DOI: http://dx.doi.org/10.18203/2349-2902.isj20173904

Midgut volvulus: a rare cause of acute intestinal obstruction in adults

Rahul Jain, Sunita Gupta, Sushanto Neogi, Ankul Mittal

Abstract


Malrotation with volvulus of midgut bowel loop, a developmental anomaly of intestinal fixation, occurs due to failure of rotation of proximal midgut around the mesenteric vessels during the second stage of rotation. Anomalies presenting in adults is very rare and incidence reported is 0.0001% to 0.19%. We report a case of a young female with acute on chronic presentation of midgut malrotation.


Keywords


Intestinal obstruction, Malrotation, Midgut volvulus

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References


Torres AM, Zeigler MM. Malrotation of the intestine. World J Surg. 1993;17:326-31.

Aboagye J, Goldstein SD, Salazar JH, Papandria D, Okoye MT, Al-Omar K, et al. Age at presentation of common pediatric surgical conditions: Re-examing dogma. J Pediatr Surg. 2014;49:995-9.

Von Flue M, Herzog u, Ackermann C, Tondelli P, Harder F. Acute and chronic presentation of intestinal nonrotation in adults. Dis Colon Rectum. 1994;37:192-8.

Dietz DW, Walsh RM, Grundfest-Broniatowski S, Lavery IC, Fazio VW, Vogt DP. Intestinal malrotation: a rare but important cause of bowel obstruction in adults. Dis Colon Rectum. 2002;45(10):1381-6.

Pickhardt PJ, Bhalla S. Intestinal malrotation in adolescents and adults: spectrum of clinical and imaging features. Am J Radiol. 2002;179:1429-35.

Nichols DM, Li DK. Superior mesenteric vein rotation: a CT sign of midgut malrotation. Am J Roentgenol. 1983;141:707-8.

Fisher JK. Computer tomographic diagnosis of volvulus in intestinal malrotation. Radiol. 1981;140:145-6.

Ladd WE. Surgical diseases of the alimentary tract in infants. N Engl J Med. 1936;215:705-8.