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Intestinal malrotation: a rare cause of small intestinal obstruction

Mesut Sipahi1, Kasim Caglayan1, Ergin Arslan1

  • 1Department of General Surgery, School of Medicine, Bozok University, 66100 Yozgat, Turkey.

Case Reports in Surgery
|November 6, 2014
PubMed

Insights

Small intestinal malrotation is rare in adults but can cause obstruction. Surgical correction by repositioning the intestines is the appropriate treatment for this condition.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Intestinal malrotation is typically diagnosed in infancy.
  • Adult presentation of intestinal malrotation is uncommon.

Purpose of the Study:

  • To present a case of adult intestinal malrotation causing obstruction.
  • To discuss the surgical management of this rare condition in adults.

Main Methods:

  • A 73-year-old patient presented with acute intestinal obstruction.
  • Surgical exploration revealed a malrotation-type intraperitoneal hernia.
  • The obstruction was relieved, and intestines were repositioned.

Main Results:

  • A peritoneal sac contained distended small bowel loops.
  • Ileal kinking within the transverse mesocolon caused obstruction.
  • Successful surgical correction was achieved.

Conclusions:

  • Small intestinal malrotation is a rare cause of adult intestinal obstruction.
  • Surgical repositioning of intestines is the definitive treatment.

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