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At least 127 records · Page 7Linked to original sources

Clinics in diagnostic imaging (105): Sigmoid volvulus causing intestinal obstruction, with successful endoscopic decompression.

An 89-year-old woman was admitted for intestinal obstruction. Her abdominal radiograph showed typical features of sigmoid volvulus. Decompression was done successfully through careful flexible sigmoidoscopy with minimum air insufflation. The patient's symptoms were relieved and she was discharged two days post-procedure. No recurrence was noted at extended follow-up. Rapid diagnosis and early decompression are key to optimal management of sigmoid volvulus.

Aged, 80 and over↗

Volvulus at the ileocaecal junction in germfree mice.

16 cases of intestinal volvulus were observed in a total of 200 inbred C57BL/6N, GR/N, and DBA/2N germfree mice during the course of 2 years. The volvulus was a twisting of the caecum at the junction of the ileum, caecum and colon, resulting in occlusion and death. In each case the caecum was greatly enlarged. During the same period no intestinal volvulus was seen in 5 other germfree strains or in F1 to F4 generations of identical strains of microflora-associated and conventionalized mice.

Animals↗

Occurrence of volvulus with intestinal obstruction after ventriculo-peritoneal CSF diversion: a case report.

This paper presents a four-year-old Nigerian male child who developed volvulus of the small intestine three years after the successful establishment of ventriculo-peritoneal shunt for his hydrocephalus. There is only one other report in the literature of this complication. In view of the increasing use of ventriculo-peritoneal CSF diversion for hydrocephalus, it is necessary to be aware of the rare and unusual cause of an acute abdomen.

Cerebrospinal Fluid Shunts↗

Delayed diagnosis of bowel infarction secondary to maternal midgut volvulus at term.

BACKGROUND: Intestinal volvulus is responsible for 25% of acute bowel obstructions in pregnant women but only 3-5% in nonpregnant patients. Pregnancy may hinder early diagnosis. CASE: A woman in early labor subsequently developed hypotension and a nonreassuring fetal heart rate tracing. Emergency cesarean was performed and a live infant was born. At surgery, the patient was noted to have ascites, necrotic bowel, and a congenital gut malrotation with a complete midgut volvulus. Several congenital peritoneal bands were lysed, the volvulus was reduced, and 184 cm of small bowel were resected. CONCLUSION: This patient represents a case of midgut volvulus with bowel infarction and necrosis secondary to congenital malrotation of the gut.

Adult↗

Intrauterine volvulus without malrotation associated with segmental absence of small intestinal musculature.

A case of intrauterine intestinal volvulus without malrotation is presented, and 9 other cases from the world literature are reviewed. Bloody diarrhea, bluish discoloration of the abdominal wall (Cullen's sign), and a tense abdomen in neonates suggest midgut volvulus requiring prompt surgical management. On pathological examination, the neck of the twisted bowel in this case showed a half-circle defect of the intestinal muscle. This suggests that a segmental defect of the intestinal musculature could be secondary to volvulus.

Female↗