title: Organoaxial partial rotation of duodenum with midgut malrotation in an adult.
abstract: Midgut malrotation includes a range of developmental abnormalities that occur during fetal intestinal rotation. Manifestations of intestinal malrotation are generally seen in the paediatric population and are uncommon in adults. Symptomatic patients may present with either acute abdominal pain due to midgut volvulus, or chronic abdominal pain due to proximal midgut partial obstruction in the presence of congenital bands. A limited number of paediatric cases of duodenal occlusion due to duodenal malrotation has been previously reported in the medical literature. We herein report the case of a 57-year-old woman who presented with duodenal obstruction due to organoaxial partial rotation of the distal duodenum associated with midgut malrotation. This is probably the first of such a case diagnosed in adulthood reported in the medical literature. Our patient underwent Roux-en-Y duodenojejunostomy and had symptomatic relief following the successful surgery.
authors: Luckshika Udeshani
authors: LU
authors: Amarakoon
authors: Baj Gamage Anushka
authors: BG
authors: Rathnamali
authors: Department of General Surgery (Ward 6B), National Hospital of Sri Lanka, Colombo 10, Sri Lanka. bingumal@sltnet.lk.
authors: Jasin Arachchige Saman Bingumal
authors: JA
authors: Jayasundara
authors: Department of General Surgery (Ward 6B), National Hospital of Sri Lanka, Colombo 10, Sri Lanka. bingumal@sltnet.lk.
authors: Ajith
authors: A
authors: de Silva
mesh_terms: D004380:Duodenal Obstruction / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D004385:Duodenostomy; D004386:Duodenum / Q000002:abnormalities*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013188:Sri Lanka; D016896:Treatment Outcome
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