Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report

Introduction: Emergency department (ED) visits related to flare-ups of inflammatory bowel disease (IBD) are becoming more prevalent. There are many potentially dangerous complications and sequelae of uncontrolled IBD. Case Report: We report a case of a middle-aged woman who presented with a few hour...

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Autores principales:	Minh Thu T. Nguyen, Amir Ali, Ryan P. Bodkin
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/420e1f968c9349539b90005ccb3c7f67
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spelling	oai:doaj.org-article:420e1f968c9349539b90005ccb3c7f672021-11-23T20:02:52ZSmall Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report2474-252X10.5811/cpcem.2021.8.53524https://doaj.org/article/420e1f968c9349539b90005ccb3c7f672021-11-01T00:00:00Zhttps://escholarship.org/uc/item/550815crhttps://doaj.org/toc/2474-252XIntroduction: Emergency department (ED) visits related to flare-ups of inflammatory bowel disease (IBD) are becoming more prevalent. There are many potentially dangerous complications and sequelae of uncontrolled IBD. Case Report: We report a case of a middle-aged woman who presented with a few hours of severe abdominal pain, nausea, and vomiting. Given her hemodynamic instability, she was sent urgently for computed tomography, which showed an incomplete small bowel malrotation, mesenteric volvulus, and high-grade small bowel obstruction with evolving ischemia. The patient underwent exploratory laparotomy to resect most of her small intestines. Biopsies later revealed active Crohn’s disease. Conclusion: Patients with flare-ups of IBD are common in the ED, but very few present with a midgut volvulus later in life. Our case is unique and adds to the literature due to the dramatic consequences of undiagnosed Crohn’s disease in a patient with intermittent symptoms and extensive workup spanning over two decades.Minh Thu T. NguyenAmir AliRyan P. BodkineScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Minh Thu T. Nguyen Amir Ali Ryan P. Bodkin Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report
description	Introduction: Emergency department (ED) visits related to flare-ups of inflammatory bowel disease (IBD) are becoming more prevalent. There are many potentially dangerous complications and sequelae of uncontrolled IBD. Case Report: We report a case of a middle-aged woman who presented with a few hours of severe abdominal pain, nausea, and vomiting. Given her hemodynamic instability, she was sent urgently for computed tomography, which showed an incomplete small bowel malrotation, mesenteric volvulus, and high-grade small bowel obstruction with evolving ischemia. The patient underwent exploratory laparotomy to resect most of her small intestines. Biopsies later revealed active Crohn’s disease. Conclusion: Patients with flare-ups of IBD are common in the ED, but very few present with a midgut volvulus later in life. Our case is unique and adds to the literature due to the dramatic consequences of undiagnosed Crohn’s disease in a patient with intermittent symptoms and extensive workup spanning over two decades.
format	article
author	Minh Thu T. Nguyen Amir Ali Ryan P. Bodkin
author_facet	Minh Thu T. Nguyen Amir Ali Ryan P. Bodkin
author_sort	Minh Thu T. Nguyen
title	Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report
title_short	Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report
title_full	Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report
title_fullStr	Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report
title_full_unstemmed	Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report
title_sort	small bowel volvulus as delayed presentation of undiagnosed crohn’s disease: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/420e1f968c9349539b90005ccb3c7f67
work_keys_str_mv	AT minhthutnguyen smallbowelvolvulusasdelayedpresentationofundiagnosedcrohnsdiseaseacasereport AT amirali smallbowelvolvulusasdelayedpresentationofundiagnosedcrohnsdiseaseacasereport AT ryanpbodkin smallbowelvolvulusasdelayedpresentationofundiagnosedcrohnsdiseaseacasereport
_version_	1718416089375834112

Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report

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