Intestinal obsiruetion accounts for at least 20% of all admission to surgical services. The most frequent causes are well known and may often be safely treated consewatively in the first instance.
However, some of the rare causes of small bowel obstruction such as primary small bowel volvulus require prompt diagnosis and treatment if they are not to progress rapidly to gangrene. We report a 35 years old man presented with mild and intermittent abdominal pain for 10 days duration. An emergency laparatomy revealed strangulation of the small intestine, and resection of the involved segment with primary anastomosis of jejnnoiliostomy was carried out. The patient was discharged on day 8 after the operation. We conclude that the volvula of the small intestine is a rare and one of the fatal eauses of acute intestinal obstrnetion that relates to consumption of bulky diet after prolonged fasting and is more common in developing and agricultural countries. The incidence, predisposing factors, symptomatology, and outeome are reviewed
Gh Mortazavi ,Gh Mortazavi ,I. Nejati ,
Primary volvulus of the small intestine in an adult,
Iran. Red Crescent Med. J. 2003;
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