A RARE PRESENTATION OF ACUTE INTESTINAL OBSTRUCTION - SMALL BOWELVOLVULUS

Small bowel volvulus (SBV) is a rare cause of intestinal obstruction, but lifethreateningsurgical emergency. In most of the cases require early diagnosis and treatment for a favourableoutcome. The causes include bands, adhesions or internal hernia. Central abdominal pain, resistantto narcotic analgesic should raise the suspicion of the diagnosis of SBV and need vigorousmanagement to reduce the morbidity and mortality. The surgical options for SBV consists ofderotation, with or without fixation, and resection with anastomosis. A 56 year lady with centralabdominal pain with features of small intestinal obstruction,was admitted as an emergency. Thepatient was investigated and found to have volvulus of ileum, which was gangrenous, and wasresected and primary anastomosis done. The post operative period was uneventful.