Small-intestinal volvulus around the superior mesenteric artery as an extremely rare positioning-associated complication after percutaneous liver biopsy

Toru Ikegami, Yuji Soejima, Akinobu Taketomi, Noboru Harada, hideo uehara, Yo Ichi Yamashita, Yoshihiko Maehara

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Small-bowel volvulus around the superior mesenteric artery is a very unusual cause of small-intestinal obstruction, which may result in intestinal ischemia and necrosis. A 45-year-old woman, who had received a living-donor liver transplant with a right lobe graft for fulminant hepatic failure 5 years earlier, underwent a liver biopsy and was placed in the right decubitus position. Abdominal pain, high fever, tachycardia, and altered mental status developed quickly, suggesting abdominal sepsis. Computed tomography (CT) showed a "target sign," representing a counter-clockwise rotation of the mesenteric pedicle. However, without laparotomy, the symptoms subsided completely within 12 h by her lying strictly in the left decubitus position. A second CT scan showed an orthotopic untwisted jejunum. Although many complications associated with percutaneous liver biopsy have been described, to our knowledge this is the first report of positioning-associated intestinal volvulus after a liver biopsy.

Original languageEnglish
Pages (from-to)576-577
Number of pages2
JournalSurgery Today
Volume38
Issue number6
DOIs
Publication statusPublished - Jun 1 2008

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Intestinal Volvulus
Superior Mesenteric Artery
Biopsy
Liver
Tomography
Transplants
Acute Liver Failure
Intestinal Obstruction
Living Donors
Jejunum
Tachycardia
Laparotomy
Abdominal Pain
Sepsis
Fever
Necrosis
Ischemia

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Small-intestinal volvulus around the superior mesenteric artery as an extremely rare positioning-associated complication after percutaneous liver biopsy. / Ikegami, Toru; Soejima, Yuji; Taketomi, Akinobu; Harada, Noboru; uehara, hideo; Yamashita, Yo Ichi; Maehara, Yoshihiko.

In: Surgery Today, Vol. 38, No. 6, 01.06.2008, p. 576-577.

Research output: Contribution to journalArticle

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AU - uehara, hideo

AU - Yamashita, Yo Ichi

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