Small Bowel Volvulus due to Ileocecal Valve Failure Secondary to an Obstructing Rectal Adenocarcinoma: First Reported Case
Journal Title: Journal of Medical Research and Practice - Year 2018, Vol 7, Issue 1
Abstract
Intestinal obstruction is a problem commonly encountered by the general surgeon. It can be classified as either large bowel or small bowel obstruction. Occasionally, the two entities occur together with the small bowel obstruction usually being sequelae of large bowel obstruction via an incompetent ileocaecal valve. We report a case of a 70-year-old man who presented with large bowel obstruction due to an obstructing rectal tumor. On initial radiological investigations, it was noted to be solely a large bowel obstruction, however, on laparotomy, he was found to have both large and small bowel obstruction with the latter being due to a small bowel volvulus. Learning Points 1. Failure of resolution of abdominal distension on defunctioning trephine loop ostomy warrants a search for another cause via laparotomy 2. Sudden failure of the ileo-cecal valve due to backpressure from large bowel obstruction can cause a sudden gush of liquid stool and air resulting in small bowel volvulus 3. Small bowel volvulus can occur in the presence of large bowel obstruction.
Authors and Affiliations
Islam Shariful SI, Hosein Devin DH, Bheem VinooVB, Harnarayan Patrick PH
Keywords
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