Intestinal malrotation in an adult patient with other congenital malformations: A case report.

摘要: Abstract Introduction Intestinal malrotation refers to a variety of abnormalities which occur between weeks 5–12 embryological development. Most presentations before the first year life. However, patients persisting beyond this period report chronic abdominal symptoms making it difficult diagnose. Although uncommon, is important that emerging surgeons and radiologists are made aware diagnosis management adult intestinal cases. Presentation case We present 40 year old patient admitted with subacute pain on background pain, alternating constipation diarrhoea requiring several previous hospitalisations other congenital malformations. Outpatient computed tomography (CT) her abdomen demonstrated emergency laparotomy revealed Ladd’s bands compressing duodenum. procedure was performed she had an uncomplicated recovery in hospital. Discussion can acutely as volvulus mimicking obstruction or more commonly, such intermittent cramping, malnourishment. Gold standard adults by imaging oral contrast demonstrating inappropriate bowel position and/or inversion superior mesenteric vessels. It accepted definitive via although there controversy regarding when laparoscopy should be considered. Conclusion uncommon amongst but its complications devastating if not recognised early. either laparoscopically provide good resolution astutely.