Midgut malrotation presenting as acute bowel obstruction in an adult with literature review
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Malrotation of the midgut is generally regarded as paediatric pathology with the majority of patients presenting in childhood. The diagnosis is rare in adults, which sometimes leads to delay in diagnosis and treatment. A high index of suspicion is therefore required when dealing with patients of any age group with abdominal symptoms. We present a case of a 55-year old man who presented with an acute abdomen with preoperative computed tomography scan and operative findings confirming midgut rotation. The duodenum, small bowel, caecum and appendix were abnormally located, with the presence of classical Ladd's bands. There was no evidence of intestinal volvulus. The patient underwent an emergency laparotomy with an uneventful postoperative recovery. A review of the literature is presented to highlight the rarity of intestinal malrotation and the controversies surrounding its management in the adult population.
Authors and Affiliations
Gaurav Singh, R. K. Karwasra, Sanjeev Parshad, Bhavinder Arora
Keywords
Related Articles
- EP ID EP369622
- DOI 10.9790/0853-1703097682
- Views 55
- Downloads 0
The Role of Pentoxifylline on Distal lower Extremities Ulcers
Venous ulcers are the major occurrence of chronic wounds, occurring in 70% to 90% of leg ulcer cases. Venous ulcers develop mostly along the medial distal leg, and can be very painful with significant effects on quality...
Scar Endometriosis Post Caesarean Section: Case Report And Review Of Literature
Young females with painful nodule on anterior abdominal wall are often difficult to diagnose but if in association with surgical abdominal scar than possibility of scar endometriosis should be ruled out. This is a case o...
Coping In Caregivers of Chronic Schizophrenia and Bipolar Affective Disorder – A Comparative Study
Care giving is a chronic stressor and different coping methods are used to handle such a situation. The present study attempts to assess coping in caregivers of Chronic Schizophrenia and Bipolar Affective Disorder and ma...
A Clinical Study of Correlation between Glycaemic Control and Progression of Diabetic Retinopathy
Aim: To study the relationship between glycaemic control and the onset, progression and severity of diabetic retinopathy in diabetic individuals 2 Patients And Methods: The present study was done from june 2017 to august...
Prevalence of Hyperprolactinemia and Socio-Demographic Profile of Hyperprolactinemic Women in Some Gynaecological Clinics in Rivers State, Nigeria.
Hyperprolactinemia is an extremely common disorder, especially among women of reproductive age, affecting about one-third of infertile women in the world. This study was designed to determine the prevalence of hyperprola...