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Journal of Medical Case Reports Dec 2022Fetal midgut volvulus is an uncommon yet potentially life-threatening condition. Prenatal diagnosis may pose a challenge, due to the paucity of specific signs and...
BACKGROUND
Fetal midgut volvulus is an uncommon yet potentially life-threatening condition. Prenatal diagnosis may pose a challenge, due to the paucity of specific signs and symptoms. Timely prenatal diagnosis of this condition is imperative to prevent fetal mortality and morbidity.
CASE PRESENTATION
We present a rare case report of fetal midgut volvulus, malrotation, and intestinal obstruction at 32 weeks of gestation in a 31-year-old multigravida Indian patient who presented with decreased fetal movements. Fetal ultrasound revealed midgut volvulus with proximal bowel obstruction and polyhydramnios. The patient underwent emergency surgery, which revealed intestinal malrotation and confirmed the diagnosis of midgut volvulus. Untwisting of the volvulus was done followed by Ladd's procedure. Follow-up postoperative ultrasound was unremarkable.
CONCLUSIONS
Delay in the diagnosis of fetal midgut volvulus leads to poor fetal and maternal outcomes. Hence, it is vital for radiologists, sonologists, and obstetricians to be aware of this condition while performing fetal sonography. Prompt diagnosis and surgical intervention are vital to reduce the morbidity and mortality associated with this condition.
Topics: Pregnancy; Female; Humans; Adult; Intestinal Volvulus; Prenatal Diagnosis; Intestinal Obstruction; Ultrasonography, Prenatal; Fetus
PubMed: 36575475
DOI: 10.1186/s13256-022-03720-0 -
Archives of Disease in Childhood Jun 2024
Topics: Humans; Intestinal Volvulus; Foreign Bodies; Magnets; Male; Female
PubMed: 38594050
DOI: 10.1136/archdischild-2024-326991 -
Journal of Pediatric Surgery Oct 2015Volvulus of the transverse colon is very rare in children. Three cases that occurred in a short time span are described and the scarce literature is reviewed. All... (Review)
Review
Volvulus of the transverse colon is very rare in children. Three cases that occurred in a short time span are described and the scarce literature is reviewed. All patients presented with colonic obstruction and in all three the condition was diagnosed at laparotomy, as CT-scanning is not an available option in either of the two institutions. The transverse colon had not become gangrenous but was resected after detorsion for redundancy. The postoperative course was complicated and relaparotomy had to be performed for reobstruction in all cases. Only if the 'reverse' bean sign is recognized on the preoperative plain abdominal radiograph this rare diagnosis can be suspected.
Topics: Adolescent; Child; Colon, Transverse; Colonic Diseases; Female; Humans; Intestinal Volvulus; Laparotomy; Male
PubMed: 26276121
DOI: 10.1016/j.jpedsurg.2015.06.013 -
The American Surgeon Dec 2023Sigmoid volvulus is a rare etiology of bowel obstruction in the pediatric population that can be easily misdiagnosed, leading to delayed treatment and potential...
Sigmoid volvulus is a rare etiology of bowel obstruction in the pediatric population that can be easily misdiagnosed, leading to delayed treatment and potential complications. Given that sigmoid volvulus is a common cause of bowel obstruction in the adult population and the significant lack of literature on its management in children, treatment strategies for pediatric patients often follow standardized protocols for adults. We report the case of a 15-year-old boy who presented with recurrent episodes of sigmoid volvulus over a 1-month period. Computed tomography demonstrated a sigmoid volvulus without evidence of ischemia or bowel infarction. Colonoscopy demonstrated a descending megacolon, and bowel transit studies demonstrated normal transit time. Acute episodes were managed conservatively with colonoscopic decompression. After a complete study, laparoscopic sigmoidectomy was performed. This work demonstrates the importance of early recognition and treatment of sigmoid volvulus in the pediatric population to limit recurrent episodes.
