Abstract
Rotational gut abnormalities are generally considered a disease process of the neonatal and pediatric populations. However, they may first become manifest in teenagers and adults, often with disastrous outcomes. A case of a 15-year-old boy who presented in shock with an acute abdomen is presented. His symptoms had been mistaken for 1 week as gastroenteritis. At surgery, he was found to have a midgut volvulus. A differential diagnosis is discussed, as well as an anatomical review and typical symptomatology associated with midgut abnormalities.
MeSH terms
-
Abdomen, Acute / etiology*
-
Adolescent
-
Barium Sulfate
-
Diagnosis, Differential
-
Emergency Service, Hospital
-
Enema
-
Gestational Age
-
Humans
-
Ileal Diseases / complications*
-
Ileal Diseases / diagnosis*
-
Ileal Diseases / epidemiology
-
Ileal Diseases / physiopathology
-
Ileal Diseases / surgery
-
Intestinal Obstruction / complications*
-
Intestinal Obstruction / diagnosis*
-
Intestinal Obstruction / epidemiology
-
Intestinal Obstruction / physiopathology
-
Intestinal Obstruction / surgery
-
Intestines / embryology
-
Male
-
Peritoneal Lavage
-
Rotation
-
Shock / etiology*