en Pediatrics Pediatrics case report case report <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> Small intestine volvulus occurs more commonly among younger children. It often poses diagnostic challenges when it occurs in older children and adults. For good clinical outcomes, it is essential to have prompt presentation, diagnosis and early intervention. Anasarca is not a common clinical manifestation of small intestine volvulus.</span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Case Presentation:</span></i></b><b><i> </i></b>We report this unusual presentation of small intestine volvulus in an 11-year old Nigerian boy who first presented only with anasarca. While being investigated for the cause of the anasarca, he developed features of acute abdomen thought to be spontaneous bacteria peritonitis initially. He had surgery where the diagnosis of small intestine volvulus was made.<b><i><span style="color:blue"></span></i></b></span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> The diagnosis and management of both anasarca and small intestine volvulus could be fraught with challenges. It is possible that anasarca can be the first manifestation of small intestine volvulus. </span></span></span></div> Anasarca, Small intestine volvulus, Nigerian boy 138 142 http://caspjim.com/browse.php?a_code=A-10-2176-1&slc_lang=en&sid=1 Adefunke Olarinre Babatola mamafunky@yahoo.co.uk 100319475328460040885 100319475328460040885 Yes Department of Paediatrics, Ekiti State University, Ado-Ekiti, Nigeria Joshua Taye Ige itunuoluwa54@yahoo.com 100319475328460040886 100319475328460040886 No Department of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria Adewuyi Temidayo Adeniyi temmyboy27@yahoo.com 100319475328460040887 100319475328460040887 No Department of Paediatrics, Ekiti State University,Ado-Ekiti, Nigeria Ibukun Anuoluwa Abidoye ibukunbidoye@yahoo.com 100319475328460040888 100319475328460040888 No Department of Radiology, Afe Babalola University/Multisystem Hospital, Ado-Ekiti, Nigeria Olarewaju Joseph josepholarewaju2021@yahoo.com 100319475328460040889 100319475328460040889 No Department of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria Joshua Olorunfunmi seyleego_1@yahoo.co.uk 100319475328460040890 100319475328460040890 No Department of Surgery, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria Benjamin Folorunsho Ilori fbilori1985@gmail.com 100319475328460040891 100319475328460040891 No Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria Akinwumi Kolawole Komolafe akindudu2000@yahoo.com 100319475328460040892 100319475328460040892 No Department of Paediatrics, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria Oladele Simeon Olatunya ladeletunya@yahoo.com 100319475328460040893 100319475328460040893 No Department of Paediatrics, Ekiti State University,Ado-Ekiti, Nigeria