Reversed Bowel Rotation with Midgut Volvulus and Internal Hernia

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Author Info

Atif Mahmoud Mahdi Hasn Hifni Hassan Juma Mona Mogahed Mona Saleh Allaf

Corresponding Author

Mona Mogahed
Assistant Professor of Anesthesiology, Surgical ICU and Pain Medicine, Faculty of Medicine Tanta University, Egypt

A B S T R A C T

Congenital intestinal malrotation is a group of intestinal rotational anomalies occurring during embryogenesis. Reversed rotation is considered the rarest type of malrotation and often presents with symptoms of bowel obstruction. We present a rare case of a 27-year-old woman who presented with acute abdomen. The patient’s preoperative computed tomography (CT) scan and operative findings confirmed reverse malrotation, internal hernia of foramen of Winslow, and midgut volvulus. The transverse colon, duodenum, small bowel, cecum, and appendix were abnormally located, with the presence of Ladd bands. The patient underwent an emergency laparotomy (Ladd procedure) with an uneventful postoperative recovery and an unremarkable follow-up CT scan of the abdomen. A review of the literature for intestinal reverse malrotation is also presented to provide an understanding of the expected clinical picture and imaging findings for this rare anomaly.

Article Info

Article Type

Case Report

Publication history

Received: Fri 24, Jan 2020
Accepted: Wed 19, Feb 2020
Published: Sat 29, Feb 2020

Copyright

© 2023 Mona Mogahed. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.AJSCR.2020.01.07