Presentation
This report describes a very rare case of right paraduodenal hernia presenting as volvulus of nonherniated small intestine. [ncbi.nlm.nih.gov]
Clinical clues suggesting presentations of small bowel volvulus are usually nonspecific; the diagnosis is typically confirmed at surgery. [experts.umn.edu]
Original Scientific Reports 72 Downloads 22 Citations Abstract The presentation and subsequent management of 53 patients with volvulus of the small bowel are reviewed. [link.springer.com]
Entire Body System
- Neonatal Intestinal Obstruction
[…] ileus NOS ( P76.0 ) neonatal intestinal obstructions classifiable to P76.- obstruction of duodenum ( K31.5 ) postprocedural intestinal obstruction ( K91.3- ) stenosis of anus or rectum ( K62.4 ) Paralytic ileus and intestinal obstruction without hernia [icd10data.com]
Shenoy MU, Singh SJ, Robson K, Stewart RJ: Gastrointestinal stromal tumor: a rare cause of neonatal intestinal obstruction. Med Pediatr Oncol 34:70-71, 2000 Google Scholar 12. [springerlink.com]
Duodenal atresia, midgut malrotation and volvulus, jejunoileal atresia, meconium ileus and necrotizing enterocolitis are the most common causes of neonatal intestinal obstruction. [aafp.org]
Gastrointestinal
- Abdominal Pain
A 12-year-old boy presented with sudden onset of lower abdominal pain, and emergency laparotomy was performed on a diagnosis of small intestinal obstruction. [ncbi.nlm.nih.gov]
The abdominal pain persisted and progressed in severity even after the administration of analgesic drugs. [nejm.org]
- Vomiting
Her unremitting abdominal pain, persistent vomiting, and absolute neutrophilia were consistent with an acute process. The etiology of this volvulus was caused by an elastic fibrous band at the root of the jejunal mesentery. [experts.umn.edu]
A 2 months-old girl presented with history of bilious vomiting, sonography showed signs of volvulus and emergency laparotomy was performed and confirmed left paraduodenal hernia containing a part of the ileon, coecum with right colon and volvulus of the [ncbi.nlm.nih.gov]
Abdominal distention with bilious vomiting is observed within the first 24 hours after birth. [aafp.org]
Bilious vomiting is the key presenting symptom. A child presenting with green or yellow vomiting should be presumed to have volvulus until proved otherwise. [patient.info]
Vomiting that happens soon after the baby starts to cry often means the blockage is in the small intestine; delayed vomiting usually means it's in the large intestine. The vomit may contain bile (which is yellow or green) or may resemble feces. [kidshealth.org]
- Nausea
The condition is characterized by lack of bowel sounds, nausea, vomiting, painful sensations, and a taut and swollen abdomen. [medical-dictionary.thefreedictionary.com]
The symptoms and signs of a volvulus may include abdominal pain, nausea, vomiting, and blood in the stool. The treatment is surgery to free the obstruction and ensure normal blood flow to the bowel. Volvulus is a surgical emergency. [medicinenet.com]
September 28, 2004 171 (7) 728; DOI: https://doi.org/10.1503/cmaj.1040662 © 2004 Canadian Medical Association or its licensors A 61-year-old woman presented to the emergency department with acute abdominal pain of several hours' duration accompanied by nausea [cmaj.ca]
Symptoms may include abdominal cramping bloody stools constipation nausea signs of shock vomiting People with any of these symptoms should be evaluated immediately by a health care provider. [colorectal.surgery.ucsf.edu]
- Abdominal Distension
A 56-year-old woman, with a history of appendectomy 30 years previously, was admitted with abdominal distension and signs of peritonitis. [ncbi.nlm.nih.gov]
In the fifth postoperative month, she was admitted to the hospital with progressive abdominal distension and mild pain. [jmedicalcasereports.biomedcentral.com]
The following symptoms may be experienced with cecal volvulus: ballooning abdomen (abdominal distension) constipation diarrhea trouble passing gas severe abdominal pain vomiting Diagnosing cecal volvulus may be difficult because its symptoms mimic those [healthline.com]
Abdominal examination revealed moderate abdominal distension, with significant diffuse pain, without acute peritoneal findings. The general physical examination was normal. [scielo.br]
- Acute Abdomen
Diagnosis is that of exclusion of the common causes of acute abdomen in the particular environment. [anmjournal.com]
Clinical presentation can vary from mild, vague abdominal pain to intestinal obstruction and an acute abdomen [ 6, 7 ]. Our patient displayed an acute abdomen with widespread abdominal defense. [omicsonline.org]
Tachycardia, hypovolaemia and septic shock herald the onset of gangrene. [ 13 ] Differential diagnosis In the acute phase, the differential diagnosis is of acute abdomen/obstruction. [patient.info]
So physician should consider it as one of the causes of acute abdomen. Categories Clinical,Gastroenterology and Hepatology [hkjpaed.org]
Clinical case A 30 year-old male with sarcoidosis presents with acute abdomen and clinical data of intestinal obstruction. [elsevier.es]
Face, Head & Neck
- Epistaxis
