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. 2014;2014:453128.
doi: 10.1155/2014/453128. Epub 2014 Oct 9.

Intestinal Malrotation: A Rare Cause of Small Intestinal Obstruction

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Free PMC article

Intestinal Malrotation: A Rare Cause of Small Intestinal Obstruction

Mesut Sipahi et al. Case Rep Surg. .
Free PMC article

Abstract

Background. The diagnosis of intestinal malrotation is established by the age of 1 year in most cases, and the condition is seldom seen in adults. In this paper, a patient with small intestinal malrotation-type intraperitoneal hernia who underwent surgery at an older age because of intestinal obstruction is presented. Case. A 73-year-old patient who presented with acute intestinal obstruction underwent surgery as treatment. Distended jejunum and ileum loops surrounded by a peritoneal sac and located between the stomach and transverse colon were determined. The terminal ileum had entered into the transverse mesocolon from the right lower part, resulting in kinking and subsequent segmentary obstruction. The obstruction was relieved, and the small intestines were placed into their normal position in the abdominal cavity. Conclusion. Small intestinal malrotations are rare causes of intestinal obstructions in adults. The appropriate treatment in these patients is placement of the intestines in their normal positions.

Figures

Figure 1
Figure 1
CT images demonstrating intestinal malrotation. On axial image (a), obstructed area (OA) indicates the obstructed part of terminal ileum. On coronal (b) image intraperitoneal small bowel (IPSB) is indicated in upper abdomen. Colon trace (CT) is oriented with (-) symbol.
Figure 2
Figure 2
Small intestines located in lesser sac and the surrounding sac.
Figure 3
Figure 3
The place where terminal ileum comes out of transverse mesocolon.

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