Jejunal volvulus masquerading as peptic ulcer disease in an adult: A case report
1 Department of Radiology, University of Port Harcourt, Teaching Hospital. Nigeria.
2 Department of Radiology, Rivers State University Teaching Hospital.
Case Study
GSC Advanced Research and Reviews, 2025, 22(02), 080-087.
Article DOI: 10.30574/gscarr.2025.22.2.0037
Publication history:
Received on 15 December 2024; revised on 01 February 2025; accepted on 04 February 2025
Abstract:
This case reports small bowel volvulus (SBV) in a 45-years old male, initially misdiagnosed as an acute peptic ulcer exacerbation. The patient presented with non-specific symptoms, and initial imaging studie were unremarkable, delaying diagnosis. Further radiological investigations (CT) showed bowel obstruction with pneumatosis intestinali and ascites. Jejunal volvulus with necrosis, necessitating resection and anastomosis, was noted during emergency laparotomy.
This case shows the need for a high index of suspicion regarding SBV prevention and management to improve patient outcomes.
Keywords:
Small Bowel Volvulus; Misdiagnosis; Computered Tomography; Intestinal Ischemia; Emergency Surgery
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