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An often-forgotten diagnosis: Midgut malrotation and volvulus in an adult

Yıl 2025, Cilt: 42 Sayı: 1, 92 - 94, 28.03.2025

Ömer Jaradat , Zamir Kemal Ertürk , Burak Şahin

Öz

Intestinal malrotation is a rare congenital abnormality that typically presents in the neonatal period or within the first year of life. However, it is exceedingly rare for this condition to persist without symptoms or go undiagnosed until adulthood. Case Report: A 70-year-old man sought medical assistance due to severe abdominal pain, nausea, vomiting, and bloating. Despite experiencing intermittent abdominal pain for 15 years, he had never undergone any abdominal procedure. Upon examination, no tenderness or distension was observed, but an abdominal radiograph indicated a distended small bowel. Subsequent contrast-enhanced abdominal computed tomography (CT) scan confirmed midgut malrotation with volvulus, showing a whirlpool sign. The patient received symptomatic treatment and was discharged for an elective Ladd's procedure. Conclusion: Intestinal malrotation is often missed in adults with non-specific abdominal symptoms, leading to delayed diagnosis. This emphasizes the importance of considering it in the differential diagnosis of suspected small bowel obstruction.

Anahtar Kelimeler

Midgut malrotation midgut volvulus intestinal malrotation adult

Etik Beyan

Ethics committee approval is not required for this study.

Kaynakça

  • 1. Bhatia S, Jain S, Singh CB, Bains L, Kaushik R, Gowda NS. Malrotation of the Gut in Adults: An Often Forgotten Entity. Cureus. 2018 Mar 12;10(3):e2313. doi: 10.7759/cureus.2313. PMID: 29755909; PMCID: PMC5947924.
  • 2. Haak BW, Bodewitz ST, Kuijper CF, de Widt-Levert LM. Intestinal malrotation and volvulus in adult life. Int J Surg Case Rep. 2014;5(5):259-61. doi: 10.1016/j.ijscr.2014.02.013. Epub 2014 Mar 13. PMID: 24709622; PMCID: PMC4008858.
  • 3. Appel S, Zerem E, Bergman S, et al. Intestinal Malrotation in Adults: A Systematic Review of Surgical Management and Outcomes. J Gastrointest Surg. 2021;25(8):2137-2145.
  • 4. American Pediatric Surgical Association. Guidelines for the management of intestinal malrotation. J Pediatr Surg. 2020;55(12):2590-5.
  • 5. Gamblin TC, Stephens RE Jr, Johnson RK, Rothwell M. Adult malrotation: a case report and review of the literature. Curr Surg. 2003 Sep-Oct;60(5):517-20. doi: 10.1016/S0149-7944(03)00030-8. PMID: 14972216.
  • 6. Neville JJ, Gallagher J, Mitra A, Sheth H. Adult Presentations of Congenital Midgut Malrotation: A Systematic Review. World J Surg. 2020 Jun;44(6):1771-1778. doi: 10.1007/s00268-020-05403-7. PMID: 32030442.
  • 7. Herle P, Halder T. Intestinal malrotation in an adult patient with other congenital malformations: A case report. Int J Surg Case Rep. 2018;51:364-367. doi: 10.1016/j.ijscr.2018.09.010. Epub 2018 Sep 18. PMID: 30261479; PMCID: PMC6157462.
  • 8. Kafadar MT, Cengiz AY, Çaviş T, Bilgiç İ, Nadir I. Incidental intestinal malrotation in an adult: Midgut volvulus. Turk J Surg. 2018 Dec 1;34(4):337-339. doi: 10.5152/turkjsurg.2017.3468. PMID: 30664437; PMCID: PMC6340649.
  • 9. Perez Galaz F, Moedano Rico K, Pérez Tristán FA, Acuña Macouzet A, Jafif Cojab M. Midgut volvulus caused by intestinal malrotation; A rare cause of acute abdomen in adults. Case report. Int J Surg Case Rep. 2020;73:355-359. doi: 10.1016/j.ijscr.2020.07.051. Epub 2020 Jul 18. PMID: 32745727; PMCID: PMC7398895.

