MIDGUT VOLVULUS WITHOUT MALROTATION - A RARE CAUSE OF OBSTRUCTION IN ADULTS

Dr M Partha Saradhi, Dr Mvvn Suresh Babu, Dr Vemula Abhilash

Abstract


Midgut volvulus is one of the rare cause of sub acute intestinal obstruction in adults. A 50 year old male presented in emergency with complains of pain all over the abdomen since 10 days. Associated with vomiting of food particles since 10days. X-ray abdomen erect shows dilated small bowel loops with multiple air-fluid levels. CT scan of abdomen showed whirlpool sign suggestive of volvulus. Intraoperative finding showed, nearly 4 twists of jejunal segment in anti-clock wise direction with diverticulum at 40cms proximal to the ileo-caecal junction .The segment was de-rotated in clockwise direction. The diverticulum is resected and end to end ileal anastamosis was done.

Keywords


Midgut volvulus, obstruction, CT scan

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References


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