Midgut Volvulus after Percutaneous Endoscopic Gastrostomy | Zendy

Diana Martins | Zendy; Paula Sousa | Zendy; Juliana Pinho | Zendy; Joana Ruivo | Zendy; Ricardo Araújo | Zendy; Eugénia Cancela | Zendy; António Castanheira | Zendy; Paula Ministro | Zendy; Américo Silva | Zendy

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Midgut Volvulus after Percutaneous Endoscopic Gastrostomy

Author(s) -

Diana Martins,

Paula Sousa,

Juliana Pinho,

Joana Ruivo,

Ricardo Araújo,

Eugénia Cancela,

António Castanheira,

Paula Ministro,

Américo Silva

Publication year - 2017

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2017.59

Subject(s) - medicine , exploratory laparotomy , intestinal malrotation , pneumoperitoneum , volvulus , gastrostomy , laparotomy , surgery , percutaneous endoscopic gastrostomy , general surgery , radiology , laparoscopy , finance , peg ratio , economics

We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Computed tomography imaging showed a well-positioned gastrostomy tube, small pneumoperitoneum, and small bowel volvulus (SBV) in the upper right abdomen with proximal small bowel dilated loops. Exploratory laparotomy revealed mesenteric torsion, leading to SBV, with no evidence of intestinal malrotation. Volvulus was successfully untwisted via surgery. This case highlights to the possible association between SBV and gastrostomy placement.

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