Primary Segmental Small Bowel Volvulus in an Adolescent Female

Small bowel volvulus is a rare but important cause of abdominal pain and small bowel obstruction in children and adults. In the neonate, small bowel volvulus is a well-known complication of malrotation. Segmental small bowel volvulus is a lesser-known condition, which occurs in children and adults a...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Friederike Heidtmann, Felicitas Eckoldt, Hans-Joachim Mentzel, Ilmi Alhussami
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	abdominal pain small bowel obstruction segmental small bowel volvulus Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/dea1cefcbbc342e9a48e521a8d41c2d6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:dea1cefcbbc342e9a48e521a8d41c2d6
record_format	dspace
spelling	oai:doaj.org-article:dea1cefcbbc342e9a48e521a8d41c2d62021-11-25T01:51:08ZPrimary Segmental Small Bowel Volvulus in an Adolescent Female2194-76192194-762710.1055/s-0041-1735808https://doaj.org/article/dea1cefcbbc342e9a48e521a8d41c2d62021-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735808https://doaj.org/toc/2194-7619https://doaj.org/toc/2194-7627Small bowel volvulus is a rare but important cause of abdominal pain and small bowel obstruction in children and adults. In the neonate, small bowel volvulus is a well-known complication of malrotation. Segmental small bowel volvulus is a lesser-known condition, which occurs in children and adults alike and can rapidly progress to bowel ischemia. Primary segmental small bowel volvulus occurs in the absence of rotational anomalies or other intraabdominal lesions and is rare in Europe and North America. Clinical presentation can be misleading, causing a delay in diagnosis and treatment, in which case the resection of necrotic bowel may become necessary. We report on a 14-year-old girl who presented with severe colicky abdominal pain but showed no other signs of peritoneal irritation or bowel obstruction. An emergency magnetic resonance imaging was highly suspicious for small bowel volvulus. Emergency laparotomy revealed a 115 cm segment of strangulated distal ileum with no underlying pathology. We performed a detorsion of the affected bowel segment. Despite the initial markedly ischemic appearance of the affected bowel segment, the patient achieved full recovery without resection of bowel becoming necessary.Friederike HeidtmannFelicitas EckoldtHans-Joachim MentzelIlmi AlhussamiGeorg Thieme Verlag KGarticleabdominal painsmall bowel obstructionsegmental small bowel volvulusPediatricsRJ1-570SurgeryRD1-811ENEuropean Journal of Pediatric Surgery Reports, Vol 09, Iss 01, Pp e76-e79 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	abdominal pain small bowel obstruction segmental small bowel volvulus Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	abdominal pain small bowel obstruction segmental small bowel volvulus Pediatrics RJ1-570 Surgery RD1-811 Friederike Heidtmann Felicitas Eckoldt Hans-Joachim Mentzel Ilmi Alhussami Primary Segmental Small Bowel Volvulus in an Adolescent Female
description	Small bowel volvulus is a rare but important cause of abdominal pain and small bowel obstruction in children and adults. In the neonate, small bowel volvulus is a well-known complication of malrotation. Segmental small bowel volvulus is a lesser-known condition, which occurs in children and adults alike and can rapidly progress to bowel ischemia. Primary segmental small bowel volvulus occurs in the absence of rotational anomalies or other intraabdominal lesions and is rare in Europe and North America. Clinical presentation can be misleading, causing a delay in diagnosis and treatment, in which case the resection of necrotic bowel may become necessary. We report on a 14-year-old girl who presented with severe colicky abdominal pain but showed no other signs of peritoneal irritation or bowel obstruction. An emergency magnetic resonance imaging was highly suspicious for small bowel volvulus. Emergency laparotomy revealed a 115 cm segment of strangulated distal ileum with no underlying pathology. We performed a detorsion of the affected bowel segment. Despite the initial markedly ischemic appearance of the affected bowel segment, the patient achieved full recovery without resection of bowel becoming necessary.
format	article
author	Friederike Heidtmann Felicitas Eckoldt Hans-Joachim Mentzel Ilmi Alhussami
author_facet	Friederike Heidtmann Felicitas Eckoldt Hans-Joachim Mentzel Ilmi Alhussami
author_sort	Friederike Heidtmann
title	Primary Segmental Small Bowel Volvulus in an Adolescent Female
title_short	Primary Segmental Small Bowel Volvulus in an Adolescent Female
title_full	Primary Segmental Small Bowel Volvulus in an Adolescent Female
title_fullStr	Primary Segmental Small Bowel Volvulus in an Adolescent Female
title_full_unstemmed	Primary Segmental Small Bowel Volvulus in an Adolescent Female
title_sort	primary segmental small bowel volvulus in an adolescent female
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/dea1cefcbbc342e9a48e521a8d41c2d6
work_keys_str_mv	AT friederikeheidtmann primarysegmentalsmallbowelvolvulusinanadolescentfemale AT felicitaseckoldt primarysegmentalsmallbowelvolvulusinanadolescentfemale AT hansjoachimmentzel primarysegmentalsmallbowelvolvulusinanadolescentfemale AT ilmialhussami primarysegmentalsmallbowelvolvulusinanadolescentfemale
_version_	1718414726698893312

Primary Segmental Small Bowel Volvulus in an Adolescent Female

Ejemplares similares