[Differential diagnostic problems in primary volvulus of the small intestine in adulthood].

Primary small bowel volvulus in the adult is a rare, life-threatening emergency. The preoperative diagnosis is difficult and in most of the cases incorrect. We present a case of primary small bowel volvulus in the adult. Preoperative diagnosis of intraabdominal bleeding following blunt abdominal trauma was erroneously made and the patient underwent laparotomy. Review of the literature is presented and discussed.