A young boy of 15years old presented with a 2 day history of abdominal pain starting at the upper abdomen(epigastrium) then later the pain was worse felt over the right lower flank. He was diagnosed to have appendicitis.
I got a call from my medical officer saying that he drained 400mls of dark haemoserous fluid from his Lanz incision made for appendectomy. We converted the case to perform a laparotomy and this is what we found.
After releasing the twist,
It is a case of mesenteric venous thrombosis secondary to volvulus of the mid-segment of the small bowel. Maybe also it could be a internal herniation from a congenital band. After the resection, he is left with probably 90cm of small bowel from about 250 to 300cm of small bowel.