Small bowel volvulus as an unusual presentation of intestinal obstruction
Keywords:
acute abdomen, abdominal pain, intestinal obstruction, intestinal volvulus.Abstract
Introduction: Among the rare causes of intestinal obstruction is small intestine volvulus, which consists of an abnormal twisting of the intestine around its own mesentery axis, which causes a mechanical obstruction of the intestine.Objective: To describe the semiography of small intestine volvulus in an elderly patient.
Clinical case: 62-year-old male patient, admitted to the surgery ward, due to abdominal pain, intermittent colic type, with an evolution of 72 hours; In addition, he presents abdominal distention, nausea and vomiting. With the clinical picture, plus complementary examinations, mechanical intestinal occlusion is confirmed, caused by a volvulus of the small intestine. Five days after undergoing surgery, it was complicated by intestinal perforation due to necrosis of the loop.
Conclusions: Due to its atypical presentation and serious complications, an accurate diagnosis and urgent treatment are required for patients with small intestine volvulus, since it puts life at risk
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References
2. Soler-Vaillant R, Galiano-Gil JM, Lemus-Díaz O. Abdomen agudo quirúrgico. En: Soler-Vaillant R, Mederos-Curbelo ON. Afecciones quirúrgicas frecuentes. 1ra Ed. Tomo II. La Habana: Editorial de Ciencias Médicas; 2018. p.339-62.
3. Asunción F, Rodríguez M, Lorenzo F, Cazares A, Bosques D, Padón M. Caracterización de pacientes mayores de 60 años operados por oclusión intestinal mecánica. Revista Cubana de Tecnología de la Salud. 2019 [acceso: 21/08/2023]; 10(3):2-4. Disponible en: https://ciencialatina.org/index.php/cienciala/article/xiew/3044/4463
4. Campos-Muñoz M, Rodríguez-García M, Chacón-Reyes OD, Rodríguez-Campos DC, Castañeda-Urdaneta FA. Caso infrecuente de oclusión intestinal por vólvulo de íleon. Rev Cub Med Mil. 2020 [acceso: 21/08/2023]; 49(4):e519. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S013865572020000400029&lng=es
5. Gingold D, Murrell Z. Management of colonic volvulus. Clin Colon Rectal Surg. 2012 [acceso: 21/08/2023]; 25(4):236-44. Disponible en: http://dx.doi.org/10.1055/s-0032-1329535
6. Hidalgo-Romero CH, Adrián-Cajas AJ, Yepez-Vera AC, Quiros-Rumbea CJ. Volvulus intestinal. RECIAMUC. 2020 [acceso: 21/08/2023];4(4):94-01. Disponible en: https://reciamuc.com/index.php/RECIAMUC/article/view/568
7. Paredes-Medina SA, Andrade-Salinas RP. Revisión bibliográfica sobre isquemia mesentérica aguda: clasificación, diagnóstico y manejo actual. Ciencia Latina. 2023 [acceso: 21/08/2023];7(1):2979-92. Disponible en: https://ciencialatina.org/index.php/cienciala/article/view/4638
8. Soler-Villant R, Mederos-Curbelo ON. Cirugía. Afecciones quirúrgicas del tubo digestivo y de la región sacrococcígea. 1ra Edición. Tomo IV. La Habana: Editorial de Ciencias Médicas; 2018. [acceso: 21/08/2023]. Disponible en: http//:www.buscuba.sld.cu/libro/cirugía-tomo-iv-afecciones-quirúrgicas-del-tubo-digestivo-y-de-la-región-sacrococcígea/
9. Rodríguez-Rodríguez I, Martín-González MA, Mederos-Curbelo ON. Afecciones quirúrgicas del intestino delgado. En: Soler-Villant R, Mederos-Curbelo ON. Afecciones quirúrgicas del tubo digestivo y de la región sacrococcígea. 1ra Edición. Tomo IV. La Habana: Editorial de Ciencias Médicas; 2018. [acceso: 21/08/2023]. p.203-47.
10. Tamayo-Rodríguez ZM, Pérez-Páez T. Íleo biliar. Informe de caso. 2021 [acceso: 21/08/2023]; 60(280):942. Disponible en: http://www.rev16deabril.sld.cu/index.php/16_04/article/view/942
11. Valdés-Blanco M, Cabrera-Nico A, Rodríguez- Venegas EC, Denis-Piedra DA, Valdés-Guerrero R. Caracterización clínico-quirúrgica de pacientes con diagnóstico de invaginación intestinal. 2020 [acceso: 21/08/2023]; 60(279):1100. Disponible en: http://www.rev16deabril.sld.cu/index.php/16_04/article/view/1100
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