Recurrent midgut volvulus in an 83-year-old female
Doctors present a rare case of recurrent primary midgut volvulus in an elderly female with an interesting intraoperative finding of an abnormally elongated small bowel mesentery.

This patient presented with symptoms of obstruction, including nausea, vomiting, and obstipation, similar to previous episodes of volvulus for which she underwent exploratory laparotomies and reduction of the volvulus.

They describe a novel use for enteropexy in which they effectively shortened the small bowel mesentery in an effort to eliminate the source of recurrent volvulus. The patient’s postoperative course was complicated by prolonged ileus requiring total parenteral nutrition. However, she had not developed signs or symptoms of bowel ischemia or recurrent volvulus at the time of this writing.

The findings suggest that enteropexy is an effective technique for preventing recurrent midgut volvulus primarily caused by the abnormally elongated mesentery.

Journal of Surgical Case Reports