Open AccessIntestinal volvulus. Case report and a literature review
Author(s) -
Jorge Santín-Rivero,
Edgar Núñez-García,
Manuel Aguirre-García,
Gonzalo Hagerman-Ruiz-Galindo,
Francisco de la Vega-González,
Carla Rubi Moctezuma-Velasco
Publication year - 2015
Publication title -
cirugía y cirujanos
Language(s) - English
Resource type - Journals
ISSN - 2444-0507
DOI - 10.1016/j.circen.2015.11.012
Subject(s) - volvulus , medicine , general surgery , gastroenterology
BackgroundSmall bowel volvulus is a rare cause of intestinal obstruction in adult patients. This disease is more common in children and its etiology and management is different to that in adults.Clinical caseA 30 year-old male with sarcoidosis presents with acute abdomen and clinical data of intestinal obstruction. Small bowel volvulus is diagnosed by a contrast abdominal tomography and an exploratory laparotomy is performed with devolvulation and no intestinal resection. In the days following surgery, he developed a recurrent small bowel volvulus, which was again managed with surgery, but without intestinal resection. Medical treatment for sarcoidosis was started, and with his clinical progress being satisfactory, he was discharged to home.ConclusionsMaking an early and correct diagnosis of small bowel volvulus prevents large intestinal resections. Many surgical procedures have been described with a high rate of complications. Therefore, conservative surgical management (no intestinal resection) is recommended as the best treatment with the lowest morbidity and mortality rate