Kafadar Mehmet Tolga, Cengiz Aysun Yakut, Çaviş Tuğba, Bilgiç İsmail, Nadir Işılay
Clinic of General Surgery, Health Sciences University Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.
Clinic of Radiology, Medical Park Sivas Hospital, Sivas, Turkey.
Turk J Surg. 2018 Dec 1;34(4):337-339. doi: 10.5152/turkjsurg.2017.3468.
Intestinal malrotation is a developmental anomaly characterized by a midgut fixation disorder and failure to complete its normal fetal rotation around the superior mesenteric artery inside the peritoneal cavity. Malrotation is a rare cause of mechanical intestinal obstruction in adults. It may manifest as an emergency condition or with chronic abdominal symptoms. Although its diagnosis remains difficult, early diagnosis and treatment usually yield favorable outcomes. Intestinal malrotation rarely has an asymptomatic course, in which the diagnosis is usually made incidentally. Multislice computed tomography is quite helpful for making a correct diagnosis. In this study, we reported a 56-year-old patient incidentally who was detected to have intestinal malrotation and was managed symptomatically after presenting at our clinic with signs and symptoms of intestinal obstruction; we also provided a discussion of the relevant literature.
肠旋转不良是一种发育异常，其特征为中肠固定障碍以及未能在腹腔内围绕肠系膜上动脉完成正常的胎儿期旋转。旋转不良是成人机械性肠梗阻的罕见原因。它可能表现为急症或伴有慢性腹部症状。尽管其诊断仍然困难，但早期诊断和治疗通常会产生良好的结果。肠旋转不良很少有无症状病程，这种情况下诊断通常是偶然做出的。多层计算机断层扫描对做出正确诊断很有帮助。在本研究中，我们报告了一名56岁的偶然发现患有肠旋转不良的患者，该患者在因肠梗阻的体征和症状到我们诊所就诊后接受了对症治疗；我们还对相关文献进行了讨论。
