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A Rare Case of Midgut Volvulus In an Adult

Ajay Abraham and Alex Arthur Edwards .


We report the case of a 65 year old adult male who presented in our emergency department with acute abdomen, in shock. Patient was evaluated and investigations including x-ray abdomen and ultrasound abdomen revealed intestinal obstruction. Emergency exploratory laparotomy revealed a midgut volvulus with gangrenous bowel which was resected and end-to-side ileo-transverse anastomosis was done. The case is being published because of its rarity. Rotational abnormalities commonly present in infancy and early childhood. Presentation of a rotational anomaly like midgut volvulus in an adult as intestinal obstruction is a rare entity. This further confirms and validates that “Abdomen is a Pandora’s box”.

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