Intestinal Malrotation in an Elderly Man: A Case Report and Review of the Literatures

نویسندگان

  • VA-KEI KOK
  • TEH-KUANG WANG
  • YAW-CHING CHEN
چکیده

Malrotation is defined as an anomaly of rotation and fixation of the midgut. It can lead to acute intestinal obstruction and is a rare but important cause of bowel obstruction in adults. A 76-year-old man was brought to the Emergency Room (ER) due to vomiting, anorexia and abdominal pain over the past three days. Routine abdominal X-ray revealed interposition of the hepatic flexure of the colon and gas distention of the small and large bowel. Computed tomography (CT) of abdomen showed exchanged position of the superior mesenteric artery (SMA) and the superior mesenteric vein (SMV). Under suspicion of intestinal obstruction, an exploratory laparotomy was performed, which confirmed the anomalous position of the colon at the right side of the abdominal cavity. Although usually an incidental finding, it is important to diagnose such a malrotation because it may cause acute abdominal symptoms.

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تاریخ انتشار 2006