A Rare Case of Intestinal Malrotation and Volvulus of Jejunum with Coexisting Carcinoid Tumour of Appendix
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 6
Abstract
Malrotation of the midgut is generally regarded as a paediatric pathology. It is rare in adults. Patients may present with symptoms of acute bowel obstruction or chronic abdominal pain. Barium study, Contrast Enhanced Computed Tomography (CECT), Magnetic Resonance Imaging (MRI), diagnostic laparoscopy and sometimes explorative laparotomy are used for diagnosis. Ladd’s procedure through the open approach has been the treatment of choice for complete malrotation of midgut, however there are reports on successful outcome for both complete and incomplete malrotation after laparoscopic approach as well. We report a case of a 25-year-old female who presented with a history of severe pain in abdomen for one week. CECT abdomen showed incomplete malrotation and volvulus in midgut. Laparoscopic detorsion of bowel loops, adhesiolysis, caecopexy and appendectomy was done. Patient’s symptoms subsided immediately after surgery. Histological analysis of the appendix specimen showed small appendiceal carcinoid, which was purely incidental. At three months follow up, patient was symptom free.
Authors and Affiliations
PRIYANKA TIWARI, DARSHAN PATEL, VIMAL DHADUK, Prasanna Kumar REDDY, Jainudeen Khalander Abdul Ja
Keywords
Related Articles
- EP ID EP350274
- DOI 10.7860/JCDR/2017/25575.10040
- Views 92
- Downloads 0
Rothia dentocariosa Infection in a Critically Ill Patient with Multiple Myeloma- First Case Report from India
Rothia dentocariosa is a Gram positive organism, known to cause infection very rarely in immunocompromised patients. We report isolation of Rothia dentocariosa in blood and Cerebrospinal Fluid (CSF) of an elderly patient...
Melena Secondary to Duodenal Dieulafoy’s Lesion: A Rare Case Report
Melena is one of the presenting feature of Upper Gastrointestinal Bleeding (UGIB). Melena due to Dieulafoy’s lesion in the duodenum is one of the obscure causes of Gastrointestinal Bleeding (GIB) and is a rare but life t...
Elective Tracheostomy in Head and Neck Surgery: Our Experience
Introduction: Tracheostomy is commonly used to secure the airway during the immediate postoperative period in maxillofacial oncological operations. We conducted a study to review the utility of elective tracheostomy in h...
Making Nutrition Management Scientific, Objective and Simple with the Help of Technology
Nutrition management is one of the cornerstones of care in the management of hospitalized patients, especially, for those who are critically ill. Significant numbers of hospitalized patients have alteration in appetite a...
Extramedullary Solitary Plasmacytoma: Demonstrating the Role of 18F-FDG PET Imaging
An Extramedullary Plasmacytoma (EMP) is characterized by a neoplastic proliferation of clonal plasma cells outside the medullary cavity. EMPs are a rare occurrence compared to other malignant plasma cell disorders and ac...