A 29-year-old male presented symptoms of pain in the upper abdomen accompanied by vomiting. Of relevance in his medical history, the patient reported episodes of recurrent chronic abdominal pain and vomiting. An abdominal CAT-scan was performed (Fig. 1) which showed an anomalous arrangement of the bowel loops located in the upper abdomen. It also revealed a horseshoe-kidney and signs of bowel o...

A 38-year-old woman in the 27th week of gestation was admitted for sudden onset of epigastric pain, vomiting, and nausea, which worsened after food ingestion. The patient described 1 year of self-limited episodes of abdominal pain that improved with defecation and were associated with a change in frequency and consistency of stools that were interpreted as irritable bowel syndrome. On physical ...

While many recent cases of colonic epiploic appendage causing acute abdomen have been reported, such appendages of the small bowel are extremely rare. We present a 59-year-old woman in whom a small bowel epiploic appendage caused volvulus. She presented with abdominal pain and vomiting in the absence of previous abdominal operations. A diagnosis of small bowel obstruction from strangulation was...

A 75-year old male presented to the emergency room with worsening abdominal pain and distension. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. A transverse colon volvulus was found, and an extended right hemicolecto...

Cecal volvulus is a rare cause of bowel obstruction that carries a high mortality. Recent surgery is known to be a risk factor for the development of cecal volvulus. We present a case of cecal volvulus following laparoscopic nephrectomy and renal transplantation.

Malrotation with associated volvulus is a potentially lethal event for a neonate. The gold standard for diagnosis is an upper gastrointestinal contrast study. However this can delay the diagnosis and the timing of surgical intervention. We present a novel abdominal radiographic sign; duodenal and gastric dilatation occurring in association with limited small bowel gas confined to the right lowe...

Gastric volvulus can be a medical emergency with life-threatening complications. Early surgical intervention is important to avoid potential ischemic complication that may lead to infarction of the stomach. The condition has been reported in children and in the elderly, but the majority of cases are reported in the fifth decade of life. We present a case of a complication arising from correctiv...

Fetal volvulus is an uncommon cause of bowel obstruction, which is rarely detected by an antenatal ultrasound scan. We report a case which presented with fetal stomach and small bowels dilatation at 33 weeks of gestation detected by ultrasonography. She was referred to our unit for safe delivery at 34 week of gestation following a spontaneous rupture of membranes and signs of fetal distress. De...

DESCRIPTION A previously well and independent 85-year-old woman presented to A&E with a 1-day history of sudden onset, cramping lower abdominal pain and vomiting. There were no other symptoms. The patient had a laparoscopic cholecystectomy 20 years ago but no other surgical history. On examination the patient was peripherally shutdown and abdominal examination revealed generalised peritonitis; ...

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