Midgut volvulus in an adult with congenital malrotation.

Am J Surg

Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Cheng-Kung Rd., Section 2, Taipei 114, Taiwan, Republic of China.

Published: May 2008

AI Article Synopsis

  • Congenital midgut malrotation is a rare anatomical issue typically diagnosed in infants, but can occasionally present in adults, mainly causing bowel obstructions.
  • Symptoms can include acute issues like intestinal ischemia or chronic abdominal pain, which complicates diagnosis.
  • Diagnosis can be achieved through various imaging techniques and surgical intervention, revealing midgut volvulus and partial obstruction in the rare adult cases.

Article Abstract

Congenital midgut malrotation, a rare anatomic anomaly that can lead to duodenal or small-bowel obstruction, rarely is observed beyond the first year of life. Symptomatic patients present with either acute bowel obstruction and intestinal ischemia with a midgut or cecal volvulus or with chronic vague abdominal pain. Chronic symptoms often can make the diagnosis difficult. By using several modalities such as barium studies, computerized tomography, angiography, and emergency laparotomy, we diagnosed midgut volvulus and partial intestinal obstruction, which occur rarely in an adult with congenital midgut malrotation.

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http://dx.doi.org/10.1016/j.amjsurg.2007.01.044DOI Listing

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