• Am. J. Surg. · May 2008

    Case Reports

    Midgut volvulus in an adult with congenital malrotation.

    • Sheng-Der Hsu, Jyh-Cherng Yu, Shao-Jiun Chou, Huan-Fa Hsieh, Tsun-Hou Chang, and Yao-Chi Liu.
    • Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Cheng-Kung Rd., Section 2, Taipei 114, Taiwan, Republic of China.
    • Am. J. Surg. 2008 May 1;195(5):705-7.

    AbstractCongenital midgut malrotation, a rare anatomic anomaly that can lead to duodenal or small-bowel obstruction, rarely is observed beyond the first year of life. Symptomatic patients present with either acute bowel obstruction and intestinal ischemia with a midgut or cecal volvulus or with chronic vague abdominal pain. Chronic symptoms often can make the diagnosis difficult. By using several modalities such as barium studies, computerized tomography, angiography, and emergency laparotomy, we diagnosed midgut volvulus and partial intestinal obstruction, which occur rarely in an adult with congenital midgut malrotation.

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