Wandering liver and intestinal malrotation: first report

Area of Science:

• Gastroenterology and Hepatology
• Surgical Anatomy
• Pediatric Surgery

Background:

• A wandering liver is a rare congenital anomaly where the liver is abnormally mobile.
• This condition can lead to diagnostic challenges due to atypical organ positioning.
• It occurs rarely in both pediatric and adult populations.

Purpose of the Study:

• To report the first documented case of wandering liver in an adult with intestinal malrotation and midgut volvulus.
• To discuss the surgical management of this complex anatomical presentation.
• To raise awareness among clinicians about potential misdiagnoses associated with wandering liver.

Main Methods:

• Case report detailing a unique clinical presentation.
• Review of relevant literature on wandering liver and intestinal malrotation.
• Description of laparoscopic surgical intervention for midgut volvulus and intestinal malrotation.

Main Results:

• Successfully described the first adult case of wandering liver associated with intestinal malrotation and midgut volvulus.
• Demonstrated the feasibility and efficacy of laparoscopic surgery in managing this complex condition.
• Highlighted the anatomical disorientation caused by the wandering liver and associated malrotation.

Conclusions:

• Wandering liver in adults, though rare, can coexist with intestinal malrotation and midgut volvulus.
• Laparoscopic surgery is a safe and effective approach for addressing midgut volvulus and intestinal malrotation in patients with wandering liver.
• Awareness of this rare anomaly is crucial for accurate diagnosis and appropriate clinical management.