International journal of surgery case reports · 2025
A rare case of adult intestinal malrotation: A case report.
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Aregawi Alazar Berhe, Geremew Teketel Tadesse, Legese Abel Tesfaye, Bahru Teferi Tesfaye
Аннотация
INTRODUCTION AND IMPORTANCE: Intestinal malrotation is a congenital disorder resulting from the failure of the normal embryologic fetal sequence of bowel rotation and fixation. Adult midgut malrotation is extremely uncommon, with incidence estimates ranging from 0.0001 % to 0.19 %. In adults, there is a slight female predominance. Mid gut volvulus leads to obstruction and warrants surgical intervention. This case is significant because there are few case reports around the world.
CASE PRESENTATION: An 18-year-old Ethiopian man presented with cramping abdominal pain that worsened over a one-month period. He had been experiencing pain since early childhood, which worsened a year before his presentation. CT scan of the abdomen was consistent with malrotation and was treated surgically.
CLINICAL DISCUSSION: Diagnosing intestinal malrotation in adults is difficult due to the variety and nonspecificity of the symptoms. Delays in diagnosis may lead to acute complications and poorer operative outcomes.
CONCLUSION: This case report will raise awareness among physicians about the possibility of this rare condition affecting adults. As a result, when a patient presents with chronic gastrointestinal symptoms, they have a high index of suspicion and inform them that an abdominal CT should be performed in these cases, and surgery is the primary treatment option.
CASE PRESENTATION: An 18-year-old Ethiopian man presented with cramping abdominal pain that worsened over a one-month period. He had been experiencing pain since early childhood, which worsened a year before his presentation. CT scan of the abdomen was consistent with malrotation and was treated surgically.
CLINICAL DISCUSSION: Diagnosing intestinal malrotation in adults is difficult due to the variety and nonspecificity of the symptoms. Delays in diagnosis may lead to acute complications and poorer operative outcomes.
CONCLUSION: This case report will raise awareness among physicians about the possibility of this rare condition affecting adults. As a result, when a patient presents with chronic gastrointestinal symptoms, they have a high index of suspicion and inform them that an abdominal CT should be performed in these cases, and surgery is the primary treatment option.