Jejunal volvulus masquerading as peptic ulcer disease in an adult: A case report

Enighe W, Ugboma and Kawa L, Aghedo and Vivian N, Akagbue (2025) Jejunal volvulus masquerading as peptic ulcer disease in an adult: A case report. GSC Advanced Research and Reviews, 22 (2). 080-087. ISSN 2582-4597

This case reports small bowel volvulus (SBV) in a 45-years old male, initially misdiagnosed as an acute peptic ulcer exacerbation. The patient presented with non-specific symptoms, and initial imaging studie were unremarkable, delaying diagnosis. Further radiological investigations (CT) showed bowel obstruction with pneumatosis intestinali and ascites. Jejunal volvulus with necrosis, necessitating resection and anastomosis, was noted during emergency laparotomy. This case shows the need for a high index of suspicion regarding SBV prevention and management to improve patient outcomes.