Abstract
A case of midgut malrotation presenting as subacute intestinal obstruction in an adult
Highlights
Midgut malrotation occurs due to variations of rotation and fixation of the intestine during fetal development
Peritoneal fibrous bands known as Ladd's bands [3] fix the small intestine and undescended caecum to the posterior abdominal wall
Adults commonly present with chronic intestinal obstruction, characterized by intermittent crampy abdominal pain, bloating, nausea and vomiting over several months or years [1, 2, 4]
Summary
Midgut malrotation occurs due to variations of rotation and fixation of the intestine during fetal development. Over 90% of cases present during the neonatal period [1]. The reported incidence of adult midgut malrotation is between 0.0001% and 0.2% [1, 2]. Adults with intestinal malrotation present with atypical symptoms [1] requiring a high degree of clinical suspicion in diagnosis
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