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Midgut malrotation with chronic abdominal pain
Anil K Wanjari1, Arjun J Deshmukh, Parimal S Tayde
1Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India.
North American Journal of Medical Sciences
|April 27, 2012
Summary
Midgut malrotation, a congenital anomaly, can cause chronic abdominal pain in adults. A laparoscopic Ladd's procedure effectively treats this condition, leading to symptom resolution and improved patient outcomes.
Area of Science:
- Medical Science
- Surgical Innovation
- Pediatric Surgery
Background:
- Midgut malrotation is a congenital anomaly arising from failed rotation during fetal development.
- It most commonly presents in neonates but can manifest in adulthood with acute volvulus or chronic gastrointestinal symptoms.
- Adult presentation of midgut malrotation poses a diagnostic challenge due to nonspecific symptoms.
Observation:
- A 17-year-old male presented with a decade of nonspecific gastrointestinal issues.
- Computed tomography (CT) of the abdomen confirmed midgut malrotation.
- The patient underwent a laparoscopic Ladd's procedure for treatment.
Findings:
- The laparoscopic Ladd's procedure proved to be an effective treatment for symptomatic adult midgut malrotation.
- Post-procedure, the patient experienced significant symptom improvement, including weight gain and cessation of vomiting.
- Abdominal CT imaging is a valuable tool for diagnosing midgut malrotation in adults.
Implications:
- Laparoscopic Ladd's procedure is a viable and effective alternative to open surgery for adult midgut malrotation.
- Early diagnosis and surgical intervention can significantly improve the quality of life for patients with this rare condition.
- This case highlights the importance of considering congenital anomalies in the differential diagnosis of chronic abdominal pain in adults.
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