An unexpected cause of small bowel obstruction in an adult patient: Midgut volvulus
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Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
BMJ Publishing Group
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
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.
Açıklama
Anahtar Kelimeler
barium, abdominal pain, adult, article, barium enema, case report, color ultrasound flowmetry, computer assisted tomography, hemicolectomy, human, intestine ischemia, intestine malrotation, intestine necrosis, male, midgut volvulus, priority journal, rare disease, small intestine obstruction, stomach intubation, superior mesenteric artery, superior mesenteric vein
Kaynak
BMJ Case Reports
WoS Q Değeri
Scopus Q Değeri
Q3
