OBJECTIVE To report a case of intestinal malrotation predisposing to cecal volvulus following nonabdominal surgery in an adult. PRESENTATION AND INTERVENTION A 23-year-old male with known anorectal malformation developed a postoperative intestinal obstruction following percutaneous nephrolithotomy for left renal calculus. Computed tomography of the abdomen revealed a grossly dilated cecum (9 ...

BACKGROUND/PURPOSE Intestinal obstruction is one of the most common reasons for admission to a neonatal surgical unit and frequently is manifest by bilious vomiting. Not all cases of neonatal bilious vomiting are caused by intestinal obstruction. This study aimed to investigate the outcome of neonates with bilious vomiting. METHODS A prospective audit was undertaken of all neonates with a his...

The baby was born to a 24-year-old primigravida mother by cesarean section at 36 week gestation and weighed 2420 grams. Antenatal scan at 32 week gestation showed dilated bowel loops and polyhydramnios (Amniotic fluid index: 32 cm) suggestive of intestinal obstruction. He developed respiratory distress soon after birth and was referred to our unit. On examination, the baby had respiratory distr...

Abnormalities in midgut rotation occur during the physiological herniation of the midgut between the 5th and 10th week of gestation (Warner, 1997). The most significant abnormality is a narrow small bowel mesentery which is prone to volvulus. This occurs most frequently in the neonatal period. Less commonly (Nehra and Goldstein, 2011), midgut malrotation presents in adulthood with either acute ...

We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Computed tomography imaging showed a well-positioned gastrostomy tube, small pneumoperitoneum, and small bowel volvulus (SBV) in the upper right abdomen with proximal small bowel di...

Midgut volvulus as a result of malrotation classically presents in early life and is associated with intestinal obstruction and compromised vascular supply of the gut. On rare occasions this condition may manifest itself in teenagers and adults, often with disastrous outcome. We report a 28-year-old patient who presented with maelena and endoscopy showing varices in the duodenum and large bowel...

Midgut volvulus due to malrotation may result in loss of the small bowel. Until now, after derotation of the volvulus, pediatric surgeons do not deal with the mesenteric thrombosis, which causes continuing ischemia of the intestine. On occasion, a "second look" laparotomy is performed in the hope that some improvement in blood supply to the intestine has occurred. We describe a new combined tre...

Internal herniation of small intestine is a very rare entity, and it poses a real diagnostic challenge clinically. Recurrent entrapment of the bowel may lead to partial to complete intestinal obstruction and eventually strangulation of the small bowel. Of this rare clinical entity, left paraduodenal hernia is more common. High index of suspicion with prompt management may prevent bowel strangul...