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Barsak malrotasyonuna bağlı olarak gelişen incebarsak volvulusu; Olgu sunumu

Year 2012, Volume: 5 Issue: 1, 18 - 21, 01.03.2012

Abstract

İntestinal malrotasyon terimi embriyoner hayatta midgutta olması gereken satin tersi yönündeki 270 derecelik rotasyonun olmaması veya eksik olmasıyla ortaya çıkan tabloyu ifade eder. Vakaların %64-80’i hayatın ilk aylarında gelişen akut incebarsak volvulusu tablosu ile kendini gösterir. Yetişkinlerde nadirdir ve intestinal malrotasyona bağlı volvulus tablosu olguların sadece %0.2-0.5’inde görülür. Çekilen kontrastlı karın tomografilerinde sağ tarafa yerleşmiş incebarsaklar, sol tarafa yerleşmiş kalın barsak ve mezenterik arterin soluna doğru yer değiştirmiş olan superior mezenterik ven görünümü volvulus için karakteristiktir ve “girdap bulgusu-belirtisi” olarak tanımlanır. Bu belirti mezenterin ve barsak anslarının arter aksı etrafında dönerek midgut volvulusu olduğunu ifade eder. Tedavide uygulanacak tedavi Ladd prosedürüdür. Burada, 20 yaşındaki bir erkek hastada görülen midgut volvulusu literatur verileri ışığında sunulmuştur.

ADULT INTESTINAL MALROTATION PRESENTING AS MIDGUT VOLVULUS; CASE REPORT

Year 2012, Volume: 5 Issue: 1, 18 - 21, 01.03.2012

Abstract

Intestinal malrotation is a rare congenital condition caused by the absence of or incomplete rotation of the small bowel during the embryonic period and is defined as any deviation from the normal 270 degree counterclockwise rotation of the midgut. 64-80% of cases present primarily during the neonatal period prior to the first month of life, as acute intestinal obstruction due to volvulus of small intestine. The presentation of intestinal malrotation in adults is rare, and occurs in approximately 0.2-0.5%. Contrast enhanced CT can show the abnormal anatomic location of a right sided small bowel, a left-sided colon and an abnormal relationship of the superior mesenteric vein (SMV) situated to the left of the superior mesenteric artery (SMA) instead of to the right and the characteristic ‘whirpool or whirl sign’ describing the swirling appearance of bowel and mesentery twisted around the superior mesenteric arterial axis with the presence of midgut volvulus. Ladd procedure is the surgical treatment of choice. Here in, a 20-year-old man presenting with midgut volvulus has been discussed in view of the literature.

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Details

Other ID JA35TA68YR
Journal Section Case Report
Authors

Shantanu Kumar Sahu This is me

Shailendra Raghuvanshi This is me

Arvind Sinha This is me

Praveendra Kumar Sachan This is me

Publication Date March 1, 2012
Submission Date March 1, 2012
Published in Issue Year 2012 Volume: 5 Issue: 1

Cite

Vancouver Sahu SK, Raghuvanshi S, Sinha A, Sachan PK. ADULT INTESTINAL MALROTATION PRESENTING AS MIDGUT VOLVULUS; CASE REPORT. JSurgArts. 2012;5(1):18-21.

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