Jie Byung-Soo, Kim Eun Ok, Kim Jin Seok, Lee Hwa-Jeong, Song Youn Mi, Kim Youngshin, Jung Sung Hoon, Oh Jung Hwan
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2013 May;61(5):282-5. doi: 10.4166/kjg.2013.61.5.282.
Intestinal malrotation is a congenital disorder that results from the failure of normal bowel rotation and fixation during the 5th gestational week. The incidence of intestinal malrotation is <0.2%, but prompt diagnosis is important because this anomaly can cause midgut volvulus and lead to fatalities. Compared to infants presenting with acute symptoms, such as abdominal pain, vomiting, or diarrhea, adult patients complain of intermittent self-limited abdominal pain. We present a case of intestinal malrotation complicated by midgut volvulus improved with conservative care in a 70-year-old man. The diagnosis was suggested on the basis of imaging findings.
肠旋转不良是一种先天性疾病,由妊娠第5周时正常肠管旋转和固定失败所致。肠旋转不良的发病率<0.2%,但及时诊断很重要,因为这种异常可导致中肠扭转并导致死亡。与出现腹痛、呕吐或腹泻等急性症状的婴儿相比,成年患者主诉间歇性自限性腹痛。我们报告一例70岁男性肠旋转不良合并中肠扭转经保守治疗后病情改善的病例。诊断是根据影像学检查结果作出的。