A curious adult case of small bowel volvulus with congenital malrotation.

Autor: Tan HH; Department of General Surgery, Ipswich Hospital, QLD, Australia., Sivasuthan G; Department of General Surgery, Ipswich Hospital, QLD, Australia., Wong MS; Department of General Surgery, Ipswich Hospital, QLD, Australia.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2022 Jun 15; Vol. 2022 (6), pp. rjac285. Date of Electronic Publication: 2022 Jun 15 (Print Publication: 2022).
DOI: 10.1093/jscr/rjac285
Abstrakt: Intestinal volvulus is defined as a twisting of the bowel on its mesentery. It itself is a rare occurrence, with documented incidence of 1% as the cause of all small bowel obstruction, with further 0.82% of them being associated with intestinal malrotation. The classical radiographic feature described in literatures is the whirlpool sign. We herein report a rare presentation of congenital malrotation causing a small bowel obstruction in a 43-year-old man. The patient presented with acute abdominal pain and underwent an emergency laparotomy and resection of small and large bowel (total of 3 m with primary anastomosis), with an estimated 2.6 m of viable small bowel left. The patient had a prolonged recovery complicated by another relook operation, superior mesenteric vein thrombus and a high-output stoma with subsequent electrolyte derangements and acute kidney injury. He was discharged on Day 26 and had been seen in the outpatient department with good functionality.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.)
Databáze: MEDLINE
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