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Midgut malrotation in adulthood.

T Kanazawa1, K Kasugai, M Miyata

  • 1Second Department of Internal Medicne, Aichi Meical University.

Internal Medicine (Tokyo, Japan)
|August 12, 2000
PubMed
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Recurrent abdominal pain in adults may indicate midgut malrotation, a congenital condition. Early diagnosis and surgical intervention are crucial for managing this condition.

Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Pediatric Surgery

Background:

  • Midgut malrotation is a congenital anomaly of intestinal rotation during embryonic development.
  • It can lead to various gastrointestinal complications, often presenting in infancy but sometimes in adulthood.
  • Delayed diagnosis in adults can result in significant morbidity.

Observation:

  • A 29-year-old male presented with a 7-year history of intermittent right upper quadrant abdominal pain and vomiting.
  • Diagnostic workup confirmed midgut malrotation.
  • Surgical exploration revealed reverse duodenal rotation with a paraduodenal hernia.

Findings:

  • The patient was diagnosed with midgut malrotation, complicated by a paraduodenal hernia.
  • Laparotomy confirmed the anatomical abnormalities, including reverse duodenal rotation.

Related Experiment Videos

  • A normally rotating colon was noted, highlighting the specific nature of the malrotation.

    • Implications:

    • Recurrent abdominal symptoms in adults warrant consideration of midgut malrotation.
    • This case underscores the importance of considering congenital anomalies in adult-onset gastrointestinal issues.
    • Timely surgical correction is essential to resolve symptoms and prevent complications associated with malrotation.