Laparoscopic treatment of acute mesenteric torsion.
Acute torsion of the small bowel mesentery is a diagnostically challenging cause of acute abdominal pain, which most commonly afflicts pediatric patients with midgut malrotation. We describe a case of mesenteric torsion in an adult patient that had manifested as acute abdominal pain. The patient had a remote history of prior abdominal surgery, presenting on multiple occasions with undiagnosed acute intermittent abdominal pain. Diagnosis of mesenteric torsion was made by contrast enhanced CT and the ailment was successfully treated with laparoscopic surgery without recurrence.
Brennan
T V
TV
Department of Surgery, San Francisco General Hospital, 1001 Potrero Avenue, Suite 3-D, San Francisco, CA 94110, USA.
Horn
J K
JK
Stollman
N H
NH
D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000328:Adult; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000517:prevention & control; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008643:Mesentery; D010532:Peritoneal Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000267:Tissue Adhesions / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis / Q000601:surgery