Midgut Volvulus after Percutaneous Endoscopic Gastrostomy

We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Computed tomography imaging showed a well-positioned gastrostomy tube, small pneumop...

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Autores principales: Martins, Diana, Sousa, Paula, Pinho, Juliana, Ruivo, Joana, Araújo, Ricardo, Cancela, Eugénia, Castanheira, António, Ministro, Paula, Silva, Américo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404344/
https://www.ncbi.nlm.nih.gov/pubmed/28459083
http://dx.doi.org/10.14309/crj.2017.59
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author Martins, Diana
Sousa, Paula
Pinho, Juliana
Ruivo, Joana
Araújo, Ricardo
Cancela, Eugénia
Castanheira, António
Ministro, Paula
Silva, Américo
author_facet Martins, Diana
Sousa, Paula
Pinho, Juliana
Ruivo, Joana
Araújo, Ricardo
Cancela, Eugénia
Castanheira, António
Ministro, Paula
Silva, Américo
author_sort Martins, Diana
collection PubMed
description We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Computed tomography imaging showed a well-positioned gastrostomy tube, small pneumoperitoneum, and small bowel volvulus (SBV) in the upper right abdomen with proximal small bowel dilated loops. Exploratory laparotomy revealed mesenteric torsion, leading to SBV, with no evidence of intestinal malrotation. Volvulus was successfully untwisted via surgery. This case highlights to the possible association between SBV and gastrostomy placement.
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spelling pubmed-54043442017-04-28 Midgut Volvulus after Percutaneous Endoscopic Gastrostomy Martins, Diana Sousa, Paula Pinho, Juliana Ruivo, Joana Araújo, Ricardo Cancela, Eugénia Castanheira, António Ministro, Paula Silva, Américo ACG Case Rep J Case Report We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Computed tomography imaging showed a well-positioned gastrostomy tube, small pneumoperitoneum, and small bowel volvulus (SBV) in the upper right abdomen with proximal small bowel dilated loops. Exploratory laparotomy revealed mesenteric torsion, leading to SBV, with no evidence of intestinal malrotation. Volvulus was successfully untwisted via surgery. This case highlights to the possible association between SBV and gastrostomy placement. American College of Gastroenterology 2017-04-12 /pmc/articles/PMC5404344/ /pubmed/28459083 http://dx.doi.org/10.14309/crj.2017.59 Text en Copyright © Martins et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Martins, Diana
Sousa, Paula
Pinho, Juliana
Ruivo, Joana
Araújo, Ricardo
Cancela, Eugénia
Castanheira, António
Ministro, Paula
Silva, Américo
Midgut Volvulus after Percutaneous Endoscopic Gastrostomy
title Midgut Volvulus after Percutaneous Endoscopic Gastrostomy
title_full Midgut Volvulus after Percutaneous Endoscopic Gastrostomy
title_fullStr Midgut Volvulus after Percutaneous Endoscopic Gastrostomy
title_full_unstemmed Midgut Volvulus after Percutaneous Endoscopic Gastrostomy
title_short Midgut Volvulus after Percutaneous Endoscopic Gastrostomy
title_sort midgut volvulus after percutaneous endoscopic gastrostomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404344/
https://www.ncbi.nlm.nih.gov/pubmed/28459083
http://dx.doi.org/10.14309/crj.2017.59
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