Midgut volvulus: An unusual case of adolescent abdominal pain

Pelucio, Maria; Haywood, Yolanda

doi:10.1016/0735-6757(94)90239-9

Cited by 13 publications

(6 citation statements)

References 17 publications

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“…Band extending between the diverticulum and the base of the mesentery, forming a loop in which a part of ileum may get stuck causing obstruction (13). Midgut volvulus is rare in adults (14). Most acute presentations occur in the fi rst month of life.…”

Section: Discussionmentioning

confidence: 99%

Small bowel obstruction due to anomalous congenital peritoneal bands – case series in adults

Sözen¹,

Emir²,

Yazar³

et al. 2012

BLL

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Abstract:Background: Congenital bands cause 3 % of all intestinal obstruction and almost always lead to small bowel obstruction. In adults, obstruction due to bands is even rarer. Materials and methods: A multicenter study in Turkey. From January 2000 to December 2010 inclusive -a period of 10 years -all adult patients admitted to the emergency departments with a clinical diagnosis of acute intestinal obstruction due to congenital peritoneal band were included in the study. Surgery was defi ned as emergency. Recorded operative fi ndings included the site of obstruction, and the operative procedure to relieve it. In the present study, the fi ndings in adult patients with congenital band reported in the literature together with fi ndings in ten cases operated at four center were retrospectively assessed with respect to their demographic, preoperative, peroperative, and postoperative characteristics. Results: There were 8 males and 2 females aged between 18 and 72 year. There were no history of abdominal or inguinal surgery. Plain abdominal X-rays radiography revealed air-fl uid levels in all patients. All the bands were ligated and divided. On histopathological examination, the bands were composed of loose connective tissue containing blood vessels. There were no calcifi cation in the bands. Conclusion: an anomalous congenital band could be included in the differantial diagnosis of intestinal obstruction. This clinical situation requires early surgical intervention that will be diagnostic and therapeutic (Tab. 1, Fig. 4, Ref. 21). Full Text in PDF www.elis.sk.

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Section: Discussionmentioning

confidence: 99%

Small bowel obstruction due to anomalous congenital peritoneal bands – case series in adults

Sözen¹,

Emir²,

Yazar³

et al. 2012

BLL

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“…Midgut volvulus is rare in adults. [5] Most acute presentations occur in the first month of life. In the adult with malrotation, midgut volvulus is the most common cause of bowel obstruction.…”

Section: Discussionmentioning

confidence: 99%

Intestinal malrotation in an adult: case report

Sözen

Güzel²

2012

Ulus Travma Acil Cerrahi Derg

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“…The vague symptoms can be mistaken for irrita ble bowel syndrome, adhesions,Crohn's dis ease,pancreaticand biliary disease,or even psychiatric illness [3,5]. Malrotation has a high association with peptic ulcer disease, which may be causedby chronic partial gas tric or duodenal outlet obstruction [3].…”

Section: Discussionmentioning

confidence: 99%

“…An upper gastrointestinal examination with a small-bowel follow-through can be used to diagnose malrotation and midgut volvulus, particularly in infants [3,10]. The small bowel's wrapping around the superior mesen teric artery on an oral contrast-enhancedstudy E has a spiral or corkscrew appearance that is di agnostic of midgut volvulus 12.…”

Section: Discussionmentioning

confidence: 99%

Midgut volvulus: a rare cause of acute abdomen in an adult patient.

Bernstein¹,

Russ²

1998

American Journal of Roentgenology

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S ymptomatic bowel malrotationfirst presenting in the adult is rare.Midgut volvulus is the most com mon complication of malrotation in the adult. CT can play an important role in the evaluation of patients with this abnormality. The whirl pattern around the superior mesenteric artery found on CT in patients with midgut volvulus is diagnostic if clearly seen [11. We present a case of bowel malrotation complicated by midgut volvulus in an adult patient. The preop erative CT findings were pathognomonic. Case ReportA 33-year-old man presented with acute epigastric pain and bilious vomiting. He had beenpreviously diagnosedwith irritable bowel syndromeand a left ureteropelvicjunction ob struction. On physical examination, he had a palpable, tender mid epigastric mass. Abdomi nal radiographsdid not revealdilated bowel or other abnormalities.A CT scan showed the typical findings of midgut volvulus (Figs. 1Aâ€"1D). The small bowel was twisted around the superior mesen teric artery. The superior mesentericvein was to the left of the superior mesentenc artery. Venous engorgement and mesenteric edema were present.The cecum was positioned in the right upperquadrantof the abdomen.At surgery,the small bowel was found to be twisted several times around the superior mes enteric artery. No bowel necrosiswas present. Thepatientunderwent surgical correction usingLadd's procedureand an appendectomy. He re mainsasymptomatic15monthsafter surgery.

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Midgut volvulus: An unusual case of adolescent abdominal pain

Cited by 13 publications

References 17 publications

Small bowel obstruction due to anomalous congenital peritoneal bands – case series in adults

Small bowel obstruction due to anomalous congenital peritoneal bands – case series in adults

Intestinal malrotation in an adult: case report

Midgut volvulus: a rare cause of acute abdomen in an adult patient.

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