Abstract
Rotation anomalies are usually anomalies seen in children. It is a rare condition in adults. In this article, 4 cases are presented. In the first case, reverse rotation anomaly and appendicitis perforation were detected in a patient who had laparotomy at the age of 22 with acute abdomen. It is a unique condition that the patient had a history of previous appendectomy. Ladd band may be the cause of acute abdomen due to ileus. The patient in our second case presented a concurrent biliary stone and malrotation with Ladd band. In addition, two elderly patients who underwent hemicolectomy due to intestinal ileus caused by malrotation were presented with literature review.
Highlights
Any failure in normal embryological 270° counter clockwise intestinal rotation around the superiormesenteric vessels is considered to be malrotation
We present four cases of adult malrotation who presented with chronic abdominal pain and/or ileus
Intestinal malrotation is considered a rare entitiy in adults
Summary
Any failure in normal embryological 270° counter clockwise intestinal rotation around the superiormesenteric vessels is considered to be malrotation. Diagnostic laparoscopic imaging is indicated for patients with intestinal malrotation in case of upper gastrointestinal system uncertainty. We present four cases of adult malrotation who presented with chronic abdominal pain and/or ileus.
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