Midgut malrotation is a congenital anomaly referring to either lack of or incomplete rotation of the fetal intestines around the axis of the superior mesenteric artery during fetal development. Most patients present with bilious vomiting in the first month of life because of duodenal obstruction or a volvulus. It is rare for this condition to present in adulthood. The true incidence in adults i...

Background. The diagnosis of intestinal malrotation is established by the age of 1 year in most cases, and the condition is seldom seen in adults. In this paper, a patient with small intestinal malrotation-type intraperitoneal hernia who underwent surgery at an older age because of intestinal obstruction is presented. Case. A 73-year-old patient who presented with acute intestinal obstruction u...

HYPOTHESIS Infants with rotational abnormalities of the midgut mesentery are at high risk for gastroesophageal reflux disease (GERD) and for sudden infant death (SID) from GERD. DESIGN A survey of the prevalence of GERD and the risk factor for SID from GERD in a case series of infants treated for congenital anomalies that include intestinal malrotation. Eighty-one (89%) of the infants studied...

Midgut malrotation is an anomaly of fetal intestinal rotation. Its incidence in adults is rare. A case of midgut malrotation in a 51-year-old man with complicated Crohn's disease of the terminal ileum is presented. Symptoms, diagnosis, and treatment are reviewed. Preoperative workup led to correct surgical planning that ultimately allowed a successful laparoscopic resection.

Tanner, M. S., Smith, B., and Lloyd, J. K. (1976). Archives of Disease in Childhood, 51, 837. Functional Intestinal obstruction due to deficiency of argyrophil neurones in the myenteric plexus: famnlial syndrome presenting with short small bowel, malrotation, and pyloric hypertrophy. In 3 infants functional intestinal obstruction, associated with a short small intestine, malrotation, and pylori...

BACKGROUND Congenital midgut malrotation is rarely encountered outside the pediatric population. The Ladd's procedure is the standard corrective measure for intestinal malrotation in children and consists of division of peritoneal bands (Ladd's bands) traversing the posterior abdomen, reduction of volvulus, appendectomy, and functional postioning of the intestine with or without fixation. Clini...

A wandering liver is a rare development in both the adult and pediatric population where the liver is freely displaced along a transverse axis. We describe the first known occurrence in published literature of a wandering liver in an adult individual who also had an intestinal malrotation complicated by a midgut volvulus. The abnormal ability for a liver to wander presents a highly unusual anat...

As the incidence of early gastric cancer increases, laparoscopic surgery has become one of the treatments of choice for gastric cancer. With the increase of laparoscopic surgery, the chance of discovering aberrant anatomy during the operation also increases. We present a case of laparoscopic total gastrectomy in gastric cancer patients with intestinal malrotation. Intestinal malrotation occurs ...

mon intestinal developmental anomalies, and accounts for 4% of all malrotation cases (1). In 1923, Dott et al. (2) proposed that in reversed rotation, the normal 270 counterclockwise rotation is replaced by a 90 counterclockwise rotation followed by a 180 clockwise rotation, resulting in a net 90 clockwise rotation. Intestinal malrotation is usually diagnosed during infancy and childhood as a r...

Normal embryonic intestinal rotations were first described by Mall in 1898 [1]. In 1923, Dott, published the article about abnormalities of rotation and fixation with their surgical aspects [2]. Classic Ladd's procedure as an academic operative technique to treat midgut volvulus was introduced in 1936 by himself [3]. The true incidence of malrotation of the midgut is unknown because the spectru...