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Intestinal nonrotation in an adolescent.
Maria Carmen G Diaz1, Kirk Reichard, Alexandra A Taylor
1Division of Emergency Medicine, Department of Pediatrics, Alfred I. duPont Hospital for Children, Wilmington, DE19899, USA. mcdiaz@nemours.org
Pediatric Emergency Care
|April 17, 2009
Summary
Nonrotation of the intestine is a rare congenital anomaly from embryonic development errors. This condition often remains undiagnosed until adulthood, frequently discovered incidentally during other medical evaluations.
Area of Science:
- Gastroenterology
- Embryology
- Pediatric Surgery
Background:
- Nonrotation of the intestine is a rare congenital anomaly originating from errors during the second stage of embryonic alimentary tract development.
- This condition often remains asymptomatic and undiagnosed for years, presenting as an incidental finding during investigations for other medical issues.
Observation:
- The study details a case of a 17-year-old adolescent female diagnosed with intestinal nonrotation.
- The patient's presentation was incidental, discovered during the evaluation for an unrelated condition.
Findings:
- Computed tomography (CT) is a valuable diagnostic tool for identifying intestinal nonrotation.
- CT imaging may reveal characteristic signs such as an inverse relationship between the superior mesenteric artery and vein, and abnormally positioned bowel loops.
Implications:
- Early diagnosis of intestinal nonrotation can prevent potential complications such as midgut volvulus or obstruction.
- Understanding the embryological basis and diagnostic imaging features is crucial for timely intervention in affected individuals.
- This case highlights the importance of recognizing rare congenital anomalies even when presenting incidentally in adolescents.
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