Infrequent case of intestinal occlusion due to ileum volvulus
Keywords:
intestinal occlusion, small intestine volvulus, ileum volvulus.Abstract
Introduction: Mechanical intestinal occlusion is a common disease in surgical services, however small bowel volvulus is one of its rare causes.Objectives: To describe the clinical characteristics of a case of intestinal occlusion due to ileum volvulus.
Clinical case: A 63-year-old male patient, with a history of ethylism and chronic pancreatitis, for which he did not have regular treatment. He went to emergency due to abdominal pain of approximately 24 hours of evolution. He presented two vomits with food debris, without fever or other symptoms of interest. Semiotechnically the pain was maintained, diffuse throughout the abdomen, intense, stabbing, it was not relieved with analgesics. No other accompanying symptoms. Laboratory and imaging studies were performed, the results were suggestive of an occlusive and/or perforative syndrome. Surgical treatment was decided, an intestinal occlusion was diagnosed by ileum volvulus.
Conclusions: The diagnosis of the small intestine volvulus requires a high index of suspicion, due to the infrequent occurrence in the adult. Image findings are useful in early diagnosis. The treatment is eminently surgical; Intestinal resection of the affected segment is imposed as long as the intestinal tissue is not viable.
Downloads
Download data is not yet available.
References
1. D. Gingold, Z. Murrell. Management of colonic volvulus. Clin Colon Rectal Surg. 2012 [acceso: 10/01/2019];25(4):236-44. Disponible en: https://dx.doi.org/10.1055/s-0032-1329535
2. Chakma SM, Singh RL, Parmekar MV. Ileosigmoid knot-A surgeon's nightmare. J Clin Diagn Res. 2013 [acceso: 02/01/2019];7(12):2986-7. Disponible en: https://dx.doi.org/10.7860/JCDR/2013/5758.3819
3. Feuerstein JD, White N, Berzin TM. Pneumatosis intestinalis with a focus on hyperbaric oxygen therapy. Mayo Clin Proc. 2014 [acceso: 22/11/2018];89(5):697-703. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0S0025619614001499?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%-2FS0025619614001499%-3Fshowall%3Dtrue&referrer=https:%2F%2Fwww.ncbi.nlm.nih.gov%2F
4. Rao SS, Rattanakovit K, Patcharatrakul. T. Diagnosis and management of chronic constipation in adults. Nat Rev Gastroenterol Hepatol. 2016[acceso: 15/12/2018]; 13(5):295 Disponible en: https://www.nature.com/articles/nrgastro.2016.53
5. Kaya B, Celik K, Karip AB, Altun H, OzbayÖzel N, Bat O, et al. Pneumatosis cystoides intestinal is mimickin acute abdomen. Turk J Gastroenterol. 2014[acceso: 10/02/2019];25(4):426-8. Disponible en: https://www.researchgate.net/publication/266153252
6. Chang CY, Marzan KA. Benign pneumatosis intestinalis in a pediatric patient with multiple risk factors including granulomatosis with polyangiitis: a case report and review of the literature. Semin Arthritis Rheum. 2015[acceso: 13/03/2019];44(4):423-7. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0049017214002467?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS00490-17214002467%3Fshowall%3Dtrue&referrer=https:%2F%2Fwww.ncbi.nlm.nih.gov%2F
7. Katis PG, Dias SM. Volvulus: a rare twist on small bowel obstruction. CMAJ. 2004 [acceso: 15/03/2019];171(7):728. Disponible en: https://www.cmaj.ca/content/cmaj/171/7/728.full.pdf
8. Dhatt HS, Behr SC, Miracle A, Wang ZJ, Yeh BM. Radiological evaluation of bowel ischemia. Radiol Clin North Am. 2015[acceso: 02/12/18];53(6):1241-54. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4633709/
9. Beck DE, Wexner S D, Hull PL. The ACRS Manual of Colon and Rectal Surgery. 2° ed. New York: Editorial Springer. 2014[acceso: 20/04/2019]. Disponible en: https://medfinis.cl/img/manuales/volvulosgastrointestinales
10. Y.C. Ho. Venous cut-off sign as an adjunct to the whirl sign in recognizing acute small bowel volvulus via CT scan. J Gastrointestinal Surg. 2012[acceso 20/04/2019];16:2005-6. Disponible en: https://dx.doi.org/10.1007/s11605-012-1910-x
2. Chakma SM, Singh RL, Parmekar MV. Ileosigmoid knot-A surgeon's nightmare. J Clin Diagn Res. 2013 [acceso: 02/01/2019];7(12):2986-7. Disponible en: https://dx.doi.org/10.7860/JCDR/2013/5758.3819
3. Feuerstein JD, White N, Berzin TM. Pneumatosis intestinalis with a focus on hyperbaric oxygen therapy. Mayo Clin Proc. 2014 [acceso: 22/11/2018];89(5):697-703. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0S0025619614001499?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%-2FS0025619614001499%-3Fshowall%3Dtrue&referrer=https:%2F%2Fwww.ncbi.nlm.nih.gov%2F
4. Rao SS, Rattanakovit K, Patcharatrakul. T. Diagnosis and management of chronic constipation in adults. Nat Rev Gastroenterol Hepatol. 2016[acceso: 15/12/2018]; 13(5):295 Disponible en: https://www.nature.com/articles/nrgastro.2016.53
5. Kaya B, Celik K, Karip AB, Altun H, OzbayÖzel N, Bat O, et al. Pneumatosis cystoides intestinal is mimickin acute abdomen. Turk J Gastroenterol. 2014[acceso: 10/02/2019];25(4):426-8. Disponible en: https://www.researchgate.net/publication/266153252
6. Chang CY, Marzan KA. Benign pneumatosis intestinalis in a pediatric patient with multiple risk factors including granulomatosis with polyangiitis: a case report and review of the literature. Semin Arthritis Rheum. 2015[acceso: 13/03/2019];44(4):423-7. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0049017214002467?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS00490-17214002467%3Fshowall%3Dtrue&referrer=https:%2F%2Fwww.ncbi.nlm.nih.gov%2F
7. Katis PG, Dias SM. Volvulus: a rare twist on small bowel obstruction. CMAJ. 2004 [acceso: 15/03/2019];171(7):728. Disponible en: https://www.cmaj.ca/content/cmaj/171/7/728.full.pdf
8. Dhatt HS, Behr SC, Miracle A, Wang ZJ, Yeh BM. Radiological evaluation of bowel ischemia. Radiol Clin North Am. 2015[acceso: 02/12/18];53(6):1241-54. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4633709/
9. Beck DE, Wexner S D, Hull PL. The ACRS Manual of Colon and Rectal Surgery. 2° ed. New York: Editorial Springer. 2014[acceso: 20/04/2019]. Disponible en: https://medfinis.cl/img/manuales/volvulosgastrointestinales
10. Y.C. Ho. Venous cut-off sign as an adjunct to the whirl sign in recognizing acute small bowel volvulus via CT scan. J Gastrointestinal Surg. 2012[acceso 20/04/2019];16:2005-6. Disponible en: https://dx.doi.org/10.1007/s11605-012-1910-x
Published
2020-10-06
How to Cite
1.
Campos Muñoz M, Rodriguez Garcia M, Chacon Reyes OD, Rodriguez Campos DD la C, Castañeda Urdaneta FA. Infrequent case of intestinal occlusion due to ileum volvulus. Rev Cubana Med Milit [Internet]. 2020 Oct. 6 [cited 2025 Jul. 1];49(4):e0200519. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/519
Issue
Section
Case Presentation
License
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.
