Gut malrotation and mesenteric thrombosis in adult: A rare presentation of chronic abdominal symptoms

Navarini, Daniel; Correa, Matheus Picada; Valões, Ricardo Oliveira Pereira; Corralo, Deisi Porto Menta; Madalosso, Carlos Augusto Scussel; Fornari, Fernando

doi:10.1002/aid2.13252

Cited by 1 publication

(2 citation statements)

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“…Navarini et al have published a case study of a 54-year-old female who presented with chronic abdominal pain and was diagnosed with intestinal malrotation with SMA and SMV thrombosis. To the best of our search, only a handful of cases have been published where adult patients of malrotation had SMA or SMV thrombosis concurrent with volvulus making it a rare finding [ 6 - 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Neonates present with features of bilious vomiting as early as the first week, and 60%-85% of them are diagnosed in the first month of life. Most (90%) patients present within one year of life [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Midgut malrotation happens due to anomalous partial or complete non-rotation when the midgut herniates into the proximal umbilical cord around the 10-12th week of gestation and fails to rotate 270⁰ counter-clockwise against the axis of the superior mesenteric artery (SMA) [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adult Midgut Malrotation With Chronic Volvulus With Superior Mesenteric Artery (SMA) Thrombosis: A Recherche

Singh,

Das

et al. 2023

Cureus

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Intestinal malrotation is primarily a surgical condition of neonates due to abnormal intestinal rotation during fetal development. Usually, the presentation is immediately after birth. Adult midgut malrotation is rare and primarily detected at laparotomy or incidental radiological imaging for various conditions. We report a sporadic case of a 35-year-old male who presented to the surgical outpatient department (OPD) complaining of dull aching abdominal pain after taking meals for two months. He was able to tolerate a liquid diet only and able to carry out his routine work comfortably. In imaging studies, it was found to be a case of midgut malrotation with volvulus and superior mesenteric artery (SMA) thrombosis with collaterals without features of intestinal obstruction. The patient underwent diagnostic laparoscopy, and a midgut volvulus was identified with Ladd’s bands. He underwent exploratory laparotomy with Ladd’s procedure. Postoperatively symptoms were resolved, and the patient was discharged in stable condition. If intestinal malrotation presents in adults, it is challenging to diagnose it as it presents with atypical symptoms like chronic vague abdominal pain and weight loss. Often radiological correlation is essential to diagnose such patients. For surgical intervention, a laparoscopic approach is considered better in expert hands. Even though the disease has a chronic course, a high index of suspicion should arise when treating such cases of intestinal malrotation in an adult male. Timely surgery can do miracles and prevent catastrophic complications.

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Section: Introductionmentioning

confidence: 99%