Midgut volvulus in an adult with congenital malrotation.
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.
Hsu
Sheng-Der
SD
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.
Yu
Jyh-Cherng
JC
Chou
Shao-Jiun
SJ
Hsieh
Huan-Fa
HF
Chang
Tsun-Hou
TH
Liu
Yao-Chi
YC
D000328:Adult; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging; D007421:Intestine, Small / Q000002:abnormalities*; D007583:Jejunum / Q000000981:diagnostic imaging; D012008:Recurrence; D014057:Tomography, X-Ray Computed