A CASE OF SMALL BOWEL VOLVULUS AFTER SUBTOTAL COLECTOMY THAT WAS TREATED WITH ENDOSCOPIC DETORSION

Abstract

An 84-year-old woman had undergone subtotal colectomy for ulcerative colitis. She was admitted to the local clinic with abdominal distension, and was referred to our hospital on suspicion of bowel ileus. Small bowel volvulus was diagnosed based on the findings of abdominal CT. We performed endoscopic detorsion with an endoscopy position detecting unit (UPD) successfully. She experienced recurrence of small bowel volvulus seven weeks later, and endoscopic detorsion was performed successfully again. Thereafter, the patient passed away without another recurrence. Here we report a rare case of small bowel volvulus after subtotal colectomy that was safely treated by endoscopic detorsion with UPD.