scholarly journals Case Report: An unusual case of small bowel volvulus associated with pneumatosis intestinalis

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 951
Author(s):  
Alia Zouaghi ◽  
Dhafer Hadded ◽  
Mesbahi Meryam ◽  
Yazid Benzarti ◽  
Mona Cherif ◽  
...  

Pneumatosis cystoid intestinalis is a rare disease reported in the literature affecting 0.03% of the population. It has a variety of causes and its manifestation may change widely. It usually presents as a marginal finding resulting from various gastrointestinal pathologies. In the acute complicated form of pneumatosis intestinalis, management is challenging for physicians and surgeons. We present a case of a 60-year-old patient who was admitted to our surgical department with a symptomatology suggestive of small bowel occlusion. Computed tomography demonstrated ileal volvulus associated with parietal signs suffering and pneumoperitoneum. An emergent exploratory laparoscopy followed by conversion was performed demonstrating segmental ileal pneumatosis intestinalis secondary to a small bowel volvulus due to an inflammatory appendix wrapping around the distal ileum. Further, detorsion, retrograde draining, and appendectomy were performed because there were no signs of necrosis and the appendix was pathological. The postoperative course was uneventful. This case is exceedingly rare in the literature, because it was featured by the ileal volvulus due to appendicitis.This case report emphasizes the importance of surgical procedures in the management of symptomatic pneumatosis intestinalis.

2021 ◽  
Author(s):  
Alia Zouaghi ◽  
Dhafer Hadded ◽  
meryam Mesbahi ◽  
Y Benzarti ◽  
M Cherif ◽  
...  

Abstract INTRODUCTION: Pneumatosis cystoid intestinalis (PCI) is a rare disease reported in the literature affecting 0.03% of the population. It has a variety of causes and its manifestation may change widely. In the acute complicated form of pneumatosis intestinalis, management is challenging for physicians and surgeons. CASE PRESENTATION: We present a case of a 60-year-old patient who was admitted to our surgical department with a symptomatology suggestive of small bowel occlusion. Computed tomography demonstrated ileal volvulus associated with parietal signs suffering and pneumoperitoneum. An emergent exploratory laparoscopy followed by conversion was performed demonstrating segmental ileal pneumatosis intestinalis secondary to a small bowel volvulus due to an inflammatory appendix wrapping around the distal ileum. Detorsion, retrograde draining, and appendectomy were performed. DISCUSSION: PCI is an uncommon disease, affecting 0.03% of the population. It is usually presenting as a marginal finding resulting from various gastrointestinal pathologies. This case is exceedingly rare in the literature, featured by the ileal volvulus due to appendicitis.CONCLUSION: This work emphasizes the importance of surgical procedures in the management of symptomatic pneumatosis intestinalis.


2018 ◽  
Vol 7 (50) ◽  
pp. 5400-5401
Author(s):  
Shrijit Kumar ◽  
Hemendra Singh ◽  
Yogesh Jhamb ◽  
Kaza R. C. M ◽  
Aditya Arya

Cureus ◽  
2017 ◽  
Author(s):  
Tushar Patial ◽  
Sahil Chaddha ◽  
Namit Rathore ◽  
Vishal Thakur

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Giovanni Terrosu ◽  
Vittorio Cherchi ◽  
Umberto Baccarani ◽  
Gian Luigi Adani ◽  
Dario Lorenzin ◽  
...  

In this case report, we share our experience with an emerging complication in laparoscopic surgery caused by the use of barbed sutures for an off-label indication. We describe a postoperative volvulus caused by the adhesion of the small bowel and V-Loc suture after a ventral laparoscopic rectopexy in a 48-year-old female patient. We also suggest cutting flush the end of the V-Loc and extending the follow-up of these patients.


2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Mahmoud Al-Najjar ◽  
Thomas Arthur

Ingestion of a foreign body is a rare cause of small bowel obstruction. Ingested foreign bodies will usually pass without clinical sequelae, however on occasion can contribute to significant morbidity. Here we present an unusual case of small bowel obstruction and perforation as a result of accidental ingestion of a nectarine pit.


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