Small bowel volvulus with malrotation

Case contributed by Dr Maxime St-Amant

Presentation

Acute abdominal pain.

Patient Data

Age: 42
Gender: Male

This is a rare case of malrotation with proximal small bowel volvulus (whirlpool sign) & associated intestinal occlusion in an adult patient. This patient actually had intermittent abdominal pain for a few months, and the obstruction looks chronic / sub-obstructive since per os contrast migrated normally in the distal small bowel.

Most of the small bowel is located to the right and large bowel to the left, even though the transverse colon crosses the midline to the right. The relation between the superior mesenteric artery & vein is abnormal, the latter being located to the left proximally - it is swirling after.

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Case information

rID: 18931
Case created: 28th Jul 2012
Last edited: 22nd Dec 2016
Inclusion in quiz mode: Included

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