Low Soo Fin, Ngiu Chai Soon, Sridharan Radhika, Lee Yee Ling
Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.
BMJ Case Rep. 2014 Mar 7;2014:bcr2013202690. doi: 10.1136/bcr-2013-202690.
Midgut malrotation commonly presents in the neonatal period, and rarely manifests its symptoms in adulthood with an estimated incidence of 0.2-0.5%. Nevertheless, the symptoms are non-specific with no strong pointers towards the clinical diagnosis. Consequently, the diagnosis is usually disclosed with imaging or surgery. We report a case of small bowel obstruction secondary to a congenital peritoneal band with underlying midgut malrotation in a 48-year-old man.
中肠旋转不良通常在新生儿期出现,在成年期很少出现症状,估计发病率为0.2-0.5%。然而,症状不具有特异性,对临床诊断没有很强的指示作用。因此,诊断通常通过影像学检查或手术来揭示。我们报告一例48岁男性因先天性腹膜带继发小肠梗阻并伴有潜在中肠旋转不良的病例。