Natural oriffice transluminal endoscoping surgery - transgastric approach

Area of Science:

• Gastroenterology
• Surgical Pathology

Background:

• Volvulus involves axial twisting of the gastrointestinal tract, leading to partial or complete obstruction.
• Splenic flexure volvulus (SFV) is an uncommon presentation of colonic volvulus, accounting for 1-2% of cases.
• SFV typically has a low mortality rate.

Purpose of the Study:

• To present a rare case of splenic flexure volvulus (SFV) in a young male.
• To discuss the clinical presentation and autopsy findings of SFV.
• To review the literature regarding SFV and its management.

Main Methods:

• Case report of a 20-year-old male with severe abdominal pain.
• Hospitalization with a diagnosis of paralytic ileus secondary to nephrolithiasis.
• Autopsy to determine the cause of death.

Main Results:

• The patient died 14 hours and 35 minutes after hospitalization.
• Autopsy revealed generalized peritonitis secondary to gangrenous SFV.
• The initial diagnosis of paralytic ileus was incorrect.

Conclusions:

• Splenic flexure volvulus can lead to rapid deterioration and death.
• This case highlights the importance of considering rare diagnoses in patients with abdominal pain.
• Early recognition and surgical intervention are crucial for SFV management.