Abstract
Intestinal malrotation is an uncommon cause of abdominal pain and normally presents during infancy. Familial cases of malrotation are extremely rare in the absence of other congenital malformations. We present the case of a 22-year-old woman with undiagnosed chronic abdominal pain and her previously well 16-year-old brother who presented within 18 months of each other with acute midgut volvulus secondary to intestinal malrotation. Clinicians should be aware of this rare but serious cause of abdominal pain.
Highlights
Case historyA 22-year-old woman presented to our department with severe abdominal pain shortly after being discharged from another hospital
Intestinal malrotation is an uncommon cause of abdominal pain and normally presents during infancy
Urgent computed tomography (CT) was performed, which demonstrated the presence of midgut volvulus with an occluded superior mesenteric artery
Summary
A 22-year-old woman presented to our department with severe abdominal pain shortly after being discharged from another hospital. This revealed intestinal malrotation and a midgut volvulus. Following a subtotal small bowel resection and mucous fistula formation, a second look laparotomy was performed the following day and gut integrity was restored. The patient is well and gaining weight 18 months after discharge she remains on long-term cyclical parenteral feeding. Fifteen months later, this patient’s sixteen-year-old brother presented with a short history of sudden onset central abdominal pain. This patient’s sixteen-year-old brother presented with a short history of sudden onset central abdominal pain He displayed no evidence of peritonism and his pain had settled somewhat overnight, CT was performed and
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