Malroatation of gut with superior mesenteric artery syndrome and multiple jejunal diverticula presenting as acute intestinal obstruction in 6th decade: A rare case report
| العنوان: | Malroatation of gut with superior mesenteric artery syndrome and multiple jejunal diverticula presenting as acute intestinal obstruction in 6th decade: A rare case report |
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| المؤلفون: | Rhaul Roy, Raj Kamal Jenaw, Jeevan Kankaria, Rajendra Prasad Bugalia, Prashant Garg, Abhinav Pandey, Dhananjay Saxena, Amit Goyal, Rana Arun Singh |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Superior Mesenteric Artery syndrome, business.industry, Malrotation, urologic and male genital diseases, medicine.disease, Jejunal diverticulosis, Gastroenterology, digestive system, Article, Surgery, Acute obstruction, Intestinal malrotation, Intestinal obstruction, Internal medicine, Rare case, medicine, Presentation (obstetrics), business, Superior mesenteric artery syndrome |
| الوصف: | Highlights • 55 year old male patient presented with features of acute intestinal obstruction. • On exploratory laparotomy, malrotation of gut with compression of duodenum and terminal ileum by the superior mesenteric artery pedicle was found along with multiple jejunal diverticula. • No ladd's bands or midgut volvulus was noted. • Malrotation may present in adult age group as acute or chronic obstruction and surgeons must keep a flexible approach toward management. INTRODUCTION Intestinal malrotation is a disease of neonates and young children presenting as acute intestinal obstruction. Presentation of malrotation in elderly patients with intestinal obstruction is quite rare with only a few cases reported in literature. We report a case of intestinal malrotation presenting as acute obstruction in sixth decade. PRESENTATION OF CASE A 55 years old male presented to the emergency with features of acute intestinal obstruction. Imaging studies revealed intestinal malrotation. Exploratory laparotomy revealed malrotation with compression of 3rd part of duodenum and terminal ileum by superior mesenteric artery with multiple jejunal diverticula. Bypass procedures (duodenojejunostomy and ileo-colic anastomosis) with appendicectomy were done. DISCUSSION Malrotation of gut is an anomaly usually presenting in neonatal period with complications such as midgut volvulus. Presentation in adult age is rare with most cases being asymptomatic. Ladd's procedure is the operation of choice with division of the Ladd's bands and appendicectomy being performed. CONCLUSION Surgeons should keep a flexible approach in management of malrotation of gut presenting in late stages of life as more and more clinical variants to the presentations described in literature are being encountered. |
| اللغة: | English |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2281e82a68fc04a827e4ba29436b3a9fTest http://europepmc.org/articles/PMC4334492Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2281e82a68fc04a827e4ba29436b3a9f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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