{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:05:45Z","timestamp":1785769545455,"version":"3.56.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Importance:<\/jats:title>\n                    <jats:p>Small bowel volvulus (SBV) is the twisting of a small bowel loop around its mesentery, leading to closed-loop intestinal obstruction. SBV following laparoscopic procedures is a rare complication. Patients often present with non-specific symptoms, creating a diagnostic dilemma and delaying surgical intervention. A high index of suspicion and timely imaging are essential. Understanding the mechanisms, risk factors, clinical presentation, and management is paramount.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>A 21-year-old woman with a confirmed diagnosis of adult Hirschsprung disease underwent laparoscopic-assisted Soave pull-through with protective loop ileostomy. On the 2nd postoperative day, she developed signs and symptoms of small bowel obstruction (SBO). Exploratory laparotomy revealed a 720\u00b0 SBV proximal to the ileostomy with areas of patchy ischemia. Derotation was performed, and the patient was discharged in stable condition after 5\u00a0days. She is currently recovering smoothly and awaiting ileostomy reversal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Discussion:<\/jats:title>\n                    <jats:p>SBV is an uncommon but serious complication following laparoscopic surgery. Mechanisms remain unclear, though pneumoperitoneum, adhesions, and bowel mobility are implicated. Presentations are non-specific, requiring vigilance and early imaging to ensure prompt diagnosis and intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Post-laparoscopic SBV is rare but potentially life-threatening. Timely recognition, diagnosis, and surgical management are essential to prevent morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/rc9.0000000000000086","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T09:00:09Z","timestamp":1769590809000},"page":"764-767","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Case report: small bowel volvulus following laparoscopic-assisted Soave pull-through for adult Hirschsprung disease: a diagnostic dilemma"],"prefix":"10.1097","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9496-996X","authenticated-orcid":false,"given":"Samson Yadeta","family":"Murra","sequence":"first","affiliation":[{"name":"General Surgery Resident, Department of Surgery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abel Shiferaw","family":"Tesfaye","sequence":"additional","affiliation":[{"name":"General and Colorectal Surgeon, Department of Surgery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Defaru Turpa","family":"Dachesso","sequence":"additional","affiliation":[{"name":"General Surgeon and Colorectal Surgery Fellow, Department of Surgery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bereket Tusa","family":"Alaka","sequence":"additional","affiliation":[{"name":"General Surgeon and Colorectal Surgery Fellow, Department of Surgery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eden Haile","family":"Hagos","sequence":"additional","affiliation":[{"name":"General Practitioner, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"R1-20260803","doi-asserted-by":"crossref","DOI":"10.1016\/j.amsu.2022.104250","article-title":"Primary small bowel volvulus: a case report and literature review","volume":"80","author":"Bouassida","year":"2022","journal-title":"Ann Med Surg"},{"key":"R2-20260803","article-title":"Small bowel volvulus in adult: a review of literature","volume":"2","author":"Shyam","year":"2020","journal-title":"Eur J Med Health Sci"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"135\u201341","DOI":"10.1097\/00000658-199208000-00003","article-title":"Acute small bowel volvulus in adults. 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