Midgut volvulus: an unusual case of adolescent abdominal pain.
Rotational gut abnormalities are generally considered a disease process of the neonatal and pediatric populations. However, they may first become manifest in teenagers and adults, often with disastrous outcomes. A case of a 15-year-old boy who presented in shock with an acute abdomen is presented. His symptoms had been mistaken for 1 week as gastroenteritis. At surgery, he was found to have a midgut volvulus. A differential diagnosis is discussed, as well as an anatomical review and typical symptomatology associated with midgut abnormalities.
Pelucio
M
M
Department of Emergency Medicine, George Washington University Medical Center, Washington, DC 20037.
Haywood
Y
Y
D000006:Abdomen, Acute / Q000209:etiology*; D000293:Adolescent; D001466:Barium Sulfate; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D004733:Enema; D005865:Gestational Age; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery; D007415:Intestinal Obstruction / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery; D007422:Intestines / Q000196:embryology; D008297:Male; D010533:Peritoneal Lavage; D012399:Rotation; D012769:Shock / Q000209:etiology*
D001466:Barium Sulfate