Successful surgical management for duodenum obstruction in a 66 year-old woman previously undiagnosed intestinal malrotation.

Takashi Motomura, Ikuo Takahashi, Shinichi Noguchi, Tomohiro Ochi, Yuichiro Kajiwara, Yohei Mano, Ryota Nakanishi, Yoshihiko Fujinaka, Kojiro Nishida, Yo ichi Yamashita, Hiroshi Saeki, Hirofumi Kawanaka, Masaru Morita, Tetsuo Ikeda, Yuji Soejima, Takashi Nishizaki, Yoshihiko Maehara

Research output: Contribution to journalArticlepeer-review

Abstract

Intestinal malrotation is a congenital abnormality and is rarely seen in the adulthood. Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstruction. Several tests revealed that she had intestinal malrotation previously undiagnosed. Operative findings showed the fusion of duodenum with jejunum by the incomplete Treitz ligament. There was no Ladd's band and the right colon was unfixed. Dissection of the fusion completely released her symptom and she discharged without any complication. This is the first report of untypically intestinal malrotation in the adulthood without Ladd's band.

Original languageEnglish
Pages (from-to)569-574
Number of pages6
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume104
Issue number12
Publication statusPublished - Jan 1 2013

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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