Buscar en
Gastroenterología y Hepatología
Toda la web
Inicio Gastroenterología y Hepatología Intestinal malrotation: A rare cause of chronic recurrent abdominal pain
Información de la revista
Vol. 41. Núm. 4.
Páginas 270-271 (Abril 2018)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 41. Núm. 4.
Páginas 270-271 (Abril 2018)
Image of the month
Acceso a texto completo
Intestinal malrotation: A rare cause of chronic recurrent abdominal pain
Malrotación intestinal: una causa infrecuente de dolor abdominal crónico recurrente
Visitas
...
Laura Nuñez-Gomez
Autor para correspondencia
laura.ngz@hotmail.com

Corresponding author.
, Julia Arribas-Anta, Javier Martinez-Gonzalez
Gastroenterology and Hepatology Unit, Hospital Ramón y Cajal, Madrid, Spain
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (3)
Mostrar másMostrar menos
Texto completo

A 34-years-old man consulted for recurrent abdominal pain for the past 14 years. Abdominal ultrasound, upper endoscopy up to the second duodenal portion, celiac disease and Helicobacter pylori exams displayed normal results. He was admitted to our emergency department with a new flare of mesogastric pain which worsened with meals and was easily controlled with conventional analgesia. Physical examination and blood tests were normal. A CT-scan (Figs. 1 and 2) and barium studies (Fig. 3) were performed, revealing location of the large bowel on the left side of the abdomen, a right-sided small intestine and abnormalities in the disposition of vascular structures.

Figure 1.

Axial CT-scan showing malposition of the large bowel and small intestine and abnormalities in the disposition of vascular structures (arrow).

(0,05MB).
Figure 2.

Coronal CT-scan showing abnormal location of the large bowel on the left side of the abdomen and a right-sided small intestine, without signs of bowel strangulation.

(0,13MB).
Figure 3.

Barium enema showing the large bowel on the left side of the abdomen.

(0,1MB).

The patient was diagnosed with intestinal malrotation, which results from an abnormal intestinal rotation during embrionary development. Usually diagnosed during the first decade of life, the estimated prevalence in adults is around 0.2%. It may present as an acute complication (volvulation, intestinal ischemia), but can also lead to chronic symptoms such as intermittent abdominal pain. Surgery (Ladd's procedure) is the treatment of choice for patients with complications. Nevertheless, surgical treatment in mild or non-symptomatic patients remains controversial, although many experts stand up for the intervention. In this case, avoidance of copious meals and conventional analgesia improved the symptoms.

Copyright © 2018. Elsevier España, S.L.U.. All rights reserved
Opciones de artículo
Herramientas
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos