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A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised

BACKGROUND: Volvulus of colon is a very rare phenomenon in post cardiac surgery course, and their predicting factor in most patients is unknown. Between colonic volvulus, splenic flexure is the rarest site for torsion in general population. The main symptoms are vague abdominal pain, vomiting and di...

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Autores principales: Sabzi, Feridon, Rozbahani, Mohammad, Heidar, Aghighe, Faraji, Reza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559659/
https://www.ncbi.nlm.nih.gov/pubmed/34760096
http://dx.doi.org/10.22088/cjim.12.0.417
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author Sabzi, Feridon
Rozbahani, Mohammad
Heidar, Aghighe
Faraji, Reza
author_facet Sabzi, Feridon
Rozbahani, Mohammad
Heidar, Aghighe
Faraji, Reza
author_sort Sabzi, Feridon
collection PubMed
description BACKGROUND: Volvulus of colon is a very rare phenomenon in post cardiac surgery course, and their predicting factor in most patients is unknown. Between colonic volvulus, splenic flexure is the rarest site for torsion in general population. The main symptoms are vague abdominal pain, vomiting and distension. The primary diagnostic images include plain chest x-ray, CT scan and colonoscopy. CASE PRESENTATION: We report the case of a 57-year -old opium male addict, who was. Admitted for abdominal pain, nausea, and vomiting five days after off-pump coronary artery bypass surgery (OPCAB). An abdominal x-ray reported a colonic volvulus. Exploratory laparotomy showed acute abdomen resulting from a gangrene of long segment of splenic flexure caused by volvulus. CONCLUSION: Gastrointestinal complication such as volvulus is an exceedingly rare complication of OPCAB, despite the absence of anatomic abnormalities only complete colonic malrotation as the result of mega colon and constipation, the main pathogenetic causes. This patient was unique because of careful literature search revealed that this case was the first reported volvulus that has been described so far.
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spelling pubmed-85596592021-11-09 A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised Sabzi, Feridon Rozbahani, Mohammad Heidar, Aghighe Faraji, Reza Caspian J Intern Med Case Report BACKGROUND: Volvulus of colon is a very rare phenomenon in post cardiac surgery course, and their predicting factor in most patients is unknown. Between colonic volvulus, splenic flexure is the rarest site for torsion in general population. The main symptoms are vague abdominal pain, vomiting and distension. The primary diagnostic images include plain chest x-ray, CT scan and colonoscopy. CASE PRESENTATION: We report the case of a 57-year -old opium male addict, who was. Admitted for abdominal pain, nausea, and vomiting five days after off-pump coronary artery bypass surgery (OPCAB). An abdominal x-ray reported a colonic volvulus. Exploratory laparotomy showed acute abdomen resulting from a gangrene of long segment of splenic flexure caused by volvulus. CONCLUSION: Gastrointestinal complication such as volvulus is an exceedingly rare complication of OPCAB, despite the absence of anatomic abnormalities only complete colonic malrotation as the result of mega colon and constipation, the main pathogenetic causes. This patient was unique because of careful literature search revealed that this case was the first reported volvulus that has been described so far. Babol University of Medical Sciences 2021 /pmc/articles/PMC8559659/ /pubmed/34760096 http://dx.doi.org/10.22088/cjim.12.0.417 Text en https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sabzi, Feridon
Rozbahani, Mohammad
Heidar, Aghighe
Faraji, Reza
A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised
title A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised
title_full A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised
title_fullStr A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised
title_full_unstemmed A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised
title_short A rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised
title_sort rare case of volvulus after off-pump coronary artery bypass graft surgery in an opium addict patient revised
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559659/
https://www.ncbi.nlm.nih.gov/pubmed/34760096
http://dx.doi.org/10.22088/cjim.12.0.417
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