Incidental intestinal malrotation in an adult: Midgut volvulus
Mehmet Tolga Kafadar1
, Aysun Yakut Cengiz2, Tuğba Çaviş3, İsmail Bilgiç4, Işılay Nadir5
1Clinic of General Surgery, Health Sciences University Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey
2Clinic of Radiology, Medical Park Sivas Hospital, Sivas, Turkey
3Clinic of Radiology, Atatürk Training and Research Hospital, Ankara, Turkey
4Clinic of General Surgery, Ankara Umut Hospital, Ankara, Turkey
5Clinic of Gastroenterology, Medical Park Ankara Hospital, Ankara, Turkey
Abstract
Intestinal malrotation is a developmental anomaly characterized by a midgut fixation disorder and failure to complete its normal fetal rotation around the superior mesenteric artery inside the peritoneal cavity. Malrotation is a rare cause of mechanical intestinal obstruction in adults. It may manifest as an emergency condition or with chronic abdominal symptoms. Although its diagnosis remains difficult, early diagnosis and treatment usually yield favorable outcomes. Intestinal malrotation rarely has an asymptomatic course, in which the diagnosis is usually made incidentally. Multislice computed tomography is quite helpful for making a correct diagnosis. In this study, we reported a 56-year-old patient incidentally who was detected to have intestinal malrotation and was managed symptomatically after presenting at our clinic with signs and symptoms of intestinal obstruction; we also provided a discussion of the relevant literature.
Keywords: Midgut malrotation, volvulus, adult
This study was presented at the 13th National Hepatogastroenterology Congress, 27 April-1 May 2016, Antalya, Turkey
Cite this paper as:Kafadar MT, Cengiz AY, Çaviş T, Bilgiç İ, Nadir I. Incidental intestinal malrotation in an adult: Midgut volvulus. Turk J Surg 2018; 34(4): 337-339
Written informed consent was obtained from patient who participated in this study.
Externally peer-reviewed.
Concept - M.T.K., T.Ç., İ.B.; Design - M.T.K., A.Y.C.; Supervision- M.T.K., İ.B.; Resource - M.T.K., I.N.; Materials - M.T.K., A.Y.C., T.Ç., I.N.; Data Collection and/or Processing - M.T.K., A.Y.C., T.Ç.; Analysis and/or Interpretation - M.T.K.; Literature Search - M.T.K., T.Ç.; Writing Manuscript - M.T.K.; Critical Reviews - M.T.K., İ.B., I.N.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.