Rare case of midgut volvulus with malrotation in an elderly patient
DOI:
https://doi.org/10.18203/2349-2902.isj20195991Keywords:
Mid gut volvulus, Malrotation, Obstruction, Elderly, X-rayAbstract
A 70 year old male who was under treatment for lymphoma, presented with a 2 day old history of not passing stool, flatus, associated with vomiting and abdominal distension. Patient was diagnosed as subacute intestinal obstruction and put on conservative management. However since his condition worsen exploratory laparotomy was performed. On laparotomy a midgut volvulus was detected and subsequently de-rotation of small gut was done. Through this paper we would like to stress out the difficulties in diagnosis and the challenges that we faced.
References
Butterworth WA, Butterworth JW. An adult presentation of midgut volvulus secondary to intestinal malrotation: A case report and literature review. Int J Surg Case Rep. 2018;50:46-9.
Fu T, Tong WD, He YJ. Surgical management of intestinal malrotation in adults. World J Surg. 2007;31(9):1797-803.
Haak BW, Bodewitz ST, Kuijper CF, de Widt-Levert LM. Intestinal malrotation and volvulus in adult life. Int J Surg Case Rep. 2014;5(5):259-61.
Izes BA, Scholz FJ, Munson JL. Midgut volvulus in an elderly patient. Gastrointest Radiol. 1992;17(1):102-4.
Bhullar JS, Papapetrou P, Subhas G, Gupta N, Seman S, Mittal VK. Spontaneous Resolution of Primary Small Bowel Volvulus With Oral Contrast. J Curr Surg. 2012;2(3):110-2.
Bernstein SM RP. Midgut volvulus: a rare cause of acute abdomen in an adult patient. - PubMed - NCBI. Available at: https://www.ncbi.nlm.nih.gov/ pubmed/9725289. Accessed on 30 October 2019.
Fukuya T, Brown BP, Lu CC. Midgut volvulus as a complication of intestinal malrotation in adults. Dig Dis Sci. 1993;38(3):438-44.
Kotobi H, Tan V, Lefèvre J, Duramé F, Audry G, Parc Y. Total midgut volvulus in adults with intestinal malrotation. Report of eleven patients. J Visc Surg. 2017;154(3):175-83.
