Midgut malrotation first presenting as acute bowel obstruction in adulthood: a case report and literature review

World Journal of Emergency Surgery

Tony W Davies¹  Abraham A Ayantunde¹  Okiemute F Emanuwa¹ 

[1] Department of Surgery, Queen Mary's Hospital, Frognal Avenue, Sidcup, DA14 6LT, London, UK

关键词: laparoscopy;    computed tomography scan;    Ladd's bands;    acute abdomen;    Midgut malrotation;   

Others  :  792733
DOI  :  10.1186/1749-7922-6-22

 received in 2011-05-10, accepted in 2011-07-29,  发布年份 2011

【 摘 要 】

Malrotation of the midgut is generally regarded as paediatric pathology with the majority of patients presenting in childhood. The diagnosis is rare in adults, which sometimes leads to delay in diagnosis and treatment. A high index of suspicion is therefore required when dealing with patients of any age group with abdominal symptoms. We present a case of a 55-year old man who presented with an acute abdomen with preoperative computed tomography scan and operative findings confirming midgut rotation. The duodenum, small bowel, caecum and appendix were abnormally located, with the presence of classical Ladd's bands. There was no evidence of intestinal volvulus. The patient underwent an emergency laparotomy with an uneventful postoperative recovery.

A review of the literature is presented to highlight the rarity of intestinal malrotation and the controversies surrounding its management in the adult population.

【 授权许可】

   
2011 Emanuwa et al; licensee BioMed Central Ltd.

【 图 表 】

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