Display options
Cite
Fung AT, Konkin DE, Kanji ZS. Malrotation with midgut volvulus in an adult: a case report and review of the literature. J Surg Case Rep. 2017;2017(5):rjx081doi: 10.1093/jscr/rjx081.
Fung, A. T., Konkin, D. E., & Kanji, Z. S. (2017). Malrotation with midgut volvulus in an adult: a case report and review of the literature. Journal of surgical case reports, 2017(5), rjx081. https://doi.org/10.1093/jscr/rjx081
Fung, Adrian T, et al. "Malrotation with midgut volvulus in an adult: a case report and review of the literature." Journal of surgical case reports vol. 2017,5 (2017): rjx081. doi: https://doi.org/10.1093/jscr/rjx081
Fung AT, Konkin DE, Kanji ZS. Malrotation with midgut volvulus in an adult: a case report and review of the literature. J Surg Case Rep. 2017 May 10;2017(5):rjx081. doi: 10.1093/jscr/rjx081. eCollection 2017 May. PMID: 28560023; PMCID: PMC5441244.
Copy Download .nbib Format: NLM
Share it on

J Surg Case Rep. 2017 May 10;2017(5):rjx081. doi: 10.1093/jscr/rjx081. eCollection 2017 May.

Malrotation with midgut volvulus in an adult: a case report and review of the literature.

Journal of surgical case reports

Adrian T Fung, David E Konkin, Zaheer S Kanji

Affiliations

  1. Division of General Surgery, Royal Columbian Hospital, New Westminster, BC, CanadaV3L 3W7.

PMID: 28560023 PMCID: PMC5441244 DOI: 10.1093/jscr/rjx081

Abstract

We report a case of a 53-year-old male who presented with acute onset right upper quadrant (RUQ) abdominal pain with investigations demonstrating malrotation causing midgut volvulus and subsequent intestinal obstruction. The patient was consented for an emergent operation and underwent an exploratory laparotomy. Operative findings included the presence of adhesive bands in the RUQ (Ladd's Band), volvulus of the mid-portion of the small bowel in a clockwise fashion and multiple intra-abdominal adhesions causing internal hernias. We subsequently performed a Ladd's procedure and the patient had an uneventful recovery with eventual discharge on postoperative day 8. This case report reviews the incidence of malrotation in adults. It also highlights the difficulty in diagnosing midgut volvulus in the adult population given the nonspecific, insidious symptoms therefore prompting awareness of its existence and a high degree of clinical suspicion.

References

  1. Arch Dis Child. 1986 Jul;61(7):682-5 - PubMed
  2. Br Med J. 1968 Mar 30;1(5595):803-7 - PubMed
  3. Dis Colon Rectum. 2002 Oct;45(10 ):1381-6 - PubMed
  4. J Am Coll Surg. 2008 Apr;206(4):658-63 - PubMed
  5. Am J Surg. 2008 May;195(5):705-7 - PubMed

Publication Types