Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 28, 2015; 21(36): 10480-10484
Published online Sep 28, 2015. doi: 10.3748/wjg.v21.i36.10480
Small bowel volvulus with jejunal diverticulum: Primary or secondary?
Xiao-Fei Shen, Wen-Xian Guan, Ke Cao, Hao Wang, Jun-Feng Du
Xiao-Fei Shen, Wen-Xian Guan, Ke Cao, Hao Wang, Department of General Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China
Jun-Feng Du, Department of General Surgery, General Hospital of Beijing Military Command, Beijing 100700, China
Author contributions: Shen XF and Guan WX contributed equally to this work as co-first authors; Shen XF wrote the manuscript and retrieved the relevant literature; Cao K performed the surgery and managed the patient; Wang H helped retrieved the literature; Du JF revised the manuscript and guided the study; and Guan WX performed the surgery, wrote the manuscript and supervised the study.
Supported by National Natural Science Foundation of China, No. 81372364 and No. 81000189; and General Financial Grant from the China Postdoctoral Science Foundation, No. 2014M552695.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee for Medical Research of the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that there is no conflict of interest related to this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Jun-Feng Du, Department of General Surgery, General Hospital of Beijing Military Command, No. 5 Nan Men Cang, Beijing 100700, China. dujf66@126.com
Telephone: +86-10-84008099 Fax: +86-10-66721188
Received: January 20, 2015
Peer-review started: January 21, 2015
First decision: April 13, 2015
Revised: April 22, 2015
Accepted: July 3, 2015
Article in press: July 3, 2015
Published online: September 28, 2015
Core Tip

Core tip: We present a case report of a patient diagnosed with small bowel volvulus using multidetector computed tomography angiography. Further discovery by laparotomy showed one jejunal diverticulum, longer corresponding mesentery with a narrower insertion, and a lack of mesenteric fat. We discussed the possible cause of small bowel volvulus, and demonstrated the surgical skills in treating chronic small bowel volvulus.