scholarly journals Non-Operatively Managed Primary Small Bowel Volvulus: A Case Report

2020 ◽  
Author(s):  
Biniam Ewnte
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Gastric Tube ◽  
Operative Management ◽  
Small Bowel Volvulus ◽  
Common Causes ◽  
Crampy Abdominal Pain ◽  
Non Operative Management ◽  
Per Oral ◽  
Primary Small Bowel

Abstract Background: Primary small intestinal volvulus is one of the common causes of intestinal obstruction in various localities of the developing world. Although operative intervention has been the usual mode of treatment; this case report depicts with meticulous follow-up & care, there is a possibility for relief of obstruction with non-operative management.Case presentation: This is a case report of a 20-year-old male patient presented with crampy abdominal pain and frequent bilious vomiting. Plain abdominal film showed multiple distended small bowel loops with air fluid level, consistent with small bowel obstruction. Ruling out other etiologies primary small bowel volvulus was entertained and naso-gastric tube inserted, patient catheterized and kept nil per oral. After 48 hours of admission all symptoms resolved the patient resumed feeding and was discharged home. Conclusions: The reported case shows evidence in which the pa­tient’s primary small bowel volvulus was relieved non-operatively with insertion of naso gastric tube keeping nil per oral.

scholarly journals Foodborne botulism presenting as small bowel obstruction: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alberto Friziero ◽  
Cosimo Sperti ◽  
Gianfranco Da Dalt ◽  
Nicola Baldan ◽  
Gianpietro Zanchettin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Food Poisoning ◽  
Operative Management ◽  
Life Saving ◽  
Non Operative Management ◽  
Foodborne Botulism

Abstract Background Small bowel obstruction is one of the leading reasons for accessing to the Emergency Department. Food poisoning from Clostridium botulinum has emerged as a very rare potential cause of small bowel obstruction. The relevance of this case report regards the subtle onset of pathognomonic neurological symptoms, which can delay diagnosis and subsequent life-saving treatment. Case presentation A 24-year-old man came to our Emergency Department complaining of abdominal pain, fever and sporadic self-limiting episodes of diplopia, starting 4 days earlier. Clinical presentation and radiological imaging suggested a case of small bowel obstruction. Non-operative management was adopted, which was followed by worsening of neurological signs. On specifically questioning the patient, we discovered that his parents had experienced similar, but milder symptoms. The patient also recalled eating home-made preserves some days earlier. A clinical diagnosis of foodborne botulism was established and antitoxin was promptly administered with rapid clinical resolution. Conclusions Though very rare, botulism can mimic small bowel obstruction, and could be associated with a rapid clinical deterioration if misdiagnosed. An accurate family history, frequent clinical reassessments and involvement of different specialists can guide to identify this unexpected diagnosis.

scholarly journals Non‐operative management of primary omental torsion, a case report and literature review

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Mohammed S. Foula ◽  
Mohammed Sharroufna ◽  
Zahra H. Alshammasi ◽  
Omar S. Alothman ◽  
Bayan A. Almusailh ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Operative Management ◽  
Omental Torsion ◽  
Non Operative Management

Primary small bowel volvulus: surgical treatment dilemma

2018 ◽  
Vol 89 (11) ◽  
pp. 1521-1523 ◽  
Author(s):  
Adrian Tam ◽  
Jenny Phong ◽  
Charles Yong
Keyword(s):  
Surgical Treatment ◽  
Small Bowel ◽  
Small Bowel Volvulus ◽  
Primary Small Bowel
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