Intestinal obstruction from midgut volvulus after laparoscopic cholecystectomy. A report of an unusual complication.
Congenital midgut malrotation, a rare anatomic anomaly that can lead to duodenal or small bowel obstruction, rarely is recognized beyond the first year of life. We report a case of unrecognized congenital midgut malrotation that resulted in midgut volvulus, causing intestinal obstruction and requiring emergent reoperation after laparoscopic cholecystectomy. This unusual complication, first reported in 1994, involved a 56-year-old man and resulted in cecal infarction recognized and treated on the second postoperative day. This second case describes a less acute postoperative course, with multiple bouts of partial bowel obstruction leading to two readmissions and finally resulting in a reexploration and definitive treatment on the 19th postoperative day.
Vricella
L A
LA
Department of Surgery, George Washington University, 2150 Pennsylvania Avenue Northwest, Washington, DC 20037, USA.
Barrett
W L
WL
Tannebaum
I R
IR
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007422:Intestines / Q000002:abnormalities*; D008297:Male; D012086:Reoperation