Three Cases of Primary Small Bowel Volvulus in Adults

• Waku Toshihiko

  Department of Surgery, Saijo Municipal Shuso Hospital

Bibliographic Information

Other Title

• 原発性小腸軸捻転症の3例

Abstract

Patients 1, 2, and 3 were admitted to our hospital because of abdominal pain. Abdominal CT studies showed ascites and a “whirl sign” in all cases, and sclerosis in the abdominal aorta in case 3. Emergency operations were performed under a diagnosis of strangulated small bowel obstruction, and the small intestine was found to be twisted in each of the cases. The color of the affected portion of the intestine was normalized by repositioning in cases 1 and 2, but in case 3, the distal ileum was strangulated and partial bowel necrosis was found, requiring bowel resection. No anatomical abnormalities capable of inducing the rotations were found in these three cases, and primary small bowel volvulus in adults was diagnosed. No single specific diagnostic clinical sign or abnormal laboratory finding was found, but the presence of a “Whirl sign” in each case was a specific diagnostic radiologic finding. The gangrenous small bowel associated with volvulus may have been caused by the degree of mesenteric artery twisting and arteriolar sclerosis.

Journal

• Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

  Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 27 (1), 95-97, 2007

  Japanese Society for Abdominal Emergency Medicine

Keywords

• Whirl sign

Details

• CRID: 1390001204734035072
• NII Article ID: 130004508578
• NII Article ID: 10018715635
• NII Book ID: AN10426469
• DOI: 10.11231/jaem.27.95
• ISSN: 18824781
• ISSN: 13402242
• Web Site: https://search.jamas.or.jp/link/ui/2007146716
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
  • Crossref
• Abstract License Flag: Disallowed