Incidental intestinal malrotation in an adult: Midgut volvulus

Özet

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 isa rare cause of mechanical intestinal obstruction in adults. It may manifest as an emergency condition or withchronic abdominal symptoms. Although its diagnosis remains difficult, early diagnosis and treatment usually yieldfavorable outcomes. Intestinal malrotation rarely has an asymptomatic course, in which the diagnosis is usuallymade 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 managedsymptomatically after presenting at our clinic with signs and symptoms of intestinal obstruction; we also provideda discussion of the relevant literature.