| A rare presentation of midgut malrotation as an acute intestinal obstruction in an adult: Two case reports and literature review. | |
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MedLine Citation:
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PMID: 23123419 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Midgut malrotation is a congenital anomaly presenting mainly in the childhood. Its presentation as an acute intestinal obstruction is extremely rare in adults usually recognized intra-operatively, therefore a high index of suspicion is always required when dealing with any case of acute intestinal obstruction. PRESENTATION OF CASE: We report two cases of young adults who presented with symptoms of acute intestinal obstruction and were diagnosed intra-operatively as cecal volvulus and paraduodenal hernia, respectively, caused by midgut malrotation. Post-operative CT scan confirmed these findings. DISCUSSION: Malrotation of the intestinal tract is a product of an aberrant embryology. The presentation of intestinal malrotation in adults is rare (0.2-0.5%). Contrast enhanced CT can show the abnormal anatomic location of a right sided small bowel, a left-sided colon and an abnormal relationship of the superior mesenteric vein (SMV) situated to the left of the superior mesenteric artery (SMA) instead of to the right. CONCLUSION: Anomalies like midgut malrotation can present as an operative surprise and awareness regarding these anomalies can help surgeons deal with these conditions. |
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Authors:
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Shailendra Singh; Anupam Das; A S Chawla; S V Arya; Jasneet Chaggar |
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Publication Detail:
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Type: Journal Article Date: 2012-10-12 |
Journal Detail:
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Title: International journal of surgery case reports Volume: 4 ISSN: 2210-2612 ISO Abbreviation: Int J Surg Case Rep Publication Date: 2013 |
Date Detail:
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Created Date: 2013-01-08 Completed Date: 2013-01-09 Revised Date: 2013-04-03 |
Medline Journal Info:
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Nlm Unique ID: 101529872 Medline TA: Int J Surg Case Rep Country: Netherlands |
Other Details:
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Languages: eng Pagination: 72-5 Citation Subset: - |
Copyright Information:
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Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of General Surgery, Vardhman Mahavir Medical College, Safdarjang Hospital, New Delhi, India. Electronic address: shailsurg@gmail.com. |
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