Abstract
Abstract
Background
Small bowel volvulus is a rare entity and it is even rarer for the ileum to undergo torsion without any known predisposing factors. It presents as acute abdomen with features of intestinal obstruction. As it is a life-threatening condition, it should be kept as a differential for small bowel obstruction despite its rarity. Therefore, we report this case.
Case report
A 60-year-old gentleman presented to our emergency department with a 2-day history of worsening abdominal pain, vomiting, abdominal distension and obstipation. Exploratory laparotomy was done which revealed ileal volvulus with no predisposing factors. Derotation of the segment was done. The postoperative period was uneventful and on follow up after a month, he had a satisfying recovery.
Conclusion
Though primary ileal volvulus is a rare diagnosis, it should be kept in mind in any patient with small bowel obstruction with pain out of proportion and resistant to opioid management. Early diagnosis and urgent surgical intervention is the key to prevent bowel necrosis and associated morbidity and mortality.
Publisher
Springer Science and Business Media LLC
Reference15 articles.
1. Islam S, Hosein D, Dan D, Naraynsingh V. Volvulus of ileum: a rare cause of small bowel obstruction. BMJ Case Rep. 2016;2016:2–4.
2. Faizan S, Jain AKC, Thimmappa D. Primary ileal volvulus: a rare cause of small intestinal obstruction. IntSurg J. 2020;7(4):1304–6.
3. Roggo A, Ottinger LW. Acute small bowel volvulus in adults: a sporadic form of strangulating intestinal obstruction. Ann Surg. 1992;216(2):135–41.
4. Klein J, Baxstrom K, Donnelly S, Feasel P, Koles P. A fatal twist: volvulus of the small intestine in a 46-year-old woman. Case Rep Med. 2015. https://doi.org/10.1155/2015/391093.
5. Bernstein S, Russ P. Midgut volvulus: a rare cause of acute abdomen in an adult patient. Am J Roentgenol. 1998;171(3):639–41.
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