Primary midgut volvulus without intestinal malrotation in a young adult: a case report

Hous, Nicolas De; Gheldere, Charles de; Salgado, Rodrigo; Gryspeerdt, F.

doi:10.1080/00015458.2019.1631615

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…3 Information about segmental SBV in schoolage children and adolescents is especially scarce and derived mostly from single case reports and small case series, which have usually featured children younger than 5 and older than 15 years. 3,[6][7][8][9][10] Clinical diagnosis of segmental SBV is challenging due to its nonspecific presentation. 2 Whereas in neonates, abdominal distension, and bilious vomiting are common signs of midgut volvulus as well as segmental volvulus, signs of intestinal obstruction may be present but are not obligatory in older children and adults.…”

Section: Discussionmentioning

confidence: 99%

“…16 While mortality is raised significantly in the presence of gangrenous bowel, there is potential for patients to recover uneventfully after detorsion of SBV without bowel resection. [2][3][4]9,19,20 In patients who appear clinically well after the first exploration, it seems reasonable to take a relaparotomy on-demand approach. In our case, a markedly ischemicappearing bowel segment fully recovered while sparing the patient the additional risks and complications of bowel resection or a second surgery.…”

Section: Discussionmentioning

confidence: 99%

“… 3 Information about segmental SBV in school-age children and adolescents is especially scarce and derived mostly from single case reports and small case series, which have usually featured children younger than 5 and older than 15 years. 3 6 7 8 9 10 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Primary Segmental Small Bowel Volvulus in an Adolescent Female

Heidtmann

Eckoldt

Mentzel

et al. 2021

European J Pediatr Surg Rep.

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Small bowel volvulus is a rare but important cause of abdominal pain and small bowel obstruction in children and adults. In the neonate, small bowel volvulus is a well-known complication of malrotation. Segmental small bowel volvulus is a lesser-known condition, which occurs in children and adults alike and can rapidly progress to bowel ischemia. Primary segmental small bowel volvulus occurs in the absence of rotational anomalies or other intraabdominal lesions and is rare in Europe and North America. Clinical presentation can be misleading, causing a delay in diagnosis and treatment, in which case the resection of necrotic bowel may become necessary.We report on a 14-year-old girl who presented with severe colicky abdominal pain but showed no other signs of peritoneal irritation or bowel obstruction. An emergency magnetic resonance imaging was highly suspicious for small bowel volvulus. Emergency laparotomy revealed a 115 cm segment of strangulated distal ileum with no underlying pathology. We performed a detorsion of the affected bowel segment. Despite the initial markedly ischemic appearance of the affected bowel segment, the patient achieved full recovery without resection of bowel becoming necessary.

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