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Summary
Small intestinal volvulus, a twisting of the bowel, requires prompt surgical intervention. Early surgery for this bowel obstruction significantly reduces the risk of intestinal necrosis and improves patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Small intestinal volvulus is a critical cause of bowel obstruction.
- It can be primary (idiopathic) or secondary to underlying conditions.
- This study analyzes 18 cases over a 5-year period at a university hospital.
Purpose:
- To analyze the clinical presentation, causes, and outcomes of small intestinal volvulus.
- To evaluate the efficacy of early surgical intervention.
Summary:
- Of 18 patients with small intestinal volvulus, adhesions were the most common cause of secondary volvulus (13 cases).
- Intestinal necrosis occurred in 22% of cases (4 patients).
- One patient died from peritonitis and multi-organ failure.
Impact:
- Highlights the importance of considering small intestinal volvulus in mechanical ileus diagnoses.
- Emphasizes that early surgical intervention is crucial to prevent intestinal necrosis and improve survival rates.