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Malrotation Induced Small Intestine Ischemia in an Adolescent
Joint Authors
Erdem, Karadeniz
Sabri, Atamanalp Selçuk
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-31
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Intestinal malrotation occurs if midgut does not complete or partially completes its 270° counter-clockwise rotation around the superior mesenteric artery during embryologic life.
In general, it frequently manifests with vomiting due to duodenal obstruction and volvulus in the initial months of life, and it is very rare to manifest in the adulthood.
A 20-year-old male patient who had severe abdominal pain, nausea, vomiting, and distention for one day was evaluated at the emergency department.
On abdominal tomography “swirling appearance of structures around the superior mesenteric artery” was reported.
CT appearance was considered compatible with a rotational anomaly.
Emergency surgery was planned for the patient.
In laparotomy, it was observed that an approximately 100 cm long small intestine segment was rotated around a band (Ladd) and ischemia was developed in this segment due to rotation of its mesentery.
The rotation of the small intestinal mesentery was corrected by opening the bands.
After the warm application to the intestinal mesenteric ischemia for a while, the color and the peristalsis of the intestines became normal.
The patient was discharged on postoperative day 2 with suggestions.
American Psychological Association (APA)
Erdem, Karadeniz& Sabri, Atamanalp Selçuk. 2017. Malrotation Induced Small Intestine Ischemia in an Adolescent. Case Reports in Surgery،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150197
Modern Language Association (MLA)
Erdem, Karadeniz& Sabri, Atamanalp Selçuk. Malrotation Induced Small Intestine Ischemia in an Adolescent. Case Reports in Surgery No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1150197
American Medical Association (AMA)
Erdem, Karadeniz& Sabri, Atamanalp Selçuk. Malrotation Induced Small Intestine Ischemia in an Adolescent. Case Reports in Surgery. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150197
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150197