PT  - JOURNAL ARTICLE
AU  - Kay Tai Choy
AU  - Nathan Brunott
TI  - Small bowel volvulus versus adhesive small bowel obstruction: a diagnostic dilemma in a 19-year-old woman
AID  - 10.1136/bcr-2018-229157
DP  - 2019 Jun 01
TA  - BMJ Case Reports
PG  - e229157
VI  - 12
IP  - 6
4099  - http://casereports.bmj.com/content/12/6/e229157.short
4100  - http://casereports.bmj.com/content/12/6/e229157.full
SO  - BMJ Case Reports2019 Jun 01; 12
AB  - Small bowel volvulus (SBV) is often challenging to diagnose. Research suggests that the clinical presentation of this disease is often very similar to other more common causes of small bowel obstruction (SBO) such as intraabdominal adhesions and no single preoperative diagnostic study is sensitive or specific enough to identify this rare cause of mechanical SBO. This report describes a case of a 19-year-old woman who presented with irretractable vomiting and abdominal pain secondary to SBV. This case is unusual as her history of recurrent adhesive SBO presented a diagnostic dilemma that required a higher degree of clinical suspicion to tease these differential diagnoses apart. She underwent laparoscopy which facilitated successful detorsion and resection of the floppy tongue of jejunum. This report aims to increase the awareness among surgeons.