Midgut volvulus in a 70-year-old man due to intestinal nonrotation

Intestinal malrotation is a congenital disorder that results from the failure of normal bowel rotation and fixation during the 5th gestational week. The incidence of intestinal malrotation is <0.2%, but prompt diagnosis is important because this anomaly can cause midgut volvulus and lead to fatal...

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Published inThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Vol. 61; no. 5; p. 282
Main Authors Jie, Byung-Soo, Kim, Eun Ok, Kim, Jin Seok, Lee, Hwa-Jeong, Song, Youn Mi, Kim, Youngshin, Jung, Sung Hoon, Oh, Jung Hwan
Format Journal Article
LanguageKorean
Published Korea (South) 01.05.2013
Subjects
Aged
Angiography
Colonic Diseases - diagnosis
Colonic Diseases - diagnostic imaging
Diagnosis, Differential
Humans
Intestinal Volvulus - diagnosis
Intestinal Volvulus - diagnostic imaging
Male
Mesenteric Artery, Superior - diagnostic imaging
Tomography, X-Ray Computed
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Summary:Intestinal malrotation is a congenital disorder that results from the failure of normal bowel rotation and fixation during the 5th gestational week. The incidence of intestinal malrotation is <0.2%, but prompt diagnosis is important because this anomaly can cause midgut volvulus and lead to fatalities. Compared to infants presenting with acute symptoms, such as abdominal pain, vomiting, or diarrhea, adult patients complain of intermittent self-limited abdominal pain. We present a case of intestinal malrotation complicated by midgut volvulus improved with conservative care in a 70-year-old man. The diagnosis was suggested on the basis of imaging findings.
ISSN:2233-6869