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Enteric duplication cysts and reversed intestinal rotation (RIR) are rare congenital anomalies, with their coexistence being exceptionally uncommon. We report a 4-year-old girl who presented with chronic anemia and intermittent abdominal symptoms since infancy. Detailed workup for medical causes of anemia was inconclusive.

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BACKGROUND A congenital defect known as intestinal malrotation, which has only rarely been described in adults, is most frequently identified in children. For life-threatening consequences, such as intestinal ischemia and death, to be avoided, prompt detection is essential. We report a rare case of adult intestinal malrotation to emphasize the difficulty in diagnosis and surgical treatment.

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Article Synopsis
  • A 79-year-old woman was admitted to the hospital due to a month-long history of melena (bloody stools) and anemia caused by chronic gastrointestinal bleeding from cavernous hemangiomatosis in the small bowel.
  • She underwent two surgical procedures: an initial laparoscopic jejunal-ileal resection followed by a laparotomic duodenojejunal resection due to ongoing anemia.
  • Cavernous hemangiomatosis is a rare condition (7-10% of benign small bowel tumors) that often causes bleeding; diagnosis may involve various imaging techniques, and surgical resection is the preferred treatment method when feasible, considering the risks of extensive surgeries.
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Paraduodenal hernias, especially right sided, are extremely rare entities that are difficult to diagnose due to their uncommon presentation. Some may experience small bowel obstruction. Such patients will have a guarded prognosis if complicated by sepsis due to strangulation or perforation.

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Introduction & Importance: Situs Inversus Abdominalis (SIA) & Paraduodenal Hernias (PDH) are extremely rare causes acute surgical emergencies among adults. We present a case of an adult patient with intestinal obstruction secondary to PDH through the fossa of Landzert with concurrent SIA.

Presentation Of Case: A thirteen-year-old Southeast Asian female with situs inversus abdominalis due to Kartagener syndrome presented with bowel obstruction.

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