[Midgut volvulus in a 70-year-old man due to intestinal nonrotation]

Byung-Soo Jie, Eun Ok Kim, Jin Seok Kim, Hwa-Jeong Lee, Youn Mi Song, Youngshin Kim, Sung Hoon Jung, Jung Hwan Oh
Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi 2013, 61 (5): 282-5
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.

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