Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1400
4
1
gregorian
2021
7
1
12
Case Supplement
online
1
fulltext
en
An rare case of Volvulus after off-pump coronary artery bypass graft surgery in opium addict patient revised
Cardiology
Cardiology
case report
case report
<span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="color:#0000ff;"><strong><em>Background</em></strong><em>:</em></span> Volvulus of colon is a very rare phenomenon in post cardiac surgery course, and their predicting factor in most patients is unknown. Between colonic volvulus, splenic flexure is the rarest site for torsion in general population. The main symptoms are vague abdominal pain, vomiting and distension. The primary diagnostic images include plain chest x-ray, CT scan and colonoscopy.<br>
<span style="color:#0000ff;"><strong><em>Case Presentation</em></strong><em>:</em></span> We report the case of a 57-year -old opium male addict, who was. Admitted for abdominal pain, nausea, and vomiting five days after off-pump coronary artery bypass surgery (OPCAB). An abdominal x-ray reported a colonic volvulus. Exploratory laparotomy showed acute abdomen resulting from a gangrene of long segment of splenic flexure caused by volvulus.<br>
<span style="color:#0000ff;"><strong><em>Conclusion</em></strong><em>:</em> </span>Gastrointestinal complication such as volvulus is an exceedingly rare complication of OPCAB, despite the absence of anatomic abnormalities only complete colonic malrotation as the result of mega colon and constipation, the main pathogenetic causes. This patient was unique because of careful literature search revealed that this case was the first reported volvulus that has been described so far.</span></span>
volvulus, colonoscopy, laparatomy.
417
420
http://caspjim.com/browse.php?a_code=A-10-382-3&slc_lang=en&sid=1
Feridon
Sabzi
drsabzi@yahoo.com
100319475328460031197
100319475328460031197
No
Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran
Mohammad
Rozbahani
m_Rozbahani@gmail.com
100319475328460031198
100319475328460031198
No
Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran
Aghighe
Heidar
Heidar@yahoo.com
100319475328460031199
100319475328460031199
No
Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran
Reza
Faraji
r.faraji61@gmail.com
100319475328460031200
100319475328460031200
Yes
Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran