scholarly journals Midgut malrotation: case series

2021 ◽  
Author(s):  
Dimple Gupta ◽  
Shivani B. Paruthy ◽  
Anirban Das ◽  
Radhika Thakur
Keyword(s):  
Intestinal Obstruction ◽  
Neonatal Period ◽  
Case Series ◽  
Acute Intestinal Obstruction ◽  
Definitive Diagnosis ◽  
Chronic Abdominal Pain ◽  
Midgut Malrotation ◽  
Abdominal Symptoms ◽  
Left Hypochondrium ◽  
Left Abdomen

Mal rotation of midgut is associated with other anomalies usually encountered in neonatal period or early childhood. If undetected in childhood it presents in adulthood with small bowel obstruction, repeated appendicitis or chronic abdominal symptoms. CECT abdomen is mandatory for diagnosis though it often presents as surgical surprise on abdominal laparotomy. Hereby, we presented 3 cases where it was undetected till adulthood though CECT was mandatory for definitive diagnosis. Case 1 patient presented with chronic abdominal pain on left abdomen was actually malrotation with appendix lying on left hypochondrium and stenosed fourth part duodenum adding to vomiting off and on. Case 2 patient in adulthood presented with repeated sub-acute intestinal obstruction because of midgut mal-rotation. Relieved after Ladd band was cut and obstructive symptoms relieved. Case 3 patient had inflammed appendix in subhepatic position was cause of chronic pain with para duodenal hernial sac adding to intestinal obstruction with malrotation of midgut.

scholarly journals MIDGUT MALROTATION PRESENTING AS ACUTE INTESTINAL OBSTRUCTION IN ADULT: A RARE CA SE REPORT AND LITERATURE REVIEW

2015 ◽  
Vol 2 (12) ◽  
pp. 1904-1911
Author(s):  
Sridhar G ◽  
Venkata Rao B ◽  
Chaitanya R L ◽  
Satish Chaitanya K ◽  
Ravindra Babu
Keyword(s):  
Literature Review ◽  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Midgut Malrotation

scholarly journals Mesenteric lipoma: a rare cause of acute small bowel obstruction

2021 ◽  
Vol 8 (10) ◽  
pp. 3214
Author(s):  
Debarghya Chattarjee ◽  
Vijay Raina ◽  
Rajeev Sharma
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Human Body ◽  
Surgical Intervention ◽  
Acute Intestinal Obstruction ◽  
Abdominal Symptoms ◽  
Clinical Literature ◽  
Multiple Imaging ◽  
Acute Small Bowel Obstruction ◽  
Mesenteric Lipoma

Lipomas, also known as universal tumors, can be found almost anywhere in the human body. However mesenteric lipomas are rare entities, with less than 100 cases reported in clinical literature. Patients may present with chronic non-specific abdominal symptoms, or rarely acute intestinal obstruction. Multiple imaging modalities are available for pre-operative diagnosis. Surgical intervention is required for treatment of symptomatic mesenteric lipomas.

scholarly journals Midgut volvulus: a rare cause of acute intestinal obstruction in adults

2017 ◽  
Vol 4 (9) ◽  
pp. 3149
Author(s):  
Rahul Jain ◽  
Sunita Gupta ◽  
Sushanto Neogi ◽  
Ankul Mittal
Keyword(s):  
Intestinal Obstruction ◽  
Young Female ◽  
Acute Intestinal Obstruction ◽  
Developmental Anomaly ◽  
Bowel Loop ◽  
Midgut Volvulus ◽  
Second Stage ◽  
Midgut Malrotation ◽  
Mesenteric Vessels

Malrotation with volvulus of midgut bowel loop, a developmental anomaly of intestinal fixation, occurs due to failure of rotation of proximal midgut around the mesenteric vessels during the second stage of rotation. Anomalies presenting in adults is very rare and incidence reported is 0.0001% to 0.19%. We report a case of a young female with acute on chronic presentation of midgut malrotation.

scholarly journals Ileosigmoid Knotting Causing Double Lumen Acute Intestinal Obstruction and Gangrene: Review and A Case Report

2020 ◽  
Author(s):  
Arun Kumar Gupta ◽  
Md Abu Masud Ansari ◽  
Sneh Jayant ◽  
Shubham Goel ◽  
Lalit Kumar Bansal
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
English Literature ◽  
Case Series ◽  
Acute Intestinal Obstruction ◽  
Surgical Removal ◽  
Free Text ◽  
Stoma Formation ◽  
Compound Volvulus

Ileosigmoid Knotting is a rare cause of intestinal obstruction. It is also called as compound volvulus or double volvulus. It is caused by the wrapping of the ileum around the sigmoid colon and its mesentery or vice-versa. It is a rapidly progressive condition, leads to acute intestinal obstruction and gangrene in ileum as well as in the sigmoid colon. Early diagnosis and intervention is the key to a better outcome. Due to the rarity and unfamiliarity of this entity, diagnosis is usually made intraoperatively. Surgical removal of the gangrenous segment with either stoma formation or anastomosis is the only hope.An additional systemic search of the literature was done in PubMed, MEDLINE, ISIS, Embase, and CAS searches with the following free text keywords: ileosigmoid knotting, intestinal knotting, compound volvulus and double volvulus in English literature. Around 64 studies were identified, out of which 38 studies were selected for this article after the removal of duplicates and unrelated articles. These case series and reports were reviewed for aetiopathogenesis, presentation, diagnostic modalities, surgical interventions, and outcome.Along with this review article, there was a case report of ileosigmoid knotting in a 38-year-old male patient that presented in the surgical Emergency Department; with complaints of generalised pain and distention of abdomen for two days. Also, he had complained of not passing flatus and motion for two days. On examination, patient had generalised tenderness and bowel sounds were absent. X-ray abdomen showed dilated small and large bowel with multiple air-fluid levels. After resuscitation, an emergency exploratory laparotomy was done, and the diagnosis of ileosigmoid knotting with gangrene of both ileum and sigmoid colon was made intraoperatively. After resection of both gangrenous segment, colocolic anastomosis and double barrel ileostomy was performed. The postoperative course was uneventful, and patient was discharged on 7th postoperative day.

scholarly journals Jejunogastric Intussusception - Case Series Reporting

1970 ◽  
Vol 17 (2) ◽  
pp. 134-137
Author(s):  
MAR Sarkar
Keyword(s):  
Intestinal Obstruction ◽  
Case Series ◽  
Rare Condition ◽  
Acute Intestinal Obstruction ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Jejunogastric Intussusception ◽  
Back Ground ◽  
Upper Gi Endoscopy ◽  
Acute Form

Jejunogastric Intussusception is rare but potentially serious complication of gatrojejunostomy or gastrectomy requiring early diagnosis and prompt surgical intervention in acute form of the complication. Upper GI Endoscopy by a familiar person with this rare condition is diagnostic. The clinical picture of acute intestinal obstruction with haematemesis in the back ground of gastrectomy or gastrojejunostomy may make the illusive diagnosis definite and demand surgery to reduce morbidity and mortality of the patients. In our all the 4 cases Upper G I Endoscopy found to be diagnostic. Keywords: Jejunogastric Intussusception; Upper GI Endoscopy; Acute intestinal obstruction. DOI: 10.3329/jdmc.v17i2.6598J Dhaka Med Coll. 2008; 17(2) : 134-137

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