| Unusual presentation of midgut malrotation with incidental nutcracker syndrome in adulthood: case report and literature review. | |
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MedLine Citation:
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PMID: 22843750 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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 results in delayed diagnosis and treatment. We present the case of a 28-year-old woman who presented with vomiting and mild acute pain in the abdomen. CT scan showed abnormal location of the midgut and abnormal relation of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) and duodenal jejunal flexure, confirming midgut malrotation. Peroperative findings showed the duodenum, small bowel loops located on the right side of the abdomen. The caecum and appendix were located at the midline in the epigastrium with the presence of Ladd's bands. SMA right and anterior to SMV whirled around SMA. Incidentally, the intraoperatively dilated left renal vein was compressed between the SMA and the aorta, which was confirmed retrospectively on CT scan with no symptoms related to the condition. |
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Authors:
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Panchal N Hitenkumar; Dharita Shah; Chiripal B Priyanka |
Publication Detail:
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Type: Journal Article Date: 2012-07-25 |
Journal Detail:
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Title: BMJ case reports Volume: 2012 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2012 |
Date Detail:
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Created Date: 2012-07-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: IM |
Affiliation:
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Department of Radiology, NHL Medical College, Ahmedabad, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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