Malrotation of the Midgut in Infancy and Childhood

A Rare Case of Midgut Volvulus in a 14 Yr Young Girl

“…Intestinal malrotion with complications is often seen in infants and children, but few cases have been reported in adults [3][4][5] . Most often (60%-85%) the condition is diagnosed in the first month of lif [3][4][5] Most adult cases are silent throughout life and are discovered incidentally unless they cause acute or chronic abdominal pain.…”

“…Most often (60%-85%) the condition is diagnosed in the first month of lif [3][4][5] Most adult cases are silent throughout life and are discovered incidentally unless they cause acute or chronic abdominal pain. Many patients have ill-defined abdominal complaints from childhood.…”

“…The shortened mesentery allows the small bowel to twist around the narrowed pedicle of the superior mesenteric artery, which places patient at high risk of volvulus of the midgut and intestinal ischemia. Even though there is no volvulus, congenital adhesive bands (Ladd's bands) may compress the duodenum and cause chronic obstruction [5] . The spectrum of abnormalities can be classified into various subtypes based on the stage of midgut.…”

“…Symptoms in the adult patient are often mistaken for irritable bowel syndrome, peptic ulcer disease, biliary and pancreatic disease, and psychiatric disorders. In general, there are three distinct patterns of presentation of malrotation in adults [5] .…”

Midgut Malrotation in Aduithood.

“…Midgut malrotation is one of the congenital malformations which occurs most commonlyduring the neonatal period, with intestinal obstruction or volvulus, and less generally in childhood (1). In adulthood, most such anomalies are asymptomatic and are accidentally revealed whencomplications are presented (2).…”