Skip to content
2000
  1. Home
  2. A-Z Publications
  3. New Emirates Medical Journal
  4. Volume 5, Issue 1
  5. Article
Volume 5, Issue 1
  • ISSN: 0250-6882
  • E-ISSN: 0250-6882
file format pdf download PDF
side by side viewer icon HTML

Abstract

Background

Intestinal malrotation in adults is more common in chronic, insidious patterns, reported to be around 88% in the literature, with features ranging from intermittent abdominal pain and vomiting to food intolerance, malabsorption, and motility disorders. This clinical spectrum can be debilitating for the patient in terms of morbidity and mortality, especially in the context of acute presentation in the background of chronic features.

Case Presentation

We present a 26-year-old male with a history of over 10 hospital admissions since childhood with intermittent abdominal pain and vomiting labeled as cyclic vomiting syndrome. He was in distress regarding the chronicity of his symptoms and presented with an acute abdomen due to acute small bowel intestinal obstruction. He underwent diagnostic laparoscopy and reduction of internal hernia followed by exploratory laparotomy and division of Ladd’s band and realignment of bowel. Postoperatively, he recovered and recuperated well.

Conclusion

Intestinal malrotation should be in the routine differential diagnosis of acute abdomen, especially with the history of nonspecific abdominal symptomatology, so that diagnosis can be made early to prevent morbidity and mortality in this age group.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Loading

Article metrics loading...

/content/journals/nemj/10.2174/0102506882342025241101110010
2024-01-01
2025-04-23

  • From This Site

    /content/journals/nemj/10.2174/0102506882342025241101110010
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
The full text of this item is not currently available.

References

  1. BassK.D. RothenbergS.S. ChangJ.H.T. Laparoscopic Ladd’s procedure in infants with malrotation.J. Pediatr. Surg.199833227928110.1016/S0022‑3468(98)90447‑X9498402
     [Google Scholar]
  2. LeeH.C. PickardS.S. SridharS. DuttaS. Intestinal malrotation and catastrophic volvulus in infancy.J. Emerg. Med.2012431e49e5110.1016/j.jemermed.2011.06.13522325550
     [Google Scholar]
  3. CullisP.S. FouadD. GoldsteinA.M. WongK.K.Y. BoonthaiA. LobosP. PakarinenM.P. LostyP.D. Major surgical conditions of childhood and their lifelong implications: Comprehensive review.BJS Open202483zrae02810.1093/bjsopen/zrae02838776252
     [Google Scholar]
  4. PerezA.A. PickhardtP.J. Intestinal malrotation in adults: prevalence and findings based on CT colonography.Abdom. Radiol.20214673002301010.1007/s00261‑021‑02959‑333558953
     [Google Scholar]
  5. CoeT.M. ChangD.C. SicklickJ.K. Small bowel volvulus in the adult populace of the United States: Results from a population-based study.Am. J. Surg.20152102201210.e210.1016/j.amjsurg.2014.12.04826002189
     [Google Scholar]
  6. von FlüeM. HerzogU. AckermannC. TondelliP. HarderF. Acute and chronic presentation of intestinal nonrotation in adults.Dis. Colon Rectum199437219219810.1007/BF020475498306846
     [Google Scholar]
  7. NevilleJ.J. GallagherJ. MitraA. ShethH. Adult presentations of congenital midgut malrotation: A systematic review.World J. Surg.20204461771177810.1007/s00268‑020‑05403‑732030442
     [Google Scholar]
  8. DevlinH.B. WilliamsR.S. PierceJ.W. Presentation of midgut malrotation in adults.BMJ19681559580380710.1136/bmj.1.5595.8035641487
     [Google Scholar]
  9. DilleyA.V. PereiraJ. ShiE.C.P. AdamsS. KernI.B. CurrieB. HenryG.M. The radiologist says malrotation: Does the surgeon operate?Pediatr. Surg. Int.2000161-2454910.1007/s00383005001210663834
     [Google Scholar]
  10. YangB. ChenW.H. ZhangX.F. LuoZ.R. Adult midgut malrotation: Multi-detector computed tomography (MDCT) findings of 14 cases.Jpn. J. Radiol.201331532833510.1007/s11604‑013‑0194‑823475600
     [Google Scholar]
  11. KotobiH. TanV. LefèvreJ. DuraméF. AudryG. ParcY. Total midgut volvulus in adults with intestinal malrotation. Report of eleven patients.J. Visc. Surg.2017154317518310.1016/j.jviscsurg.2016.06.01027888039
     [Google Scholar]
  12. Abu-ElmagdK. MazariegosG. ArmanyousS. ParekhN. ElSherifA. KhannaA. Kosmach-ParkB. D’AmicoG. FujikiM. OsmanM. ScalishM. PruchnickiA. NewhouseE. AbdelshafyA.A. RemerE. CostaG. WalshR.M. Five hundred patients with gut malrotation.Ann. Surg.2021274458159610.1097/SLA.000000000000507234506313
     [Google Scholar]
  13. MoldremA.W. PapaconstantinouH. BrokerH. MegisonS. JeyarajahD.R. Late presentation of intestinal malrotation: An argument for elective repair.World J. Surg.20083271426143110.1007/s00268‑008‑9490‑318347850
     [Google Scholar]
  14. HasosahM.Y. MeerW.I. AlsaleemK. Intestinal volvulus: A life- threatening disease.J. Clin. Diagn. Res.2016103SJ0110.7860/JCDR/2016/18438.738727134960
     [Google Scholar]
  15. JarvisJ.K. RambhajanA. Adult intestinal malrotation in a non-paediatric hospital in trinidad: A case report and literature review.Cureus20201212e1230510.7759/cureus.1230533520504
     [Google Scholar]
  16. RibeiroT. GreeneB. BennettS. MsallakH. KaranicolasP. Variations of intestinal malrotation in adults: A case report of midgut volvulus and literature review for the surgeon.Int. J. Surg. Case Rep.20229110675010.1016/j.ijscr.2021.10675035026684
     [Google Scholar]
  17. HsuS.D. YuJ.C. ChouS.J. HsiehH.F. ChangT.H. LiuY.C. Midgut volvulus in an adult with congenital malrotation.Am. J. Surg.2008195570570710.1016/j.amjsurg.2007.01.04418353272
     [Google Scholar]
  18. DurkinE.T. LundD.P. ShaabanA.F. SchurrM.J. WeberS.M. Age-related differences in diagnosis and morbidity of intestinal malrotation.J. Am. Coll. Surg.2008206465866310.1016/j.jamcollsurg.2007.11.02018387471
     [Google Scholar]
/content/journals/nemj/10.2174/0102506882342025241101110010
Loading
Intestinal Malrotation in Chronic Form in Adults: A Diagnostic and Management Challenge
NEW Emirates Medical J 5, e02506882342025 (2024); https://doi.org/10.2174/0102506882342025241101110010
/content/journals/nemj/10.2174/0102506882342025241101110010
/content/journals/nemj/10.2174/0102506882342025241101110010
Loading

Data & Media loading...


  • Article Type:     Case Report
Keyword(s): Case report; Chronic; Insidious pattern; Intermittent; Intestinal malrotation; Ladd’s band

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test