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Case Reports
. 2024 Oct 31;16(10):e72763.
doi: 10.7759/cureus.72763. eCollection 2024 Oct.

Twist of Fate: A Case Series on Intestinal Malrotation in Adult Patients

Amol Wagh  1 , Najmeh Mirkhushal  1 , Thrilok Gowda  1 , Abhipray P Ramteke  1 , Manikantha G  1
Affiliations
Case Reports

Twist of Fate: A Case Series on Intestinal Malrotation in Adult Patients

Amol Wagh et al. Cureus. .

Abstract

Intestinal malrotation is a congenital anomaly characterized by rotational errors during the embryonic development of the midgut. Although it is mainly a pediatric diagnosis, some cases do present in adult life. In adults, the condition can present in various ways, with symptoms that may be acute, acute on chronic, chronic, or discovered incidentally. This case series highlights the diverse presentations and management of midgut malrotation in adult patients.

Keywords: acute abdominal pain; intestine; ladd’s band; midgut malrotation; volvulus of midgut.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. a) Axial view CECT showing classical whirlpool sign; b) Axial view CECT showing inverse relationship of SMV and SMA
CECT: contrast-enhanced computed tomography, SMV: superior mesenteric vein, SMA: superior mesenteric artery
Figure 2
Figure 2. Intraoperative images showing Ladd's band and large and small bowel not attached to posterior wall with mesentery.
Figure 3
Figure 3. CECT axial view showing that the relationship between the SMA and SMV is inverted.
CECT: contrast-enhanced computed tomography, SMV: superior mesenteric vein, SMA: superior mesenteric artery.
Figure 4
Figure 4. X-ray abdomen erect showing multiple air fluid levels.
Figure 5
Figure 5. Intraoperative images showing Ladd’s band and gangrenous midgut (jejunum and ileum) of about 140cm.
See this image and copyright information in PMC

References

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