Non Rotation of Gut - A Case Report
Journal Title: International Journal of Medical and Health Sciences - Year 2014, Vol 3, Issue 4
Abstract
Intestinal non-rotation is a congenital anomaly of rotation of the mid gut. During the development of the embryo the gut undergoes umbilical herniation because of the smaller abdominal cavity. When it re-enters the abdomen organs will be fixed in an adult position after a complex rotation. The small bowel is found predominantly on the right side of the abdomen whereas the caecum, appendix and large intestines occupy left side of abdomen. The caecum and appendix are fixed in the right lower quadrant after 270 degree of mid gut rotation. The incidence of non-rotation is 1:500. The CT imaging can be used for detection and confirmation which affords material for a review of embryological and gross anatomy findings. If any variations occur during the whole process it can lead to a number of disorders such as Acute mid gut volvulus, Chronic mid gut volvulus, Acute duodenal obstruction, Chronic duodenal obstruction, Internal herniation, Superior mesenteric artery syndrome. Here we present a case of non rotation of gut in which the caecum along with appendix is placed below the liver. All the parts of the large intestine are smaller in length when compared to the normal. In such condition they may present with gut volvulus resulting in severe abdominal pain and bilious vomiting.
Authors and Affiliations
Mrudula Chandrupatla, Naveena Swargam
Keywords
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