Abstract

Adult small intestinal volvulus is a rare entity and even more rarely, the ileum undergoes torsion without known predisposing factors. This presents as an acute abdomen. Although a rare condition, it should be kept in mind in cases of abdominal pain with or without intestinal obstruction. Since there is no specific laboratory or routine radiological finding in these cases, a CT scan abdomen is the investigation of choice. Small intestinal volvulus exits as two types according to etiology. Emergency surgical intervention is the treatment of choice. Delay and missed diagnosis have serious consequences with increased morbidity and mortality due to bowel ischemia. Here we report a case of a 32-year-old male having no predisposing factors presenting with abdominal pain, nausea, and vomiting. Physical examination and investigations were unremarkable. The patient was managed by urgent surgical intervention after having confirmed the diagnosis peroperatively as small bowel volvulus.

Keywords: Abdominal pain, Small bowel volvulus, Intestinal obstruction, Midgut volvulus, Bowel necrosis, Whirlpool sign.