In conclusion, we present a rare case of malrotation with midgut volvulus in an adult. Given his acute presentation, operative intervention was the natural trajectory in his management. [academic.oup.com]

The frequency of midgut volvulus among infants presenting in the neonatal period ranges from 45% to 80%. [annsaudimed.net]

NG tube is placed and met with resistance. > If a transesophageal fistula is present to the distal esophagus, gas will be present in the bowel. [quizlet.com]

We present a case of a 55-year old man who presented with an acute abdomen with preoperative computed tomography scan and operative findings confirming midgut rotation. [wjes.biomedcentral.com]

However in the case reported, a classic malrotation with volvulus presented with a colonic obstruction and therefore with misleading symptoms. [indianpediatrics.net]

• Trisomy 21

  Risk Factors: Associated Syndromes Familial Intestinal Malrotation Marfan Syndrome Prune Belly Syndrome Chromosomal abnormalities Trisomy 13 Trisomy 18 Trisomy 21 Other conditions (e.g. [fpnotebook.com]

  We report a case of prolonged nonchylous ascites associated with intestinal malrotation in an infant with trisomy 21 who was eventually treated successfully with surgical intervention. [journals.lww.com]

  Related conditions include cystic fibrosis, Trisomy 21 (Down syndrome), congenital heart disease, bowel rotational abnormality, annular pancreas, esophageal atresia, anorectal atresia and genitourinary conditions. [chop.edu]

  Chromosomal abnormalities (mainly trisomy 18 or 21) are found in about 20% of fetuses. Other major defects, mainly cardiac, are found in about 50% of the cases. [sonoworld.com]

  She had trisomy 21. She had been operated on for malrotation at 8 months (Valdoni’s procedure) and for duodenal stenosis at 9 months (duodenotomy and resection of a congenital web). [e-ce.org]

• Overeating

  […] predominantly on the right side of the abdomen the cecum is displaced (from its usual position in the right lower quadrant) into the epigastrium - right hypochondrium the ligament of Treitz is displaced inferiorly and rightward fibrous bands (of Ladd) course over [wikidoc.org]

  The right colon, however, doubled back on the root of the mesentery, and the cecum and appendix (Fig. 6, B) were adherent to the mesentery in the region of the ligament of Treitz by a broad adhesive band (Fig. 6, C) running over the duodenojejunal junction [pubs.rsna.org]

  Through rotation of the whole small intestine of more than 270 degrees the mesenterium also rotates thereby and moves off from the posterior wall over the inferior part of the duodenum to the small intestine. [embryology.ch]

  The upper gastrointestinal series and small bowel series showed the contrast was static over the third portion of the duodenum and the descending colon pulled up toward the epigastric area. [ncbi.nlm.nih.gov]

  The right colon and cecum overlie the duodenum in the right upper quadrant and Ladd's bands form over the organs to peritonealize the cecum. [med-ed.virginia.edu]

• Enlarged Uterus

  In view of the enlarged uterus and the need for retroperitoneal dissection to correct an anatomically anomalous lesion with uncertain vascularity, the surgical opinion was to try nonoperative management first. [degruyter.com]

The diagnostic preoperative workup should include a plain abdominal radiograph, upper and/or lower gastrointestinal contrast studies, and ultrasonography (1). [journals.lww.com]

When he lost his medical insurance, he was discharged and advised to have further workup performed elsewhere. [hindawi.com]

Ghassemian AJ, MacDonald KG, Cunningham PG, Swanson M, Brown BM, et al. (1997) The workup for bariatric surgery does not require a routine upper gastrointestinal series. Obes Surg 7: 16-18. [omicsonline.org]

They may also be encountered incidentally at the time of workup for other diseases. [liebertpub.com]

• Colonic Stricture

  CMV infection should always be excluded in full-term infants presenting with colonic stricture or malrotation. [ijponline.biomedcentral.com]

  Tuberculosis-associated left colon stricture has also been reported. [13] Patients who undergo bowel resection for any reason and have a segment of intestine removed and joined by anastomosis may develop stricture at the anastomotic site as a consequence [emedicine.medscape.com]

Treatment [ edit ] Early treatment includes removing fluids from the stomach via a nasogastric tube, and providing fluids intravenously. [1] The definitive treatment for duodenal atresia is surgery (duodenoduodenostomy), which may be performed openly [en.wikipedia.org]

Further Reading Symptoms and Diagnosis of Intestinal Malrotation Symptoms and Diagnosis of Intestinal Malrotation Treatment and Prognosis for Intestinal Malrotation [news-medical.net]

