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Adult-onset congenital intestinal malrotation: A case report and literature review

Meng-Di Yin1, Li-Liang Hao2, Guang Li2

  • 1Linyi People's Hospital, Jinzhou Medical University, Linyi 276000, China.

Medicine
|February 23, 2024
PubMed

Insights

Adult congenital intestinal malrotation is rare and often misdiagnosed. Surgical intervention, including Ladd's procedure with gastrojejunostomy and Braun anastomosis, effectively treats this condition, improving patient outcomes.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Congenital Anomalies

Background:

  • Adult congenital intestinal malrotation is a rare condition, with limited studies available on adult cases.
  • Nonspecific clinical manifestations often lead to misdiagnosis in adult patients.
  • This case highlights the challenges and diagnostic considerations for adult intestinal malrotation.

Approach:

  • A case study of a 45-year-old female with chronic vomiting due to intestinal malrotation.
  • Diagnostic imaging (CT scan) and laparoscopic examination were utilized for diagnosis.
  • Surgical treatment involved Ladd's procedure combined with gastrojejunostomy and Braun anastomosis.

Key Points:

  • The patient presented with over 40 years of vomiting, initially suspected as intestinal volvulus and obstruction.
  • Laparoscopic examination confirmed adult congenital intestinal malrotation.
  • Post-operative recovery was successful, with significant symptom alleviation and weight gain after 6 months.

Conclusions:

  • Enhanced awareness of adult congenital intestinal malrotation is crucial due to its rarity and potential for misdiagnosis.
  • Surgical management is the primary treatment modality for this condition.
  • Combining gastrojejunostomy and Braun anastomosis with Ladd's procedure may optimize surgical results and patient recovery.
Abstract

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