Non-obstructerd volvulus as a complication of midgut malrotation in adults: Report of a case

C. Y. Leu; T. H. Hu; C. S. Changchien; K. W. Chiu; S. K. Chuah; C. M. Lee; C. L. Chen

Non-obstructerd volvulus as a complication of midgut malrotation in adults: Report of a case

C. Y. Leu, T. H. Hu, C. S. Changchien^*, K. W. Chiu, S. K. Chuah, C. M. Lee, C. L. Chen

^*Corresponding author for this work

Chang Gung Memorial Hospital

Research output: Contribution to journal › Journal Article › peer-review

Abstract

A 55-year-old woman with a midgut malrotation-induced volvulus had a history of intermittent, colicky abdominal pain for 2 months. Small bowel series showed a 'cork-screw' appearance and abdominal CT scan showed a 'whorl like' mass pattern, suggestive of volvulus. Angiogram revealed a twist of jejunal arteries along the superior mesenteric artery axis (barber pole sign). At laparotomy, the jejunum was found to twist 540 degrees clockwise around the pedicle of superior mesenteric artery and vein. Coils of small intestine wrapped around the root of an incomplete anchored mesentery. The viability of small bowel was not compromised. After reduction of volvulus, the mesenteric pedicle was broadened and a stabilization procedure was performed. The patient had a good recovery and has been symptom free for 3 months after operation.

Original language	English
Pages (from-to)	36-42
Number of pages	7
Journal	Chinese Journal of Gastroenterology
Volume	12
Issue number	2
State	Published - 1995
Externally published	Yes

Keywords

intestinal malrotation
midgut volvulus

Cite this

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title = "Non-obstructerd volvulus as a complication of midgut malrotation in adults: Report of a case",

abstract = "A 55-year-old woman with a midgut malrotation-induced volvulus had a history of intermittent, colicky abdominal pain for 2 months. Small bowel series showed a 'cork-screw' appearance and abdominal CT scan showed a 'whorl like' mass pattern, suggestive of volvulus. Angiogram revealed a twist of jejunal arteries along the superior mesenteric artery axis (barber pole sign). At laparotomy, the jejunum was found to twist 540 degrees clockwise around the pedicle of superior mesenteric artery and vein. Coils of small intestine wrapped around the root of an incomplete anchored mesentery. The viability of small bowel was not compromised. After reduction of volvulus, the mesenteric pedicle was broadened and a stabilization procedure was performed. The patient had a good recovery and has been symptom free for 3 months after operation.",

keywords = "intestinal malrotation, midgut volvulus",

author = "Leu, {C. Y.} and Hu, {T. H.} and Changchien, {C. S.} and Chiu, {K. W.} and Chuah, {S. K.} and Lee, {C. M.} and Chen, {C. L.}",

year = "1995",

language = "英语",

volume = "12",

pages = "36--42",

journal = "Chinese Journal of Gastroenterology",

issn = "1013-7696",

publisher = "Gastroenterological Society of the Republic of China",

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TY - JOUR

T1 - Non-obstructerd volvulus as a complication of midgut malrotation in adults

T2 - Report of a case

AU - Leu, C. Y.

AU - Hu, T. H.

AU - Changchien, C. S.

AU - Chiu, K. W.

AU - Chuah, S. K.

AU - Lee, C. M.

AU - Chen, C. L.

PY - 1995

Y1 - 1995

N2 - A 55-year-old woman with a midgut malrotation-induced volvulus had a history of intermittent, colicky abdominal pain for 2 months. Small bowel series showed a 'cork-screw' appearance and abdominal CT scan showed a 'whorl like' mass pattern, suggestive of volvulus. Angiogram revealed a twist of jejunal arteries along the superior mesenteric artery axis (barber pole sign). At laparotomy, the jejunum was found to twist 540 degrees clockwise around the pedicle of superior mesenteric artery and vein. Coils of small intestine wrapped around the root of an incomplete anchored mesentery. The viability of small bowel was not compromised. After reduction of volvulus, the mesenteric pedicle was broadened and a stabilization procedure was performed. The patient had a good recovery and has been symptom free for 3 months after operation.

AB - A 55-year-old woman with a midgut malrotation-induced volvulus had a history of intermittent, colicky abdominal pain for 2 months. Small bowel series showed a 'cork-screw' appearance and abdominal CT scan showed a 'whorl like' mass pattern, suggestive of volvulus. Angiogram revealed a twist of jejunal arteries along the superior mesenteric artery axis (barber pole sign). At laparotomy, the jejunum was found to twist 540 degrees clockwise around the pedicle of superior mesenteric artery and vein. Coils of small intestine wrapped around the root of an incomplete anchored mesentery. The viability of small bowel was not compromised. After reduction of volvulus, the mesenteric pedicle was broadened and a stabilization procedure was performed. The patient had a good recovery and has been symptom free for 3 months after operation.

KW - intestinal malrotation

KW - midgut volvulus

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M3 - 文章

AN - SCOPUS:0029148226

SN - 1013-7696

VL - 12

SP - 36

EP - 42

JO - Chinese Journal of Gastroenterology

JF - Chinese Journal of Gastroenterology

IS - 2

ER -

Non-obstructerd volvulus as a complication of midgut malrotation in adults: Report of a case

Abstract

Keywords

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