title: Small bowel volvulus with no malrotation after laparoscopic appendicectomy: Case report and literature review.
abstract: BACKGROUND
  Small bowel volvulus, as a complication of laparoscopic surgery, is a rarely reported clinical entity. We present a case of a young female who developed small intestinal volvulus after laparoscopic appendicectomy. She had this complication in the absence of malrotation or other previous abdominal operations.
  
  
  METHODS
  A 17-year-old woman presented with acute appendicitis. After an uneventful laparoscopic appendicectomy, she developed acute small intestinal obstruction on the second post-operative day. A prompt laparotomy showed small bowel volvulus, which was reduced, with no evidence of malrotation. She had an uneventful recovery and was discharged within 3 days of the second operation, in a stable condition.
  
  
  CONCLUSIONS
  This article presents a review of the literature of this rare cause of small intestinal obstruction after laparoscopic surgery, stressing on the importance of early diagnosis and treatment. A discussion of the potential factors predisposing to this entity is presented, emphasising the need of a higher-evidence study as to its aetiology and prevalence.
  
  
  CONCLUSIONS
  Small bowel volvulus is a rare complication of laparoscopic surgery, but its early diagnosis and prompt treatment is essential to avoid morbid outcomes. Surgery is the therapeutic mainstay.
authors.affiliation: Johns Hopkins Aramco Healthcare, Saudi Aramco, PO Box 76, Dhahran 31311, Eastern Province, Saudi Arabia. Electronic address: osama.albeteddini@gmail.com.
authors.forename: Osama S
authors.initials: OS
authors.lastname: Al Beteddini
authors.affiliation: Johns Hopkins Aramco Healthcare, Saudi Aramco, PO Box 76, Dhahran 31311, Eastern Province, Saudi Arabia. Electronic address: emad.sherkawi@aramco.com.
authors.forename: Emad
authors.initials: E
authors.lastname: Sherkawi
keywords: Appendicectomy; Complication; Laparoscopy; Midgut volvulus; Small bowel obstruction; Small bowel volvulus