- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
A Rare Presentation of Adult Volvulus Successfully Managed by Laparoscopy: A Case Report | ||
| Kirkuk Journal of Medical Sciences | ||
| Volume 12, Issue 2, October 2024, Pages 66-70 PDF (2.66 M) | ||
| Document Type: Case Report | ||
| DOI: 10.32894/kjms.2024.151198.1110 | ||
| Authors | ||
| Wassan Nori* 1; Muna Abdul Ghani Zghair2; Emad Abdulkareem Hamdi3; Aula Younis Khalid4; Ammar Mohammed Khadhem5; Alexandru Cosmin Pantazi6 | ||
| 1Department of Obstetrics and Gynecology, Faculty of Medicine, Mustansiriyah University, Baghdad, Iraq | ||
| 2Department of Radiology, Faculty of Medicine, Mustansiriyah University, Baghdad, Iraq. | ||
| 3Department of Radiology, Al Yarmouk Teaching Hospital, Baghdad, Iraq. | ||
| 4Department of Radiology, Al Yarmouk Teaching Hospital, Baghdad, Iraq | ||
| 5Department of Surgery, Al Yarmouk Teaching Hospital, Baghdad, Iraq | ||
| 6Department of Pediatrics, Faculty of Medicine, “Ovidius” University, 900470 Constanta, Romania | ||
| Abstract | ||
| Mid-gut volvulus (MGV) frequently occurs in infancy and childhood and is rarely seen in adults. Here, we present a 23-year-old male who presented with abdominal pain and vomiting for one-week duration. The patient gave a long history of similar attacks in the past since the age of 16 years old, at a rate of 2-3/ attacks per year, which become more frequent in the last year. A laboratory workup was carried out, and an imaging study demonstrated a twisting of bowel loops around mesenteric vessels on ultrasound and intravenous-enhanced contrast computed tomography (CT scan). Whirlpool sign of midgut volvulus was seen on contrast CT scan. The patient underwent laparoscopic Ladd’s procedure, where the diagnosis was confirmed, bands were resolved, and the bowel blood supply was restored. The surgery and postoperative period were uneventful. The patient became pain-free and was discharged home on the fourth postoperative day. To improve patient outcomes, physicians should practice a high suspicion index to confirm MGV in adult cases. | ||
| Keywords | ||
| Midgut volvulus; Ladd’s procedure; Computed tomography; Whirlpool sign; laparoscopic | ||
|
Statistics Article View: 550 PDF Download: 192 |
||