A rare case of secondary small bowel volvulus laparoscopically repositioned: literature review and classification
| Autor: | Hidehiko Kitagami, Kenji Kobayashi, Tetsushi Hayakawa, Minoru Yamamoto, Shuhei Uehara, Koichi Inukai, Nobuhiro Takashima, Moritsugu Tanaka, Hirotaka Miyai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty medicine.medical_treatment lcsh:Surgery Adhesion (medicine) Case Report Epigastric pain Hypopharyngeal Carcinoma 03 medical and health sciences 0302 clinical medicine Laparotomy medicine.artery medicine Superior mesenteric artery Laparoscopy Small bowel volvulus medicine.diagnostic_test business.industry lcsh:RD1-811 medicine.disease digestive system diseases Volvulus Surgery Free jejunum flap 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business |
| Zdroj: | Surgical Case Reports, Vol 4, Iss 1, Pp 1-5 (2018) Surgical Case Reports |
| ISSN: | 2198-7793 |
| Popis: | Background Secondary 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 presentation A 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. Conclusions Laparoscopic surgery may be useful for treating small bowel volvulus; however, the patient’s treatment indications should be judged carefully. |
| Databáze: | OpenAIRE |
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