1. curious adult case of small bowel volvulus with congenital malrotation.
- Author
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Tan, Hao Han, Sivasuthan, Goutham, and Wong, Man-Shun
- Subjects
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SMALL intestine , *MESENTERIC veins , *VOLVULUS , *LARGE intestine , *SURGICAL emergencies , *ACUTE kidney failure , *SHORT bowel syndrome - Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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