1. An unexpected cause of small bowel obstruction in an adult patient: midgut volvulus
- Author
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Cengiz Yilmaz, Bozkurt Gulek, Gokhan Soker, and Faruk Karateke
- Subjects
Male ,Abdominal pain ,midgut volvulus ,Gastroenterology ,computer assisted tomography ,chemistry.chemical_compound ,Intestine, Small ,intestine necrosis ,Superior mesenteric artery ,Ultrasonography, Doppler, Color ,color ultrasound flowmetry ,adult ,article ,superior mesenteric artery ,General Medicine ,superior mesenteric vein ,Bowel obstruction ,Barium sulfate ,medicine.anatomical_structure ,priority journal ,barium enema ,medicine.symptom ,Intestinal Volvulus ,Adult ,medicine.medical_specialty ,rare disease ,Enema ,barium ,Article ,intestine ischemia ,male ,Internal medicine ,medicine.artery ,parasitic diseases ,medicine ,Humans ,case report ,human ,Superior mesenteric vein ,business.industry ,intestine malrotation ,abdominal pain ,medicine.disease ,Small intestine ,Abdominal Pain ,hemicolectomy ,chemistry ,Intestinal malrotation ,small intestine obstruction ,stomach intubation ,Duodenum ,Barium Sulfate ,Tomography, X-Ray Computed ,business ,Digestive System Abnormalities ,Intestinal Obstruction - Abstract
The most important complication of intestinal malrotation is midgut volvulus because it may lead to intestinal ischaemia and necrosis. A 29-year-old male patient was admitted to the emergency department with abdominal pain. Ultrasonography (US), colour Doppler ultrasonography (CDUS), CT and barium studies were carried out. On US and CDUS, twisting of intestinal segments around the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) and alteration of the SMA-SMV relationship were detected. CT demonstrated that the small intestine was making a rotation around the SMA and SMV, which amounted to more than 360°. The upper gastrointestinal barium series revealed a corkscrew appearance of the duodenum and proximal jejunum, which is a pathognomonic finding of midgut volvulus. Prior knowledge of characteristic imaging findings of midgut volvulus is essential in order to reach proper diagnosis and establish proper treatment before the development of intestinal ischaemia and necrosis. Copyright 2014 BMJ Publishing Group. All rights reserved.
- Published
- 2014
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