Constipation-predominant irritable bowel syndrome complicating asymptomatic nonrotation of the midgut.
Nonrotation is a part of the spectrum of anatomic anomalies comprising malrotation. Most cases of nonrotation are symptomatic and managed surgically with a Ladd's procedure. However, incidental discovery of asymptomatic patients has also been reported. In these cases, the role of surgery is debated. The authors describe a case of nonrotation in a young woman with constipation-predominant irritable bowel syndrome that caused symptoms associated with nonrotation. Medical management of her irritable bowel syndrome resulted in the resolution of all abdominal complaints and a Ladd's procedure was not recommended. The authors include a literature review of nonrotation with an emphasis on the treatment of asymptomatic disease.
Plackett
Timothy P
TP
Department of Surgery, Tripler Army Medical Center, Honolulu, HI 96819-5001, USA.
Myers
Jonathan
J
Gagliano
Ronald A
RA
D000005:Abdomen / Q000002:abnormalities* / Q000473:pathology; D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000473:pathology; D000328:Adult; D003248:Constipation / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D005260:Female; D006801:Humans; D007422:Intestines / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology; D043183:Irritable Bowel Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography