Duodenal Volvulus due to Duodenum Inversum

2021 ◽  
pp. 000313482110111
Author(s):  
Mario P. Zambito ◽  
Erik J Teicher
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Nonoperative Management ◽  
Acute Abdominal Pain ◽  
Abnormal Position ◽  
Ulcer Disease ◽  
The Third ◽  
Rare Congenital Disorder ◽  
Experience Pain

Duodenum inversum, or inverted duodenum, is a rare congenital disorder resulting in an abnormal position of the third and/or fourth portions of the duodenum. Most patients are asymptomatic, but others can experience pain, nausea, vomiting, peptic ulcer disease, pancreatitis, and even intestinal obstruction. In this case, we report a patient who presented with acute abdominal pain and vomiting. He was diagnosed with duodenal volvulus and obstruction due to duodenum inversum. After failing nonoperative management, the patient was successfully treated with surgical resection.

Surgery

2012 ◽  
pp. 503-532
Author(s):  
Jonathan P. Wyatt ◽  
Robin N. Illingworth ◽  
Colin A. Graham ◽  
Kerstin Hogg ◽  
Michael J. Clancy ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Peptic Ulcer Disease ◽  
Biliary Tract ◽  
Large Bowel ◽  
Ulcer Disease ◽  
P Retention

Approach to abdominal pain 504 Causes of acute abdominal pain 506 Acute appendicitis 507 Acute pancreatitis 508 Biliary tract problems 510 Peptic ulcer disease 511 Intestinal obstruction 512 Mesenteric ischaemia/infarction 514 Large bowel emergencies 516 Anorectal problems 518 Retention of urine 520 Testicular problems 522...

scholarly journals Intestinal obstruction caused by pericecal internal herniation

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Floris B Poelmann ◽  
Ewoud H Jutte ◽  
Jean Pierre E N Pierie
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Treatment Preference ◽  
Treatment Modalities ◽  
Internal Herniation ◽  
Lower Quadrant ◽  
Surgical History ◽  
The Right ◽  
Right Lower Quadrant

Abstract Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

scholarly journals Abdominal pain and diarrhoea in peptic ulcer disease

2021 ◽  
Author(s):  
Shweta Sharma ◽  
Rajesh Bhatia ◽  
Abhinav Vasudevan
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Peptic Ulcer Disease ◽  
Ulcer Disease

scholarly journals Double Perforated Kissing Ulcers of Duodenum: A Brief Report

2019 ◽  
Vol 103 (1-2) ◽  
pp. 36-39
Author(s):  
Tania Triantafyllou ◽  
Kokoroskos Nikolaos ◽  
Papailiou Joanna ◽  
Linardoutsos Dimitrios ◽  
Zografos Georgios ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Case Reports ◽  
Duodenal Ulcers ◽  
Ulcer Disease ◽  
Surgical Department ◽  
Helicobactor Pylori ◽  
Urgent Surgery ◽  
First Case ◽  
Chest X Ray

Helicobactor pylori infection has been associated with peptic ulcer disease and is currently treated with proton pump inhibitors (PPIs), which have reduced the complications of the disease. Perforation of either a gastric or duodenal ulcer is rarely treated with surgery. We report the case of double-perforated synchronous duodenal ulcers, which is an extremely infrequent condition. To our knowledge, no English case reports have yet been published. Therefore, awareness of the physician in the field of diagnosis and treatment of this peptic ulcer is required. We report the case of a 46-year-old male patient who presented with acute abdominal pain at the emergency surgical department of our hospital. According to patient history, smoking, alcohol consumption, and frequent postprandial abdominal pain were noted. A physical examination revealed a rigid abdomen and tachycardia, and the temperature was 37.8°C. Laboratory testing showed increased levels of leukocytes, and free subdiaphragmatic air was found in the chest X-ray. Due to rapid deterioration of his clinical condition, the patient underwent urgent surgery. An explorative laparotomy showed 2 perforated kissing ulcers at the first segment of the duodenum, in the anterior and posterior walls. A peripheral gastrectomy was performed. Postoperative follow-up did not result in any complications. In regard to this case we present, simultaneous perforation of two synchronous duodenal ulcers is an uncommon but possible incident of which the clinician should be aware. To our knowledge, this is the first case published in the literature.

Exploring the evidence-practice gap in the use of plain radiography for acute abdominal pain and intestinal obstruction

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Gary Denham ◽  
Tony Smith ◽  
Daphne James ◽  
Sharmaine McKiernan ◽  
Tiffany-Jane Evans
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Plain Radiography ◽  
Practice Gap

scholarly journals Clinical Characteristics of Patients Diagnosed as Peptic Ulcer Disease in the Third Referral Center in 2007

2012 ◽  
Vol 59 (5) ◽  
pp. 338 ◽  
Author(s):  
Jin Joo Kim ◽  
Nayoung Kim ◽  
Hyun Kyung Park ◽  
Hyun Jin Jo ◽  
Cheol Min Shin ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Clinical Characteristics ◽  
Ulcer Disease ◽  
Referral Center ◽  
The Third

Acute Chylous Ascites with Carcinoid of the Pancreas

1985 ◽  
Vol 30 (2) ◽  
pp. 111-111 ◽  
Author(s):  
J. S. Varma
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Chylous Ascites ◽  
Neoplastic Disease

Acute chylous ascites is of idiopathic origin in 50 per cent of cases, the remainder being accounted for by trauma and intestinal obstruction (1). It usually presents with acute abdominal pain. Neoplastic disease is much more common in chronic cases, and lymphomas comprise about half of these (2). Chronic chylous ascites usually presents without pain but with inanition and hypoproteinaemia. This report describes acute chylous ascites following trauma in a patient who was subsequently found to have a pancreatic carcinoid, the lymphangiographic findings being of particular interest.

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