Small bowel volvulus resulting in infarction due to an anterior gastropexy band.
Volvulus of the small bowel, although rare, carries a high risk of strangulation and ischemic necrosis. It is usually caused by the rotation of a loop of small intestine around an adhesion band or stoma. We present a case of an anterior gastropexy band, giving rise to a small bowel volvulus, necessitating resection due to infarction. This band resulted from separation of the most distal anterior gastropexy suture from the anterior abdominal wall. The distensible nature of the stomach and its resultant postprandial gain in weight produced tremendous shearing forces on the gastropexy sutures, and, as our case demonstrates, a greater number of gastropexy sutures does not protect against this complication.
Khan
Zulfiqar Ali Jehangir
ZA
Department of Surgery, Luton and Dunstable Hospital, UK. zulfiqarajkhan@hotmail.com
Drye
Elisabeth
E
Pardeep
Sandhu
S
Novell
John Richard
JR
D000208:Acute Disease; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007082:Ileum / Q000098:blood supply*; D007238:Infarction / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery*; D013277:Stomach Volvulus / Q000601:surgery; D013537:Sutures / Q000009:adverse effects