Intestinal volvulus

Case contributed by Dr Maciej Mazgaj

Presentation

Acute pain in the paraumbilical region. No history of trauma. No inflammatory changes in blood check. No vomiting or fever. Normal stool few hours prior to the pain.

Patient Data

Age: Teenager
Gender: Female

Abdominal ultrasound

Modality: Ultrasound

Pending. 

Power doppler 3D study

Modality: Ultrasound

The image obtained by the 3D study clearly shows that the blood flow within mesenteric vessels is intact.

Case Discussion

The teenager girl showed up to an emergency department with the acute pain in paraumbilical region. All laboratory tests were negative. No vomits and fewer. Normal stools before.

Physical examination revealed painful abdomen centrally for palpation.

Abdominal ultrasound showed whirlpool sign with normal blood flow in mesenteric vessels, slightly thickened intestinal wall without peristalsis and slightly enlarged mesenteric lymph nodes.

The girl was observed in the hospital for few days. As the condition resolved spontaneously and no signs of ileus were found, the patient was discharged home.

PlayAdd to Share

Case Information

rID: 23913
Case created: 17th Jul 2013
Last edited: 1st Oct 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.