title: [Intestinal volvulus. Case report and a literature review].
abstract: BACKGROUND
  Small bowel volvulus is a rare cause of intestinal obstruction in adult patients. This disease is more common in children and its aetiology and management is different to that in adults.
  
  
  METHODS
  A 30 year-old male with sarcoidosis presents with acute abdomen and clinical data of intestinal obstruction. Small bowel volvulus is diagnosed by a contrast abdominal tomography and an exploratory laparotomy is performed with devolvulation and no intestinal resection. In the days following surgery, he developed a recurrent small bowel volvulus, which was again managed with surgery, but without intestinal resection. Medical treatment for sarcoidosis was started, and with his clinical progress being satisfactory,he was discharged to home.
  
  
  CONCLUSIONS
  Making an early and correct diagnosis of small bowel volvulus prevents large intestinal resections. Many surgical procedures have been described with a high rate of complications. Therefore, conservative surgical management (no intestinal resection) is recommended as the best treatment with the lowest morbidity and mortality rate.
authors.affiliation: Servicio de Cirugía General y Cirugía de Colon y Recto, Centro Médico ABC, México DF, México. Electronic address: drsantin@me.com.
authors.forename: Jorge
authors.initials: J
authors.lastname: Santín-Rivero
authors.affiliation: Servicio de Cirugía General y Cirugía de Colon y Recto, Centro Médico ABC, México DF, México.
authors.forename: Edgar
authors.initials: E
authors.lastname: Núñez-García
authors.affiliation: Servicio de Cirugía General y Cirugía de Colon y Recto, Centro Médico ABC, México DF, México.
authors.forename: Manuel
authors.initials: M
authors.lastname: Aguirre-García
authors.affiliation: Servicio de Cirugía General y Cirugía de Colon y Recto, Centro Médico ABC, México DF, México.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Hagerman-Ruiz-Galindo
authors.affiliation: Servicio de Cirugía General y Cirugía de Colon y Recto, Centro Médico ABC, México DF, México.
authors.forename: Francisco
authors.initials: F
authors.lastname: de la Vega-González
authors.affiliation: Servicio de Radiología e Imagen, Centro Médico ABC, México DF, México.
authors.forename: Carla Rubi
authors.initials: CR
authors.lastname: Moctezuma-Velasco
mesh_terms: D000328:Adult; D006801:Humans; D045823:Ileus / Q000209:etiology; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D015994:Incidence; D007415:Intestinal Obstruction / Q000209:etiology; D045822:Intestinal Volvulus / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007813:Laparotomy; D008297:Male; D008643:Mesentery / Q000473:pathology; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D012507:Sarcoidosis / Q000150:complications / Q000188:drug therapy; D036542:Tomography, Spiral Computed
chemical_list: D007166:Immunosuppressive Agents
keywords: Adulto; Intestinal obstruction; Intestinal volvulus; Obstrucción intestinal; Vólvulo de intestino delgado