Intestinal Malrotation and Midgut Volvulus in Adults: A Rare but Critical Condition

Introduction: Intestinal malrotation is a rare congenital anomaly that often goes undiagnosed until adulthood. In some cases, it can lead to life-threatening complications such as midgut volvulus, which requires urgent surgical intervention. A recent case study highlights the challenges and management of this condition. Visit https://www.hspioa.org/ for more groundbreaking research on gastrointestinal disorders.

Case Summary: A 36-year-old male with no prior medical history presented with acute abdominal pain and vomiting. Examination revealed abdominal distension with tenderness, but normal laboratory results. Imaging studies, including abdominal X-ray and computed tomography (CT), confirmed intestinal malrotation with midgut volvulus, demonstrated by the classic ‘whirlpool sign.’

Surgical Intervention and Outcome: The patient underwent emergency surgery via a midline open approach. The procedure involved counter-clockwise detorsion of the volvulus and the Ladd’s procedure to reposition the intestines. Additionally, appendectomy was performed to prevent future diagnostic confusion. The patient had an uneventful recovery and was discharged on the fifth postoperative day, with no complications at follow-up.

Medical Insights on Intestinal Malrotation: The American College of Gastroenterology (ACG) emphasizes the importance of prompt diagnosis and intervention in cases of intestinal malrotation with volvulus to prevent ischemic bowel damage. Early recognition through imaging techniques such as CT scans can significantly improve patient outcomes.

DOI Link to Full Study: Read the full case report at https://doi.org/10.29328/journal.acr.1001020.

Broader Implications: Although typically diagnosed in infancy, intestinal malrotation can remain asymptomatic until adulthood, posing a diagnostic challenge. Understanding the symptoms, imaging findings, and surgical management is crucial for timely intervention. Related studies on gastrointestinal anomalies can be explored in our journal database.

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