Midgut Sonuç |
Midgut
volvulus is a rare malrotation caused by a rotation of the small intestine
mesentery root around the superios mesenteric artery. It is seen mostly in
infants and rarely in adults. In this case report we experienced aa 19-year old
man who had central abdominal pain for 6 hours. He had a history of explorative
laparatomy because of stabbing injury about two months ago. Physical examination
showed common defence and tenderness.
The
laboratory tests were in normal range except increased white blood cells which
was 12,000. Chest radiography showed suspected abnormal presence of air in the
left diaphragm. Since the abdominal ultrasonography was normal, the patient
went through the abdominal computed tomography which showed mesenteric volvulus
of 300 degree abnormal rotation between inferior pancreas and iliac
bifurcation. The patient was taken to the operation and malrotated mesentery
was detortioned after the evaluation of general surgery department, The patient
was externed three days after the operation.
As a result; midgut
volvulus should be considered in patients with acute abdominal pain and intestinal obstruction who had a history of abdominal
surgery. Early diagnosis and surgical intervention are key factors for good
prognosis in those patients.
Subjects | Health Care Administration |
---|---|
Journal Section | Review |
Authors | |
Publication Date | August 31, 2016 |
Submission Date | August 16, 2016 |
Published in Issue | Year 2016 |
Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.