Abstract
Congenital intestinal malrotation is a gastrointestinal anomaly whose most serious complication is midgut volvulus. More commonly, it presents as an incidental finding at laparotomy, or as a finding on diagnostic imaging (Ultrasound, CT, Upper GI contrast study). Most patients are diagnosed in childhood. Laparoscopic Ladd's procedure is an accepted alternative to Laparotomy in children but has not been well-studied in adult. We present the case of this unexpected finding in a patient 38 years old, during emergency laparotomy for mechanical intestinal obstruction. Intra-operative findings included intestinal malrotation with small bowel volvulus. The terminal ilea and cecum were gangrenous on the basis of ischemic necrosis. A limited right hemycolectomy and primary end-to- end anastomosis was performed.
Highlights
Congenital Intestinal malrotation is a complex disorder caused by incomplete or abnormal rotation of the intestine during fetal development
They can be categorized into two groups: typical and atypical malrotation based on the position of the ligament of Treitz according to the right and left of the midline, respectively
In the present paper we present a case of an adult 38 years old female patient with intestinal malrotation with volvulus leading to ischemic necrosis and gangrene of the ileo-caecal area
Summary
Congenital Intestinal malrotation is a complex disorder caused by incomplete or abnormal rotation of the intestine during fetal development. Intestinal rotational anomalies are classified according to the anatomical variation, and include incomplete rotation, mixed rotation, atypical malrotation, and variants of malrotation They can be categorized into two groups: typical and atypical malrotation based on the position of the ligament of Treitz according to the right and left of the midline, respectively. In the present paper we present a case of an adult 38 years old female patient with intestinal malrotation with volvulus leading to ischemic necrosis and gangrene of the ileo-caecal area. Follow up fifteen days and three months post discharge revealed full recovery This is a case report of 38 year old female patient, HIV negative, with long standing intermittent chronic abdominal pain. Follow up at fifteen days and three months revealed that the patient was doing well
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