsuda, Hikaru

doi:10.1007/bf01367459

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…In the present case, adhesion between two different parts of the small bowel formed the origin of the torsion, with the distal and proximal sides of the small intestine twisting upon itself. A similar form of volvulus was reported by Sakamoto et al There was only one case where adhesion between the upper jejunum and the transverse mesocolon formed the origin of the torsion [5]. In this paper, this special form of torsion was classified as type C (Fig.…”

Section: Discussionsupporting

confidence: 68%

A rare case of secondary small bowel volvulus laparoscopically repositioned: literature review and classification

et al. 2018

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BackgroundSecondary small bowel volvulus is a rare condition caused by adhesions after laparotomy or tumors. There are no clear guidelines for indication of laparoscopic surgery.Case presentationA 69-year-old male visited our hospital complaining of epigastric pain. He had a history of hypopharyngeal carcinoma treated via pharyngolaryngoesophagectomy with restoration of esophageal continuity by harvesting a free jejunal autograft 6 years ago.Enhanced computed tomography revealed the whirl sign. An emergency laparoscopic operation was performed following a diagnosis of small bowel volvulus. This revealed rotation of the whole small bowel, involving the superior mesenteric artery as the center, and originating at the adhesion of the proximal and distal small bowel. Laparoscopic manipulation of volvulus and lysis of the adhesion were performed. The patient’s postoperative course was uneventful, and he was discharged on hospital day 5.ConclusionsLaparoscopic surgery may be useful for treating small bowel volvulus; however, the patient’s treatment indications should be judged carefully.

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Section: Discussionsupporting

confidence: 68%

A rare case of secondary small bowel volvulus laparoscopically repositioned: literature review and classification

et al. 2018

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“…There are a few reports in the literature that small bowel volvulus occurs as a late postoperative complication. The reported operations include gastrostomy [ 2 ], gastrectomy [ 3 ] and total hip replacement [ 4 ]. In this case report, a young woman underwent exploratory laparotomy due to small bowel volvulus after simultaneous pancreas-kidney transplantation (SPKT).…”

Section: Introductionmentioning

confidence: 99%

Management of small bowel volvulus in a patient with simultaneous pancreas-kidney transplantation (SPKT): a case report

et al. 2007

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There are several surgical complications which can occur following simultaneous pancreas-kidney transplantation (SPKT). Although intestinal obstruction is known to be a common complication after any type of abdominal surgery, the occurrence of small bowel volvulus, which is one of the rare causes of intestinal obstruction, following SPKT has not been published before. A 24-year-old woman suffering from type I diabetes mellitus with complications of nephropathy resulting in end stage renal disease (ESRD), neuropathy and retinopathy underwent SPKT. On the postoperative month 5, she was brought to the emergency service due to abdominal distention with mild abdominal pain. After laboratory research and diagnostic radiological tests had been carried out, she underwent exploratory laparotomy to determine the pathology for acute abdominal symptoms. Intra-operative observation revealed the presence of an almost totally ischemic small bowel which had occurred due to clockwise rotation of the mesentery. Initially, simple derotation was performed to avoid intestinal resection because of her risky condition, particularly for short bowel syndrome, and subsequent intestinal response was favorable. Thus, surgical treatment was successfully employed to solve the problem without any resection procedure. The patient's postoperative follow-up was uneventful and she was discharged from hospital on postoperative day 7. According to our clinical viewpoint, this study emphasizes that if there is even just a suspicion of acute abdominal problem in a patient with SPKT, surgical intervention should be promptly performed to avoid any irreversible result and to achieve a positive outcome.

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Lin¹,

Koffron²,

Heilizer³

et al. 1999

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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The introduction of laparoscopic cholecystectomy has revolutionized the surgical management of biliary diseases. As the application of this procedure becomes more popular, a variety of associated complications have emerged. We present a rare case of a patient who developed an intestinal volvulus 3 days following laparoscopic cholecystectomy. The precipitating factors of this complication and review of literature are discussed.

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The development of a small bowel volvulus in the early postoperative period following a distal gastrectomy: Report of a case

Cited by 6 publications

References 4 publications

A rare case of secondary small bowel volvulus laparoscopically repositioned: literature review and classification

A rare case of secondary small bowel volvulus laparoscopically repositioned: literature review and classification

Management of small bowel volvulus in a patient with simultaneous pancreas-kidney transplantation (SPKT): a case report

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