Single-incision laparoscopic relieving of a primary small bowel volvulus : A case report Masashige NISHIMURA 1 , Susumu MIYAZAKI 1 , Chu MATSUDA 1 , Katsuki DANNNO 1 , Masaaki MOTOORI 1 , Kazumasa FUJITANI 1 1Department of Surgery, Osaka General Medical Center Keyword: 単孔式腹腔鏡下手術 , 原発性小腸軸捻転症 pp.477-481
Published Date 2016/7/15
DOI https://doi.org/10.11477/mf.4426200287
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 A 92-year-old man visited our hospital. While his concern was orthopedic disorder, he complained of acute abdominal pain with nausea and vomiting during the examination. He showed a slight tenderness around the navel. A contrast computed tomography was performed and showed “whirl like pattern”, indicating rotation of small intestine and mesentery. We performed emergency surgery with the diagnosis of small intestinal volvulus employing the single-incision laparoscopic surgery. We found the small intestine twisting clockwise over 180°at the root of the mesenteric artery, without any lesions of ischemia. We were able to release the twisting to normal position with only laparoscopic technique. Since there was no sign predisposing to volvulus, we diagnosed it was primary small intestine volvulus. The postoperative course was favorable and he was discharge on day 9 after the operation. Reports of primary volvulus of the small intestine are very few in Japan ; besides there has been no report of a single-incision laparoscopic surgery for small intestinal volvulus. The single-incision laparoscopic technique may bring the less-invasive benefit in the patients with small intestinal volvulus

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