Yıl 2025, Cilt: 42 Sayı: 1, 92 - 94, 28.03.2025

Ömer Jaradat , Zamir Kemal Ertürk , Burak Şahin

Öz

Kaynakça

  • 1. Bhatia S, Jain S, Singh CB, Bains L, Kaushik R, Gowda NS. Malrotation of the Gut in Adults: An Often Forgotten Entity. Cureus. 2018 Mar 12;10(3):e2313. doi: 10.7759/cureus.2313. PMID: 29755909; PMCID: PMC5947924.
  • 2. Haak BW, Bodewitz ST, Kuijper CF, de Widt-Levert LM. Intestinal malrotation and volvulus in adult life. Int J Surg Case Rep. 2014;5(5):259-61. doi: 10.1016/j.ijscr.2014.02.013. Epub 2014 Mar 13. PMID: 24709622; PMCID: PMC4008858.
  • 3. Appel S, Zerem E, Bergman S, et al. Intestinal Malrotation in Adults: A Systematic Review of Surgical Management and Outcomes. J Gastrointest Surg. 2021;25(8):2137-2145.
  • 4. American Pediatric Surgical Association. Guidelines for the management of intestinal malrotation. J Pediatr Surg. 2020;55(12):2590-5.
  • 5. Gamblin TC, Stephens RE Jr, Johnson RK, Rothwell M. Adult malrotation: a case report and review of the literature. Curr Surg. 2003 Sep-Oct;60(5):517-20. doi: 10.1016/S0149-7944(03)00030-8. PMID: 14972216.
  • 6. Neville JJ, Gallagher J, Mitra A, Sheth H. Adult Presentations of Congenital Midgut Malrotation: A Systematic Review. World J Surg. 2020 Jun;44(6):1771-1778. doi: 10.1007/s00268-020-05403-7. PMID: 32030442.
  • 7. Herle P, Halder T. Intestinal malrotation in an adult patient with other congenital malformations: A case report. Int J Surg Case Rep. 2018;51:364-367. doi: 10.1016/j.ijscr.2018.09.010. Epub 2018 Sep 18. PMID: 30261479; PMCID: PMC6157462.
  • 8. Kafadar MT, Cengiz AY, Çaviş T, Bilgiç İ, Nadir I. Incidental intestinal malrotation in an adult: Midgut volvulus. Turk J Surg. 2018 Dec 1;34(4):337-339. doi: 10.5152/turkjsurg.2017.3468. PMID: 30664437; PMCID: PMC6340649.
  • 9. Perez Galaz F, Moedano Rico K, Pérez Tristán FA, Acuña Macouzet A, Jafif Cojab M. Midgut volvulus caused by intestinal malrotation; A rare cause of acute abdomen in adults. Case report. Int J Surg Case Rep. 2020;73:355-359. doi: 10.1016/j.ijscr.2020.07.051. Epub 2020 Jul 18. PMID: 32745727; PMCID: PMC7398895.
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Genel Cerrahi, Acil Tıp, Radyoloji ve Organ Görüntüleme
Bölüm Case Report
Yazarlar

Ömer Jaradat 0000-0002-6177-710X

Zamir Kemal Ertürk 0000-0001-6837-2028

Burak Şahin 0000-0003-3990-7374

Yayımlanma Tarihi 28 Mart 2025
Gönderilme Tarihi 7 Haziran 2024
Kabul Tarihi 26 Mart 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 42 Sayı: 1

Kaynak Göster

APA Jaradat, Ö., Ertürk, Z. K., & Şahin, B. (2025). An often-forgotten diagnosis: Midgut malrotation and volvulus in an adult. Deneysel Ve Klinik Tıp Dergisi, 42(1), 92-94.
AMA Jaradat Ö, Ertürk ZK, Şahin B. An often-forgotten diagnosis: Midgut malrotation and volvulus in an adult. J. Exp. Clin. Med. Mart 2025;42(1):92-94.
Chicago Jaradat, Ömer, Zamir Kemal Ertürk, ve Burak Şahin. “An Often-Forgotten Diagnosis: Midgut Malrotation and Volvulus in an Adult”. Deneysel Ve Klinik Tıp Dergisi 42, sy. 1 (Mart 2025): 92-94.
EndNote Jaradat Ö, Ertürk ZK, Şahin B (01 Mart 2025) An often-forgotten diagnosis: Midgut malrotation and volvulus in an adult. Deneysel ve Klinik Tıp Dergisi 42 1 92–94.
IEEE Ö. Jaradat, Z. K. Ertürk, ve B. Şahin, “An often-forgotten diagnosis: Midgut malrotation and volvulus in an adult”, J. Exp. Clin. Med., c. 42, sy. 1, ss. 92–94, 2025.
ISNAD Jaradat, Ömer vd. “An Often-Forgotten Diagnosis: Midgut Malrotation and Volvulus in an Adult”. Deneysel ve Klinik Tıp Dergisi 42/1 (Mart 2025), 92-94.
JAMA Jaradat Ö, Ertürk ZK, Şahin B. An often-forgotten diagnosis: Midgut malrotation and volvulus in an adult. J. Exp. Clin. Med. 2025;42:92–94.
MLA Jaradat, Ömer vd. “An Often-Forgotten Diagnosis: Midgut Malrotation and Volvulus in an Adult”. Deneysel Ve Klinik Tıp Dergisi, c. 42, sy. 1, 2025, ss. 92-94.
Vancouver Jaradat Ö, Ertürk ZK, Şahin B. An often-forgotten diagnosis: Midgut malrotation and volvulus in an adult. J. Exp. Clin. Med. 2025;42(1):92-4.
 Kapak Resmi İndir

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