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.2007.01.044 | DOI Listing |
J Med Case Rep
December 2024
Department of Surgery, Aga Khan University, Karachi, Pakistan.
Background: Kaposiform hemangioendothelioma is a rare vascular tumor primarily occurring in infants and children. The most common sites for kaposiform hemangioendothelioma are extremities, with very few cases of abdominal kaposiform hemangioendothelioma reported in neonates. Making a diagnosis of Kaposiform hemangioendothelioma can be challenging when the patient presents with generalized symptoms such as bilious vomiting and constipation that can be attributed to other more common causes of intestinal obstruction.
View Article and Find Full Text PDFPLoS One
December 2024
Department of Medical Imaging, The Affiliated Suzhou Hospital of Nanjing Medical University, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Objective: To analytically depict the associated malformations of polysplenia syndrome (PS) in adults via computed tomography (CT).
Materials And Methods: The incidence of malformations associated with PS in twelve adult patients was retrospectively analyzed via CT imaging.
Results: The number of splenic nodules ranged from three to twelve; the splenic nodules were located in the left upper quadrant in nine patients and in the right upper quadrant in three patients.
Transl Pediatr
November 2024
Department of Neonatal Surgery, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Background: Neonatal intestinal malrotation complicated by midgut volvulus is a serious and common life-threatening complication. When the midgut volvulus is prolonged or severe, it can lead to secondary necrosis of the entire midgut, with high mortality rates. Therefore, improving understanding the clinical characteristics of this condition is necessary to facilitate early diagnosis and treatment.
View Article and Find Full Text PDFCureus
October 2024
General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Intestinal malrotation is a congenital anomaly characterized by rotational errors during the embryonic development of the midgut. Although it is mainly a pediatric diagnosis, some cases do present in adult life. In adults, the condition can present in various ways, with symptoms that may be acute, acute on chronic, chronic, or discovered incidentally.
View Article and Find Full Text PDFRadiol Clin North Am
January 2025
Department of Radiology, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue, 2nd Floor Radiology, Pittsburgh, PA 15224, USA; Department of Radiology, University of Pittsburgh School of Medicine, 200 Lothrop Street, First Floor PUH, Suite E-174, Pittsburgh, PA 15213, USA. Electronic address:
Ultrasound is an important modality to assess pediatric patients and uses continue to increase. In this review, several emerging applications of ultrasound in pediatric patients are detailed, focusing on diseases impacting infants, including necrotizing enterocolitis, malrotation with midgut volvulus, and liver lesion characterization.
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