In-utero intestinal volvulus is a rare but potential life threatening foetal complications. It is a surgical emergency and delay in diagnosis or treatment can increase the morbidity and mortality to the foetus. We report a case of mild foetal bowel dilatation diagnosed at 21 weeks of gestation. She was closely follow up and at 31 weeks of gestation, in-utero intestinal volvulus was diagnosed with the characteristic ‘whirlpool’ sign on ultrasound examination. This case emphasises the importance of early recognition and quick decision to delivery when intestinal volvulus is diagnosed. This enabled early surgical intervention to prevent further foetal morbidity.
Intestinal Volvulus

No abstract available.
Colon, Sigmoid* ; Intestinal Volvulus*

No abstract available.
Intestinal Volvulus* ; Pregnancy*

No abstract available.
Aged* ; Humans ; Intestinal Volvulus* ; Vomiting*

Gastric volvulus can either present as an acute or chronic symptoms according to the degree of gastric rotation and subsequent obstruction. The diagnosis of gastric volvulus is often difficult and is mainly based on imaging studies. We describe a case of mesenteroaxial gastric volvulus associated with paraesophageal hernia, well demonstrated on upper gastrointestinal (UGI) series and coronal reconstructed CT image.
Diagnosis ; Hernia, Hiatal* ; Intestinal Volvulus* ; Stomach Volvulus ; Stomach*

Gastric volvulus is a rare surgical disorder in the pediatric population. We experienced a case of gastric volvulus. A 2-year-old boy was admitted to hospital with abdominal distension. An upper gastrointestinal series showed reversal of the greater and lesser curvatures. Surgical exploration revealed an organoaxial volvulus of the stomach, and anterior gastropexy was performed.
Child, Preschool ; Gastropexy ; Humans ; Intestinal Volvulus ; Male ; Stomach ; Stomach Volvulus*

Acute gastric volvulus requires emergency surgery, and a laparoscopic approach for both acute and chronic gastric volvulus was reported recently to give good results. The case of a 50-year-old patient with acute primary gastric volvulus who was treated by laparoscopic reduction and percutaneous endoscopic gastrostomy is described here. This approach seems to be feasible and safe for not only chronic gastric volvulus, but also acute gastric volvulus.
Emergencies ; Endoscopy ; Gastrostomy ; Humans ; Intestinal Volvulus ; Laparoscopy ; Stomach Volvulus

There were 1,360 cases of intestinal obstruction at Cho Ray Hospital in 5 years (from January 1st 1999 to December 30th 2003). Of these, there were 100 cases with small intestine volvulus (7.35%). Diagnosis was mainly based on clinical symptoms and signs. Constant, noncramping abdominal pain with necrosis of the small intestine was most frequently (73%, p < 0.05). Rigidity was found in 53% patients and was correspondent with bowel necrosis (p< 0.05). Abdominal distention was found in 58%, peristaltic waves in 21%, Von Valh’s sign in 17% and shock in 32%. Upright plain radiographs showed air-fluid levels in 63.3% cases. The image of pseudotumor, single or multiple concentrated dilated loops was seen in 11.5%. Thick inter-space between the intestinal loops or blur pelvic area in the plain radiograph was found in 42.5% and the plain radiograph showed unspecific image in 26.4%. Patients with history of abdominal operation accounted for 85%. Causes of small intestine volvulus: adhesion band (post-operative) 80%, small intestinal tumor 4% and 16% of unknown origin. About treatment: de-adhesion and detorsion of the volvulus accounted for 60% of cases; other 40% required excision of the small intestine. Indication of the treatment methods was correspondent to injury of the intestine evaluated intra-operatively (p<0.05). No mortality was recognized in this study
Intestinal Volvulus ; Intestine, Small ; Diagnosis ; Therapeutics ; Surgery

Primary segmental volvulus of small bowel which is not associated with intestinal malrotation is very rare in neonates and is considered as surgical emergency. Most of the primary segmental volvulus of small bowel occurs in ileum but the cause of volvulus is still not known. We report a 6 day-old-premature boy who was born weighing 1,720 g at 31th week of gestation. He was transferred to our hospital because of aggravated abdominal distension and bilious drainage through orogastric tube. Free intra-abdominal air was noted and emergency laparotomy confirmed primary segmental volvulus of the ileum with perforation of the necrotic bowel.
Drainage ; Emergencies ; Humans ; Ileum ; Infant, Newborn ; Intestinal Volvulus ; Laparotomy ; Pregnancy

A 44-year-old man had been suffering from nausea, vomiting and watery diarrhea for 5 days and was then admitted to Dankook University Hospital. He had suffered from several episodes of mild symptoms, including abdominal distension, loss of appetite, easy satiety, nausea, vomiting, and diarrhea throughout his lifetime, but most episodes had been ignored by him or physicians. An upper gastrointestinal series and a computed tomography scan revealed an intestinal malrotation with a volvulus. In order to untwist the small bowel in a counterclockwise direction to about 180 degrees, we had to perform not only a dissection of Ladd's band, but also a dissection of other adhesions between the mesocolon and the mesenteric vessel trunk. Surgical intervention needs to be performed for an old intestinal malrotation with any symptoms because the structural or morphological change proceeds as time passes, which is caused by fibrosis due to tension being repetitively applied to Ladd's band, leading to its contraction. Furthermore, a severe contraction may even lead to a fixed partial volvulus.
Adult* ; Appetite ; Diarrhea ; Fibrosis ; Humans ; Intestinal Volvulus* ; Mesocolon ; Nausea ; Vomiting