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]

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. [jpedsurg.org]

• 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]

• Abdominal Pain

  Diagnosis Patients with SBV may present with colicky abdominal pain, nausea, vomiting, abdominal distention, and obstipation [13]. [hindawi.com]

  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]

  Her recovery was uneventful, with full resolution of abdominal pain. [cmaj.ca]

  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

  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]

  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]

• 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]

  As the sigmoid colon is located distally in the GI tract,vomiting is usually a late sign, whilst the colicky pain, abdominal distension, and absolute constipation occur earlier on in the clinical course. [teachmesurgery.com]

  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]

• 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]

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]

Typically, when a patient requires opioid management, further workup is initiated to identify the underlying etiology. [hindawi.com]

• 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]

The outlook for volvulus varies and depends largely on the speed of treatment. Early diagnosis and treatment of volvulus can help prevent serious complications. [medicalnewstoday.com]

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]

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]

Early diagnosis and immediate surgical intervention are key factors associated with a better prognosis for this group of patients. [pesquisa.bvsalud.org]

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]

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]

Typically, when a patient requires opioid management, further workup is initiated to identify the underlying etiology. [hindawi.com]

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]

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]

Rarely, appendicitis or surgery may lead to excessive adhesions leading to volvulus Epidemiology Colonic volvulus constituted nearly 2% of all the cases of bowel obstructions admitted in the United States between 2002-2010. [3] Sigmoid volvulus, accounting [ncbi.nlm.nih.gov]

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]

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]

Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management, Expert Consult Premium Edition - Enhanced Online Features (9 ed.). Elsevier Health Sciences. p. 384. [ipfs.io]

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]