MIDGUT MALROTATION PRESENTING AS ACUTE INTESTINAL OBSTRUCTION IN ADULT: A RARE CASE REPORT AND LITERATURE REVIEW
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 12
Abstract
Intestinal Malrotation in adults is twisting of the intestines that lead to mal positioning of the bowels and malfixation of the mesentery, blocking the digestive tract and preventing the proper passage of food. Midgut malrotation is a congenital anomaly in the embryological development of the foetal intestinal rotation. It has been estimated that it affects approximately 1 in 500 live births. [1] Symptomatic malrotation is estimated to occur in 1 in 6000 live births. [2] Traditionally, intestinal malrotation has been considered primarily a disease of infancy with infrequent occurrence beyond the first year of life. Adult midgut malrotation is very rare and its incidence has been reported to be between 0.0001% and 0.19%. [3,4] Most adult diagnoses of midgut malrotation are made in asymptomatic patients; either on imaging investigations for unrelated conditions or at operations for other pathology. However, there are a small proportion of affected adults who may present with acute or chronic symptoms of intestinal obstruction or intermittent and recurrent abdominal pain. The true diagnosis in this age group is fraught with immense difficulty, especially because the typical presentation is with non-specific symptoms and the fact that adult Surgeons usually have low index of suspicion and may not consider the diagnosis a possibility in the initial evaluation of adult patients with abdominal pain. We report a rare case of an 36 year old patient presented as acute intestinal obstruction due to midgut malrotation.
Authors and Affiliations
Sridhar G, Venkata Rao B, Chaitanya R. L, Satish Chaitanya K, Ravindra Babu
Keywords
Related Articles
- EP ID EP226746
- DOI 10.18410/jebmh/2015/269
- Views 71
- Downloads 0
STATUS OF ANTIOXIDANTS IN RHEUMATOID ARTHRITIS PATIENTS USING NONSTEROIDAL ANTI-INFLAMMATORY DRUGS
INTRODUCTION Elevated free radical generation in inflamed joints and impaired antioxidant system have been implicated in rheumatoid arthritis (RA). The present study aimed at investigating the antioxidant system in patie...
STUDY & EVALUATE THE COMPARISON OF PLAIN LIGNOCAINE AND LIGNACAINE WITH SODIUM BICARBONATE EFFECTS IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK
supraclavicular brachial plexus block is usually used to anaesthetize the upper limb for the purpose of upper limb surgeries. Drugs like Lignocaine, Bupivacaine are used for this block and some additives are added to pro...
OBJECTIVE STRUCTURED PRACTICAL EXAMINATION AS A LEARNING AND EVALUATION TOOL FOR BIOCHEMISTRY- FIRST EXPERIENCE
BACKGROUND Assessment plays an important role in helping learners identify their own learning needs. The objective structured practical examination assesses practical skills in an objective and structured manner with dir...
DEPRESSED SKULL FRACTURES- CASE SERIES OF 100 PATIENTS
BACKGROUND Depressed fracture is common following head injury and its management is controversial. These are often associated with considerable morbidity and mortality. This study aims to evaluate various aspects includi...
DYNAMICS OF LOWER LID MALPOSITIONS
Lower lid malpositions form amongst the most common lid malpositions encountered in ophthalmic practice. The bilaminar structure of the eye lid is central to the understanding of the mechanism of development, identificat...