A mesenteric hernia complicated with a triple necrotic volvulus
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Updated: May 18, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Davide Tassinari1, Stefano Santoro, Filippo Bernardi
1Paediatric Emergency Department, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. davide.tassinari@aosp.bo.it
Abstract:
A 6-year-old girl was admitted to the paediatric emergency department with colicky abdominal pain. She had a significant medical history, with four previous admissions due to recurrent abdominal pain in the past year. On examination the abdomen was soft, there was no rebound tenderness and Rovsing's sign was negative. Her blood tests revealed a raised white cells count, although her C reactive protein was within the normal range. Abdominal x-ray revealed small bowel obstruction. During her assessment the patient rapidly deteriorated and seemed to go into shock. Her clinical state in addition to the radiological findings meant that she was taken to theatre for surgical exploration. This showed a triple volvulus with necrotic bowel loops that had herniated through a mesenteric defect. The necrotic bowel was subsequently resected.
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