A case of reversed intestinal rotation revealed by volvulus in adult: anatomo-radiological correlations

Author(s):  
Bruno Coulier ◽  
Frédéric Pierard
Keyword(s):  
2019 ◽  
Vol 30 (05) ◽  
pp. 434-439 ◽  
Author(s):  
Ivo de Blaauw ◽  
Julia van Ling ◽  
Sanne M. B. I. Botden ◽  
Kim Heiwegen

Abstract Introduction Congenital diaphragmatic hernia (CDH) has been associated with other congenital malformations, such as intestinal rotation abnormalities. However, there is no standard evaluation and treatment of intestinal rotation during initial CDH repair. This study evaluates intestinal malrotation in CDH patients. Materials and Methods All patients with a CDH treated in a high-volume center between 2000 and 2015 were retrospectively evaluated. Demographics, gastrointestinal characteristics, surgical treatment, and abdominal outcomes (acute surgery, small bowel obstruction, and volvulus) were described. Results A total of 197 CDH patients were surgically repaired. In 76 (39%) patients, a malrotation was described at initial CDH repair, in 39 (20%) patients, a normal rotation, but 82 patients (42%) had no report on intestinal rotation. During follow-up (range: 2–16 years), 12 additional malrotations were diagnosed, leading to a prevalence of at least 45% (n = 88). These were mostly diagnosed due to acute small bowel obstruction, of which three had a volvulus. Of the 12 later diagnosed malrotations, 58% required acute surgery, compared to 3% of the 76 initially diagnosed patients (p < 0.001). Conclusion Malrotation is associated with CDH, with a prevalence of at least 45% and in 21% a normal intestinal rotation. “Missed” malrotations have a higher risk on need for acute surgery later in life.


2006 ◽  
Vol 76 (10) ◽  
pp. 947-949 ◽  
Author(s):  
Alister Lilleyman ◽  
Richard David Levy ◽  
Robert Sillar
Keyword(s):  

Pancreas ◽  
2005 ◽  
Vol 31 (4) ◽  
pp. 413-415 ◽  
Author(s):  
Rod Mateo ◽  
Maria Stapfer ◽  
Gagandeep Singh ◽  
Linda Sher ◽  
Nicolas Jabbour ◽  
...  
Keyword(s):  

1968 ◽  
Vol 116 (6) ◽  
pp. 834-841 ◽  
Author(s):  
J.Richard Rees ◽  
S.Frank Redo
Keyword(s):  

2007 ◽  
Vol 23 (8) ◽  
pp. 723-730 ◽  
Author(s):  
J. M. Moran Penco ◽  
J. Cardenal Murillo ◽  
Antonio Hernández ◽  
Urbano De La Calle Pato ◽  
Diego Fernando Masjoan ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
David Aranovich ◽  
Ilan Schrier

A rare case of complete large bowel obstruction in a pregnant woman, without previous surgical history, due to previously undiagnosed reversed intestinal rotation is presented. The young woman was admitted with progressive nausea and vomiting which did not respond to conventional therapy. Her plain abdominal film revealed signs of small bowel obstruction. On laparotomy, her transverse colon was found to be located beneath the root of small bowel mesentery and completely obstructed by congenital fibrous bands. Postoperative recovery was unremarkable. Surgery for this unusual developmental anomaly is discussed.


2013 ◽  
Vol 79 (9) ◽  
pp. 300-302
Author(s):  
Michael Paci ◽  
Marylise Boutros ◽  
Vincent Pelsser ◽  
Jean-Martin Laberge ◽  
Gabriela Ghitulescu

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