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. 2009 Jan 13:4:1.
doi: 10.1186/1749-7922-4-1.

Small bowel haemorrhage associated with partial midgut malrotation in a middle-aged man

Ajay Belgaumkar  1 , Dheeraj Karamchandani, Praveen Peddu, Klaus-Martin Schulte
Affiliations

Small bowel haemorrhage associated with partial midgut malrotation in a middle-aged man

Ajay Belgaumkar et al. World J Emerg Surg. .

Abstract

We describe a case of life-threatening small bowel haemorrhage in a 56 year old man, who was found to have partial midgut malrotation at laparotomy. An association between congenital malrotation and gastrointestinal haemorrhage has not previously been reported in this age group. We discuss the association between gut malrotation and small intestinal pathology and describe the principles of management in these patients.

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Figures

Figure 1
Figure 1
Contrast enhanced CT axial images at the level of L2 demonstrating abnormal rotation of the proximal jejunum (short arrows). Note the swirling of the superior mesenteric vein (long arrow).
Figure 2
Figure 2
CT, coronal reformatted images demonstrating abnormal rotation of the proximal jejununum, with proximal segment extending horizontally across the midline to the right side of the abdomen (arrows).
Figure 3
Figure 3
Histological examination demonstrates dilated blood vessels within the submucosa (arrows).
See this image and copyright information in PMC

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