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Intestinal malrotation in adults
Insights
Intestinal malrotation is rare in adults but can cause delayed diagnosis. This study highlights unusual presentations, including appendicitis, in adult patients with this congenital anomaly.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intestinal malrotation is typically diagnosed in neonates.
- Adult presentation of intestinal malrotation can lead to diagnostic delays and suboptimal treatment.
- Uncommon presentations in adults may mimic other abdominal pathologies.
Abstract:
Intestinal malrotation presenting with abdominal problems are not common beyond the neonatal period. An adolescent or adult harboring this anomaly may suffer from delay in diagnosis and inappropriate treatment including surgery. We report three patients, aged 17, 31 and 50 years, with intestinal malrotation presenting as an appendicular problem (2) and chronic abdominal pain (1). The former mode of presentation has not been reported so far.