Laparoscopic management in an adult patient with intestinal obstruction secondary to congenital midgut malrotation: a case report and review of the literature
DOI:
https://doi.org/10.18203/2349-2902.isj20223172Keywords:
Malrotation congenital, Intestinal obstruction, Band of Ladd, Case report, LaparoscopyAbstract
Intestinal malrotation is the failure of the fetal intestine to complete a 270-degree counter clockwise rotation around the superior mesenteric artery, resulting in positional and fixation abnormalities of the small and large intestine. Adult presentation is uncommon with an estimated incidence of 0.2 to 0.5%. There is no consensus on treatment in patients with asymptomatic intestinal malrotation in adults. The aim of this document was to report and review a case of intestinal malrotation conditioning intestinal obstruction in an adult patient with successful laparoscopic management. We conclude that laparoscopic resolution is feasible, reproducible and may ensure a faster recovery in a selected group of patients.
Metrics
References
Neville JJ, Gallagher J, Mitra A, Sheth H. Adult presentations of congenital midgut malrotation: a systematic review. World J Surg. 2020;44(6):1771-8.
Dehainia H, Eldine RN, Doughan S, Khalifeh M, Khasawneh H, Hussain H, et al. Presentation of intestinal malrotation and midgut volvulus in adults: case report & literature review. Int J Surg Case Rep. 2020;73:27-30.
Morris G, Kennedy A, Cochran W. Small bowel congenital anomalies: a review and update. Curr Gastroenterol Rep. 2016;18(4):16.
Ayane GN, Kadimo K. Diagnosis and surgical management of congenital intestinal malrotation presenting with midgut volvulus in an adult: high index of suspicion (case report). Pan Afr Med J. 2018;29:154.
Frasier LL, Leverson G, Gosain A, Greenberg J. Laparoscopic versus open Ladd’s procedure for intestinal malrotation in adults. Surg Endosc. 2015;29(6):1598-604.
Tan V, Kotobi H, Parc Y. Ladd procedure for malrotation with total intestinal volvulus. J Visc Surg. 2017;154(3):197-201.
Catania VD, Lauriti G, Pierro A, Zani A. Open versus laparoscopic approach for intestinal malrotation in infants and children: a systematic review and meta-analysis. Pediatr Surg Int. 2016;32(12):1157-64.
Yeo CJ. Schackelfords Surgery of Alimentary Tract. 8th ed. Philadelphia: Elsevier; 2012.
Haaka BW, Bodewitzb ST, Kuijperc CF, Widt-Levert LMD Intestinal malrotation and volvulus in adult life. Int J Surg Case Rep. 2014;5(5):259-61.
Alessandri G, Amodio A, Landoni L, Carino NDL, Bassi C. Recurrent acute pancreatitis in bowel malrotation. Eur Rev Med Pharmacol Sci. 2016;20(22):4719-24.
El-Gohary Y, Alagtal M, Gillick J. Long-term complications following operative intervention for intestinal malrotation: a 10-year review. Pediatr Surg Int. 2010;26(2):203-6.
Nakajima Y, Sakata H, Yamaguchi T, Yoshie N, Yamada T, Osako T, et al. Successful treatment of a 14-year-old patient with intestinal malrotation with laparoscopic Ladd procedure: case report and literature review. World J Emerg Surg. 2013;8:19.
Langer JC. Intestinal rotation abnormalities and midgut volvulus. Surg Clin North Am. 2017;97(1):147-59.
Ooms N, Matthyssens LEM, Draaisma JM, Blaauw ID, Wijnen MHWA. Laparoscopic treatment of intestinal malrotation in children. Eur J Pediatr Surg. 2016;26(4):376-81.
Butterworth WA, Butterworth JW. An adult presentation of midgut volvulus secondary to intestinal malrotation: a case report and literature review. Int J Surg Case Rep. 2018;50:46-9.