A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report
Mid-gut volvulus (MGV) frequently occurs in infancy and childhood and is rarely seen in adults. Here, we present a 23-year-old male who presented with abdominal pain and vomiting for one-week duration.The patient gave a long history of similar attacks in the past since the age of 16 years old, at a...
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University of Kirkuk, College of Medicine, Kirkuk, Iraq
2024-10-01
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| Series: | Kirkuk Journal of Medical Sciences |
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| Online Access: | https://kjms.uokirkuk.edu.iq/article_184883_21cbe05758e082110a2d05f05c60e24d.pdf |
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| author | Wassan Nori Muna Abdul Ghani Zghair Emad Abdulkareem Hamdi Aula Younis Khalid Ammar Mohammed Khadhem Alexandru Cosmin Pantazi |
| author_facet | Wassan Nori Muna Abdul Ghani Zghair Emad Abdulkareem Hamdi Aula Younis Khalid Ammar Mohammed Khadhem Alexandru Cosmin Pantazi |
| author_sort | Wassan Nori |
| collection | DOAJ |
| description | Mid-gut volvulus (MGV) frequently occurs in infancy and childhood and is rarely seen in adults. Here, we present a 23-year-old male who presented with abdominal pain and vomiting for one-week duration.The patient gave a long history of similar attacks in the past since the age of 16 years old, at a rate of 2-3/ attacks per year, which become more frequent in the last year. A laboratory workup was carried out, and an imaging study demonstrated a twisting of bowel loops around mesenteric vessels on ultrasound and intravenous-enhanced contrast computed tomography (CT scan). Whirlpool sign of midgut volvulus was seen on contrast CT scan. The patient underwent laparoscopic Ladd’sprocedure, where the diagnosis was confirmed, bands were resolved, and the bowel blood supply was restored. The surgery and postoperative period were uneventful. The patient became pain-free and was discharged home on the fourth postoperative day. To improve patient outcomes, physicians should practice a high suspicion index to confirmMGV in adult cases. |
| format | Article |
| id | doaj-art-95609c3b7f39432eac7305bd2ca29295 |
| institution | Kabale University |
| issn | 2790-0207 2790-0215 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | University of Kirkuk, College of Medicine, Kirkuk, Iraq |
| record_format | Article |
| series | Kirkuk Journal of Medical Sciences |
| spelling | doaj-art-95609c3b7f39432eac7305bd2ca292952024-12-02T18:31:53ZengUniversity of Kirkuk, College of Medicine, Kirkuk, IraqKirkuk Journal of Medical Sciences2790-02072790-02152024-10-01122667010.32894/kjms.2024.151198.1110184883A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case ReportWassan Nori0Muna Abdul Ghani Zghair1Emad Abdulkareem Hamdi2Aula Younis Khalid3Ammar Mohammed Khadhem4Alexandru Cosmin Pantazi5Department of Obstetrics and Gynecology, Faculty of Medicine, Mustansiriyah University, Baghdad, IraqDepartment of Radiology, Faculty of Medicine, Mustansiriyah University, Baghdad, Iraq.Department of Radiology, Al Yarmouk Teaching Hospital, Baghdad, Iraq.Department of Radiology, Al Yarmouk Teaching Hospital, Baghdad, IraqDepartment of Surgery, Al Yarmouk Teaching Hospital, Baghdad, IraqDepartment of Pediatrics, Faculty of Medicine, “Ovidius” University, 900470 Constanta, RomaniaMid-gut volvulus (MGV) frequently occurs in infancy and childhood and is rarely seen in adults. Here, we present a 23-year-old male who presented with abdominal pain and vomiting for one-week duration.The patient gave a long history of similar attacks in the past since the age of 16 years old, at a rate of 2-3/ attacks per year, which become more frequent in the last year. A laboratory workup was carried out, and an imaging study demonstrated a twisting of bowel loops around mesenteric vessels on ultrasound and intravenous-enhanced contrast computed tomography (CT scan). Whirlpool sign of midgut volvulus was seen on contrast CT scan. The patient underwent laparoscopic Ladd’sprocedure, where the diagnosis was confirmed, bands were resolved, and the bowel blood supply was restored. The surgery and postoperative period were uneventful. The patient became pain-free and was discharged home on the fourth postoperative day. To improve patient outcomes, physicians should practice a high suspicion index to confirmMGV in adult cases.https://kjms.uokirkuk.edu.iq/article_184883_21cbe05758e082110a2d05f05c60e24d.pdfmidgut volvulusladd’s procedurecomputed tomographywhirlpool signlaparoscopic |
| spellingShingle | Wassan Nori Muna Abdul Ghani Zghair Emad Abdulkareem Hamdi Aula Younis Khalid Ammar Mohammed Khadhem Alexandru Cosmin Pantazi A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report Kirkuk Journal of Medical Sciences midgut volvulus ladd’s procedure computed tomography whirlpool sign laparoscopic |
| title | A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report |
| title_full | A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report |
| title_fullStr | A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report |
| title_full_unstemmed | A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report |
| title_short | A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report |
| title_sort | rare presentation of adult volvulus successfully managed by laparoscopy a case report |
| topic | midgut volvulus ladd’s procedure computed tomography whirlpool sign laparoscopic |
| url | https://kjms.uokirkuk.edu.iq/article_184883_21cbe05758e082110a2d05f05c60e24d.pdf |
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