Kazil understands the important circumstances that drive the treatment with the accuracy and compassion that everyone expects from a consummate general surgeon. [floridasurgicalclinic.com]

Treatment is surgical repair. Malrotation is the most common congenital anomaly of the small intestine. [merckmanuals.com]

Persistent symptoms after symptomatic treatment should raise the alarm. Plain abdominal X-ray and US-scans must be used in cases of doubt. [academic.oup.com]

Prognosis Survival is primarily dependent on gestation at delivery and the presence of other anomalies. [sonoworld.com]

This classification generally guides prognosis and therapy (see the image below). Classification of jejunoileal atresias. [emedicine.medscape.com]

Abstract With advances in surgery and the use of the antibiotics, the prognosis of congenital obstruction of the duodenum has become much more favorable. [pubs.rsna.org]

Prognosis Survival in MMIHS seems to have improved, thanks to more specialized care, innovations in parenteral nutrition, and introduction of multivisceral transplantation. [orpha.net]

These types of anomalies require a multidisciplinary approach in order to establish a prognosis and plan the perinatal management. [redalyc.org]

Risk factors — Factors that increase the risk for the most common etiologies of small bowel obstruction are given in the table ( table 1 ). (See 'Specific etiologies' below.) [uptodate.com]

Etiology Multiple theories regarding the etiology of jejunoileal atresia have been studied in many animal models (eg, puppies, ewes, rabbits, and chick embryos). [22, 23, 24, 25, 26] Murine studies suggest that some forms of atresia may be hereditary [emedicine.medscape.com]

Etiology Duodenal atresia is a sporadic abnormality, although, in some cases, there is an autosomal recessive pattern of inheritance. [sonoworld.com]

Keywords: Adult, Case Report, Duodenum, abnormalities,Female, Human, Intestinal Obstruction, etiology,Pregnancy, Pregnancy Complications, etiology, How to cite this article: Hardikar J V. Malrotation of the gut manifested during pregnancy. [jpgmonline.com]

DISCUSSION Malrotation remains the most common etiology of volvulus in neonates, though a rare cause in adults. It is due to an error in embryologic gut development. [academic.oup.com]

Epidemiology References: [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

Epidemiology In the United States, for example, asymptomatic GI malrotation occurs with an incidence somewhere between 1 in 200 to 1 in 500. [news-medical.net]

[…] intravenously. [1] The definitive treatment for duodenal atresia is surgery (duodenoduodenostomy), which may be performed openly or laparoscopically. [6] The surgery is not urgent. [1] The initial repair has a 5 percent morbidity and mortality rate. [2] Epidemiology [en.wikipedia.org]

Summary Epidemiology MMIHS prevalence is unknown but the disease has been reported in 230 patients, of which 71% are females. Clinical description Enlarged and nonobstructed bladder is the first manifestation of MMIHS and can be detected prenatally. [orpha.net]

(See "Epidemiology, clinical features, and types of small bowel neoplasms" .) [uptodate.com]

Lower Digestive Tract, 2nd Edition, part 2 in the 3-book Digestive System volume, covers the small bowel and colon, and provides a concise and highly visual approach from normal anatomy and physiology through pathophysiology, diagnostics and treatment [books.google.com]

Pathophysiology In the scenario of little or no rotation, the duodenum does not completely rotate and cross posterior to the SMA to allow creation of a normal ligament of Treitz on the left side of the abdomen. [online.epocrates.com]

Risk factors for the development of a volvulus References: [2] [3] [4] [5] [12] [13] [14] [15] [16] Pathophysiology Sigmoid volvulus Initial resuscitation : IV fluids ; acid-base and electrolyte imbalance correction ; n il per oral ; placement of a nasogastric [amboss.com]

Pathophysiology GI malrotation, has been recently suggested to result from genetic mutations. The gene implicated is the fork head transcription factor (FOXF1) gene. [news-medical.net]

Pathophysiology Malrotation refers to impaired rotational process of the midgut as it returns from outside of the abdominal cavity (extracoelomic phase of development) to the abdominal cavity. [pedclerk.bsd.uchicago.edu]

[…] dehydration and antibiotics to prevent infection. [luriechildrens.org]

Prevention There are no current guidelines to prevent volvulus. [azkrmc.com]

Children may be started on IV (intravenous) fluids to prevent dehydration and antibiotics to prevent infection. [stanfordchildrens.org]

The child may also be given intravenous (IV) fluids to help prevent dehydration and antibiotics to prevent infection. [kidshealth.org]