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Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Midgut volvulus as a delayed consequence of posttraumatic mesenteric pseudocyst.

Wen-I Liao¹, Yen-Yue Lin, Kai-Hsiung Ko

¹Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.

The American Journal of Emergency Medicine

|October 28, 2009

Summary

Complicated midgut volvulus, a surgical emergency, can arise from rare posttraumatic mesenteric pseudocysts. This case report details a successful surgical treatment for this previously unreported condition in an adult patient.

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Area of Science:

Gastroenterology
Surgical Pathology
Trauma Surgery

Background:

Complicated midgut volvulus is a life-threatening surgical emergency often linked to congenital midgut malrotation, but can also be acquired.
Acquired causes include adhesions, tumors, and mesenteric cysts, with posttraumatic pseudocysts being particularly rare.
Delayed diagnosis is common for posttraumatic mesenteric pseudocysts, complicating timely intervention.

Observation:

A 50-year-old female presented with midgut volvulus.
The patient had a history of blunt abdominal trauma three months prior.
A delayed posttraumatic hemorrhagic mesenteric pseudocyst was identified as the cause of the midgut volvulus.

Findings:

This is the first reported case of midgut volvulus resulting from a delayed posttraumatic hemorrhagic mesenteric pseudocyst.
The patient's midgut volvulus was successfully treated with surgical intervention.
The case highlights a rare but significant complication following abdominal trauma.

Implications:

This case expands the known etiology of acquired midgut volvulus.
It underscores the importance of considering rare complications in patients with a history of abdominal trauma.
Prompt surgical management is crucial for favorable outcomes in midgut volvulus, regardless of the underlying cause.