Primary ileal volvulus: a rare twist in an elderly patient—case report

BMC Surgery

Srikant Agrawal¹  Ashwini Ranjan Yadav¹  Bikash Nepal¹  Pramod Kumar Upadhyay¹ 

[1] Department of General Surgery, Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal;

关键词: Ileum;    Volvulus;    Laparotomy;    Case report;   

DOI  :  10.1186/s12893-020-00901-w

来源: Springer

【 摘 要 】

BackgroundSmall bowel volvulus is a rare entity and it is even rarer for the ileum to undergo torsion without any known predisposing factors. It presents as acute abdomen with features of intestinal obstruction. As it is a life-threatening condition, it should be kept as a differential for small bowel obstruction despite its rarity. Therefore, we report this case.Case reportA 60-year-old gentleman presented to our emergency department with a 2-day history of worsening abdominal pain, vomiting, abdominal distension and obstipation. Exploratory laparotomy was done which revealed ileal volvulus with no predisposing factors. Derotation of the segment was done. The postoperative period was uneventful and on follow up after a month, he had a satisfying recovery.ConclusionThough primary ileal volvulus is a rare diagnosis, it should be kept in mind in any patient with small bowel obstruction with pain out of proportion and resistant to opioid management. Early diagnosis and urgent surgical intervention is the key to prevent bowel necrosis and associated morbidity and mortality.

【 授权许可】

CC BY