Many types of bleeding are commonly described as minor, such as ecchymosis, epistaxis, gingival bleeding, and hematuria. However, more serious bleeding can occur in certain organs such as the brain, the pericardium, the pleura, or the abdomen [ 1 ]. [omicsonline.org]
Urogenital
- Anuria
Observation: A 60-year-old patient was admitted to the emergency department with diffuse abdominal pain and anuria that had started several hours earlier. [omicsonline.org]
Neurologic
- Neglect
Maetani S, Tobe T, Kashiwara S (1984) Neglected role of torsion and constriction in pathogenesis of simple adhesive bowel obstruction. Br J Surg 71:127–130 CrossRef PubMed 11. Khurana B (2003) The whirl sign. Radiology 226:69–70 CrossRef PubMed 12. [springermedizin.de]
Workup
Goals for treatment of small bowel volvulus should include physician awareness of this uncommon diagnosis, accurate workup, and advanced surgical intervention. [insights.ovid.com]
Delay in diagnosis and therefore surgical intervention results in high morbidity and mortality which calls for surgeon awareness, accurate workup of the patient, and prompt surgical intervention. [anmjournal.com]
X-Ray
- Bowel Distention
After a few hours of postnatal life, bowel distention becomes remarkable because of swallowed air and causes bilious vomiting. In some cases, meconium retention may cause dystociaproducing abdominal distention. [aafp.org]
- X-Ray Abnormal
Ten patients (28.6%) showed X-rays abnormalities (excluding isolated diverticula), wide-mouthed sacculations being the most frequent finding. Our data confirm that the colon is frequently involved in SS, even in the limited form of the disease. [link.springer.com]
Treatment
Steven Rothenberg presents the laparoscopic treatment of malrotation and small bowel volvulus presenting the Ladd procedure. [websurg.com]
Laparoscopic treatment for volvulus has been described for all age groups. [ncbi.nlm.nih.gov]
Since medical treatment is ineffective, surgical excision remains the treatment of choice. Surgery is curative for extrapelvic endometrioma in the vast majority of cases. [mdmag.com]
Prognosis
Reference is made to the literature of massive resection of the small intestine to illustrate that the prognosis is not necessarily poor when resections are extensive. [ncbi.nlm.nih.gov]
Resection and primary anastomosis of the involved segment is the treatment of choice with a good prognosis. [anmjournal.com]
Recently neuroendocrine tumors are diagnosed increasingly and precociously improving the prognosis. [panafrican-med-journal.com]
In general, bowel reconstruction is achieved by an end-to-end (or end-to-side) anastomosis (or anastomoses in multiple atresias). 15, 16 The prognosis is usually good unless excessive bowel resection is needed. [aafp.org]
Etiology
The etiology of this volvulus was caused by an elastic fibrous band at the root of the jejunal mesentery. While congenital fibrous bands are rare in adults, this interpretation is favored for two reasons. [experts.umn.edu]
The etiology, incidence, symptomatology and mortality are studied. [ncbi.nlm.nih.gov]
Such cultures originate in parts of Africa and the Middle East. 1, 3 Certain anatomic variations have been proposed as etiologic factors for SBV. [jaoa.org]
Despite years of investigation, the etiology remains unclear, and accepted prevention and treatment strategies are lacking. In this key lecture, Dr. [websurg.com]
Epidemiology
Small-bowel tumors: epidemiologic and clinical characteristics of 1260 cases from the connecticut tumor registry. Arch Surg Chic Ill 1960. Mars 2007; 142(3):229-35. [panafrican-med-journal.com]
Epidemiology Malrotation Malrotation occurs in approximately 1 in 500 live births. However, the true incidence of malrotation is unknown, since many asymptomatic patients fail to present. Either sex can be affected with the anomaly. [patient.info]
Epidemiology Frequency United States Intestinal malrotation occurs in between 1 in 200 and 1 in 500 live births. [6, 7] However, most patients with malrotation are asymptomatic, with symptomatic malrotation occurring in only 1 in 6000 live births. [8] [emedicine.medscape.com]
Pathophysiology
CT showed two specific findings, split-bowel sign and rotating-C sign, which we think reflect pathophysiologic features of organo-axial volvulus. [ncbi.nlm.nih.gov]
We would like to take advantage of this to present a case with a mesentero-axial type marking the difference of the pathophysiology. [websurg.com]
Obstruction of the intestinal lumen can cause pathology due to stretching of the bowel proximal to the lesion - see Pathophysiology of Ileal impaction Ileum: impaction. [vetstream.com]
In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 10, 2015. Glancy DG. Intestinal obstruction. [mayoclinic.org]
Prevention
Volvulus of the small intestine must be considered when a patient presents with small-bowel obstruction, and early operative intervention should be undertaken to prevent vascular compromise. [ncbi.nlm.nih.gov]
[…] dehydration and antibiotics to prevent infection. [luriechildrens.org]
Volvulus of the small intestine must be considered when a patient presents with small-bowel obstruction, and early operative intervention should be undertaken to prevent vascular compromise. © Lippincott-Raven Publishers. [journals.lww.com]