Topics: Male; Adult; Humans; Child; Adolescent; Intestinal Volvulus; Sigmoid Diseases; Intestinal Obstruction; Colonoscopy; Decompression, Surgical
PubMed: 36878189
DOI: 10.1177/00031348231160843 -
Pediatric Emergency Care Aug 2002
Review
Topics: Cecal Diseases; Child; Diagnosis, Differential; Female; Humans; Intestinal Volvulus; Radiography
PubMed: 12187139
DOI: 10.1097/00006565-200208000-00016 -
Archives of Iranian Medicine Feb 2023
Topics: Child; Humans; Down Syndrome; Intestinal Volvulus
PubMed: 37543932
DOI: 10.34172/aim.2023.18 -
The Canadian Veterinary Journal = La... Mar 2024To describe the findings, treatment, and outcome of small intestinal volvulus (SIV) in 47 cows.
OBJECTIVE
To describe the findings, treatment, and outcome of small intestinal volvulus (SIV) in 47 cows.
ANIMALS AND PROCEDURE
Retrospective analysis of medical records. Comparison of the findings for 18 surviving and 29 non-surviving cows.
RESULTS
The most common abnormal vital signs were tachycardia (68.0%), tachypnea (59.6%), and decreased rectal temperature (51.1%). Signs of colic occurred in 66.0% of cows in the study. Rumen motility was reduced or absent in 93.6% of cows, and intestinal motility in 76.6%. Clinical signs on ballottement and/or percussion and simultaneous auscultation were positive on the right side in 78.7% of cows. Transrectal examination showed dilated small intestines in 48.9% of cows. The rectum contained little or no feces in 93.6% of cows. The principal laboratory abnormalities were hypocalcemia (74.1%), hypokalemia (73.8%), azotemia (62.8%), hypermagnesemia (61.6%), and hemoconcentration (60.0%). The principal ultrasonographic findings were dilated small intestines (87.1%) and reduced or absent small intestinal motility (85.2%). Forty-one of the 47 cows underwent right flank laparotomy and the SIV was reduced in 21 cows. When comparing the clinical and laboratory findings of 18 surviving and 29 non-surviving cows, the groups differed significantly with respect to severely abnormal general condition (16.7 37.9%), rumen stasis (22.2 79.3%), intestinal atony (16.7 48.3%), serum urea concentration (6.5 9.8 mmol/L), and serum magnesium concentration (0.98 1.30 mmol/L). In summary, 38.3% of the cows were discharged and 61.7% were euthanized before, during, or after surgery.
CONCLUSION AND CLINICAL RELEVANCE
An acute course of disease, little or no feces in the rectum, and dilated small intestines were characteristic of SIV in this study population.
Topics: Humans; Female; Cattle; Animals; Pregnancy; Intestinal Volvulus; Retrospective Studies; Intestine, Small; Rectum; Feces; Magnesium; Cattle Diseases
PubMed: 38434172
DOI: No ID Found -
The Pan African Medical Journal 2014Caecal volvulus is an infrequent clinical condition caused by an axial twist of ascending colon, caecum and terminal ileum around the mesenteric pedicle. This article... (Review)
Review
Caecal volvulus is an infrequent clinical condition caused by an axial twist of ascending colon, caecum and terminal ileum around the mesenteric pedicle. This article presents the case of a 16-year old African male from Kenya who presented to the emergency department with acute onset right sided lower abdominal pain diagnosed intra-operatively as caecal volvulus. The rare nature of the condition, the need for a high index of suspicion and surgical management are highlighted.
Topics: Abdominal Pain; Adolescent; Cecal Diseases; Humans; Intestinal Volvulus; Kenya; Male
PubMed: 25452837
DOI: 10.11604/pamj.2014.17.92.3946 -
Clinical Gastroenterology and... Jul 2021
Topics: Humans; Intestinal Volvulus; Stomach Volvulus
PubMed: 32360807
DOI: 10.1016/j.cgh.2020.04.059 -
International Journal of Clinical... Apr 2009
Topics: Abdominal Pain; Aged; Cecal Diseases; Cecum; Colectomy; Diagnosis, Differential; Female; Humans; Intestinal Volvulus; Treatment Outcome
PubMed: 17343663
DOI: 10.1111/j.1742-1241.2006.00938.x