Intestinal mal-rotation in an adolescent boy

Authors

  • Nidhi Shah Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India
  • Zulekha Bhimani Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India
  • S. Deolekar Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India
  • P. S. Eswar Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India
  • Mehnish Malik Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20250830

Keywords:

Intestinal malrotation, Adults malrotation, Obstruction

Abstract

Intestinal malrotation is a developmental anomaly of the midgut in which the normal fetal rotation of intestines around the superior mesenteric artery and their fixation in the peritoneal cavity fail. Rotational anomalies of the midgut are rare in adolescent age. Operative intervention is required generally when they are symptomatic. While difficult to diagnose, prompt recognition and surgical treatment usually lead to a successful outcome. So here we have discussed this rare case of malrotation in adolosance, similar study has been published by Nakajima et al, in-world journal of emergency surgery 2013.

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Author Biographies

Nidhi Shah, Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India

Department of general suregry

Dr DY Patil School of Medicine Navi Mumbai

Zulekha Bhimani, Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India

Department of general suregry

Dr DY Patil School of Medicine Navi Mumbai

S. Deolekar, Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India

Department of general suregry

Dr DY Patil School of Medicine Navi Mumbai

P. S. Eswar, Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India

Department of general suregry

Dr DY Patil School of Medicine Navi Mumbai

Mehnish Malik, Department of General Surgery, Dr. D.Y Patil School of Medicine, Navi Mumbai, Maharashtra, India

Department of general suregry

Dr DY Patil School of Medicine Navi Mumbai

References

Gamblin TC, Stephens RE, Johnson RK, Rothwell M: Adult malrotation: a case report and review of the literature. Curr Surg. 2003;60:517–20. DOI: https://doi.org/10.1016/S0149-7944(03)00030-8

Ford EG, Senac MO Jr, Srikanth MS, Weitzman JJ: Malrotation of the intestine in children. Ann Surg 1992;215:172–8. DOI: https://doi.org/10.1097/00000658-199202000-00013

Wang CA, Welch CE: Anomalies of intestinal rotation in adolescents and adults. Surgery. 1963;54:839–55.

Fukuya T, Brown BP, Lu CC: Midgut volvulus as a complication of intestinal malrotation in adults. Dig Dis Sci. 1993;38:438–44. DOI: https://doi.org/10.1007/BF01316496

Nehra D, Goldstein AM: Intestinal malrotation: varied clinical presentation from infancy through adulthood. Surgery. 2011;149:386–93. DOI: https://doi.org/10.1016/j.surg.2010.07.004

Nichols DM, Li DK: Superior mesenteric vein rotation: a CT sign of midgut malrotation. AJR Am J Roentgenol. 1983;141:707–8. DOI: https://doi.org/10.2214/ajr.141.4.707

Singh S, Das A, Chawla AS, Arya SV, Chaggar J: A rare presentation of midgut malrotation as an acute intestinal obstruction in an adult: Two case reports and literature review. Int J Surg Case Rep. 2013;4:72–5. DOI: https://doi.org/10.1016/j.ijscr.2012.10.005

Schultz LR, Lasher EP, Bill AH Jr: Abnormalities of rotation of the bowel. Am J Surg. 1961;101:128–33. DOI: https://doi.org/10.1016/0002-9610(61)90665-1

Badea R, Al Hajjar N, Andreica V, Procopet B, Caraiani C, Tamas-Szora A: Appendicitis associated with intestinal malrotation: imaging diagnosis features. Case report. Med Ultrason 2012;14:164–7.

Spigland N, Brandt ML, Yazbeck S: Malrotation presenting beyond the neonatal period. J Pediatr Surg. 1990;25:1139–42. DOI: https://doi.org/10.1016/0022-3468(90)90749-Y

Mazziotti MV, Strasberg SM, Langer JC: Intestinal rotation abnormalities without volvulus: the role of laparoscopy. J Am Coll Surg. 1997;185:172–6. DOI: https://doi.org/10.1016/S1072-7515(01)00900-0

Waldhausen JH, Sawin RS: Laparoscopic Ladd’s procedure and assessment of malrotation. J Laparoendosc Surg. 1996;6(1):103–5.

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Published

2025-03-26

How to Cite

Shah, N., Bhimani, Z., Deolekar, S., Eswar, P. S., & Malik, M. (2025). Intestinal mal-rotation in an adolescent boy. International Surgery Journal, 12(4), 645–650. https://doi.org/10.18203/2349-2902.isj20250830

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Section

Case Reports