Bider K, Kaim A, Wiesner W, Bongartz G
Department of Radiology, University Hospital Basel, Switzerland.
Eur Radiol. 2001;11(7):1171-4. doi: 10.1007/s003300000734.
Midgut malrotation is defined as a developmental anomaly that may cause atypical clinical symptoms in relatively common intestinal disorders due to altered anatomy. A 27-year-old woman presented with acute left-sided abdominal pain. Underlying type Ia malrotation prevented the correct clinical diagnosis of perforated, ulcerated appendicitis. Cross-sectional imaging demonstrated all the typical signs of this type of malrotation, i.e., right-sided duodenojejunal junction, left positioned cecum and ascending colon, inverted position of the superior mesenteric vessels, and hypoplasia of the uncinate process of pancreas, and surgical treatment was initiated.
中肠旋转不良被定义为一种发育异常，由于解剖结构改变，可能在相对常见的肠道疾病中引起非典型临床症状。一名27岁女性出现急性左侧腹痛。潜在的Ia型旋转不良妨碍了对穿孔性、溃疡性阑尾炎的正确临床诊断。横断面成像显示了这种类型旋转不良的所有典型征象，即右侧十二指肠空肠交界处、左侧盲肠和升结肠、肠系膜上血管位置倒置以及胰腺钩突发育不全，并开始了手术治疗。
