title: Successful surgical management for duodenum obstruction in a 66 year-old woman previously undiagnosed intestinal malrotation.
abstract: Intestinal malrotation is a congenital abnormality and is rarely seen in the adulthood. Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstruction. Several tests revealed that she had intestinal malrotation previously undiagnosed. Operative findings showed the fusion of duodenum with jejunum by the incomplete Treitz ligament. There was no Ladd's band and the right colon was unfixed. Dissection of the fusion completely released her symptom and she discharged without any complication. This is the first report of untypically intestinal malrotation in the adulthood without Ladd's band.
authors.forename: Takashi
authors.initials: T
authors.lastname: Motomura
authors.forename: Ikuo
authors.initials: I
authors.lastname: Takahashi
authors.forename: Shinichi
authors.initials: S
authors.lastname: Noguchi
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Ochi
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kajiwara
authors.forename: Yohei
authors.initials: Y
authors.lastname: Mano
authors.forename: Ryota
authors.initials: R
authors.lastname: Nakanishi
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Fujinaka
authors.forename: Kojiro
authors.initials: K
authors.lastname: Nishida
authors.forename: Yo-ichi
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saeki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kawanaka
authors.forename: Masaru
authors.initials: M
authors.lastname: Morita
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ikeda
authors.forename: Yuji
authors.initials: Y
authors.lastname: Soejima
authors.forename: Takashi
authors.initials: T
authors.lastname: Nishizaki
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000368:Aged; D004065:Digestive System Abnormalities; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004380:Duodenal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome