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Small bowel volvulus around caesarian section scar adhesions
Adam Wright1, Suzanne Chong1, Jonathon Willatt2
1Division of Emergency Radiology, Department of Radiology, University of Michigan, Taubman Center F1 B1 Room 140A 1500 E Medical Center Drive, SPC 5302, Ann Arbor, MI 48109, USA.
Radiology Case Reports
|August 23, 2017
Summary
Small bowel volvulus, a rare complication of Caesarian section, can occur due to adhesions at the surgical scar. This case highlights its identification via computed tomography, offering new insights into this condition.
Area of Science:
- Gastroenterology
- Surgical Complications
- Radiology
Background:
- Adhesions following Caesarian section can lead to small bowel obstruction.
- Small bowel volvulus is a rare but serious surgical emergency.
Observation:
- A unique case of small bowel volvulus caused by adhesions specifically at the Caesarian-section scar is presented.
- Computed tomography (CT) was instrumental in diagnosing this rare condition.
Findings:
- The study reports the first documented instance of small bowel volvulus secondary to adhesions originating from a Caesarian-section scar.
- CT imaging revealed characteristic findings indicative of volvulus in this specific anatomical context.
Implications:
- This case expands the understanding of potential Caesarian section complications.
- Highlights the importance of considering small bowel volvulus in patients with prior Caesarian sections presenting with obstructive symptoms.
- Emphasizes the diagnostic utility of computed tomography in identifying such rare surgical emergencies.

