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Malrotation of the gut with tuberculous stricture
Changez Hakeem Khan1, Atta-Ur-Rehman, Sardar Hussain
1Department of Surgery, Khyber Medical College/Khyber Teaching Hospital, Peshawar. drchangez@msn.com
Insights
Malrotation of the gut, a congenital anomaly, typically causes childhood obstruction. This case highlights a rare late presentation of intestinal obstruction due to a tuberculous stricture, not the malrotation itself.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Infectious Diseases
Background:
- Intestinal malrotation is a congenital gastrointestinal anomaly often presenting with obstruction in early childhood.
- Late presentations of intestinal malrotation are less common and frequently associated with other pathologies.
Observation:
- A case of intestinal malrotation presenting in a patient with obstruction was investigated.
- The obstruction was found to be caused by a tuberculous stricture.
Findings:
- The intestinal obstruction was attributed to a tuberculous stricture, independent of the underlying malrotation.
- This finding is unusual as obstructions in malrotation cases are typically due to the anomaly itself.
Implications:
- This case underscores the importance of considering infectious etiologies, such as tuberculosis, in late-presenting intestinal obstructions, even in the presence of congenital anomalies like malrotation.
- It suggests that tuberculous strictures can mimic or complicate presentations of intestinal malrotation, necessitating thorough diagnostic evaluation.
- Further research into the interplay between congenital anomalies and infectious strictures in the gastrointestinal tract may be warranted.
Abstract:
Malrotation of the gut is a congenital anomaly of the gastrointestinal tract and usually present with obstruction in early childhood. Late presentation may come into light for associated pathology. We report a case that had developed obstruction due to tuberculous stricture and not due to the anomaly itself.