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Cause of Recurrent Abdominal Pain: Incidental Intestinal Nonrotation

Year 2021, Volume: 3 Issue: 2, 151 - 153, 06.05.2021
https://doi.org/10.37990/medr.881819

Abstract

Intestinal nonrotation is a subtype of malrotation and it is usually detected incidentally in adulthood. Although nonrotation is often asymptomatic, patients with this condition are at increased risk of conditions that may require emergency surgery, such as intestinal obstruction and necrosis. In relation to our case of a 52-year-old male patient diagnosed with intestinal nonrotation in radiological examinations performed for renal colic, the current status in the literature was discussed. In conclusion, in cases of intestinal nonrotation, radiologists and surgeons should be alert to this possibility as the diagnosis and treatment processes will be affected.

References

  • 1. Applegate KE, Anderson JM, Klatte EC. Intestinal malrotation in children: a problem-solving approach to the upper gastrointestinal series. Radiographics. 2006;26(5):1485-1500. doi:10.1148/rg.265055167
  • 2. Torres AM, Ziegler MM. Malrotation of the intestine. World J Surg. 1993;17(3):326-331. doi:10.1007/BF01658699
  • 3. Ballesteros Gómiz E, Torremadé Ayats A, Durán Feliubadaló C, et al. Intestinal malrotation--volvulus: imaging findings. Radiologia. 2015;57(1):9-21. doi:10.1016/j.rx.2014.07.007
  • 4. von Flüe M, Herzog U, Ackermann C, et al. Acute and chronic presentation of intestinal nonrotation in adults. Dis Colon Rectum. 1994;37(2):192-198. doi:10.1007/BF02047549
  • 5. Gürün E, Akdulum İ. A rare congenital anomaly of mediastinal vascular structures; isolated retroaortic left brachiocephalic vein. Journal of Health Sciences and Medicine.3(4):499-502.10.32322/jhsm.785575
  • 6. Gupta AC, Herts B. Heterotaxia with Polysplenia. J Urol. 2015;194(3):801-802. doi:10.1016/j.juro.2015.06.001
  • 7. Nehra D, Goldstein AM. Intestinal malrotation: varied clinical presentation from infancy through adulthood. Surgery. 2011;149(3):386-393. doi:10.1016/j.surg.2010.07.004
  • 8. Dilley AV, Pereira J, Shi EC, et al. The radiologist says malrotation: does the surgeon operate?. Pediatr Surg Int. 2000;16(1-2):45-49. doi:10.1007/s003830050012
  • 9. Fukuya T, Brown BP, Lu CC. Midgut volvulus as a complication of intestinal malrotation in adults. Dig Dis Sci. 1993;38(3):438-444. doi:10.1007/BF01316496
  • 10. Khatami A, Mahdavi K, Karimi MA. Ultrasound as a feasible method for the assessment of malrotation. Pol J Radiol. 2014;79:112-116. Published 2014 May 19. doi:10.12659/PJR.890219
  • 11. Akdulum İ, Akyüz M, Gürün E, et al. The Change in the Renal Pelvis Anterior-Posterior Diameter Between Prevoiding and Postvoiding Status, and Its Correlation With Vesicoureteral Reflux. Ultrasound Q. 2020;36(4):371-374. doi:10.1097/RUQ.0000000000000521
  • 12. Pickhardt PJ, Bhalla S. Intestinal malrotation in adolescents and adults: spectrum of clinical and imaging features. AJR Am J Roentgenol. 2002;179(6):1429-1435. doi:10.2214/ajr.179.6.1791429

Tekrarlayan Karın Ağrısının Bir Nedeni: İnsidental Intestinal Nonrotasyon

Year 2021, Volume: 3 Issue: 2, 151 - 153, 06.05.2021
https://doi.org/10.37990/medr.881819

Abstract

İntestinal nonrotasyon, malrotasyonun bir alt tipidir ve genellikle erişkin dönemde tesadüfen tespit edilir. Nonrotasyon genellikle asemptomatik olmasına rağmen, bu hastalar, ileus ve nekroz gibi acil cerrahi gerektirebilecek durumlar açısından yüksek risk altındadır. Olgumuzda renal kolik nedeniyle yapılan radyolojik incelemelerde intestinal nonrotasyon tanısı alan 52 yaşında erkek hastanın literatüre ışığında mevcut durumu tartışıldı. Sonuç olarak, intestinal nonrotasyon varlığında tanı ve tedavi süreci etkileneceğinden radyologlar ve cerrahlar bu duruma karşı uyanık olmalıdır.

References

  • 1. Applegate KE, Anderson JM, Klatte EC. Intestinal malrotation in children: a problem-solving approach to the upper gastrointestinal series. Radiographics. 2006;26(5):1485-1500. doi:10.1148/rg.265055167
  • 2. Torres AM, Ziegler MM. Malrotation of the intestine. World J Surg. 1993;17(3):326-331. doi:10.1007/BF01658699
  • 3. Ballesteros Gómiz E, Torremadé Ayats A, Durán Feliubadaló C, et al. Intestinal malrotation--volvulus: imaging findings. Radiologia. 2015;57(1):9-21. doi:10.1016/j.rx.2014.07.007
  • 4. von Flüe M, Herzog U, Ackermann C, et al. Acute and chronic presentation of intestinal nonrotation in adults. Dis Colon Rectum. 1994;37(2):192-198. doi:10.1007/BF02047549
  • 5. Gürün E, Akdulum İ. A rare congenital anomaly of mediastinal vascular structures; isolated retroaortic left brachiocephalic vein. Journal of Health Sciences and Medicine.3(4):499-502.10.32322/jhsm.785575
  • 6. Gupta AC, Herts B. Heterotaxia with Polysplenia. J Urol. 2015;194(3):801-802. doi:10.1016/j.juro.2015.06.001
  • 7. Nehra D, Goldstein AM. Intestinal malrotation: varied clinical presentation from infancy through adulthood. Surgery. 2011;149(3):386-393. doi:10.1016/j.surg.2010.07.004
  • 8. Dilley AV, Pereira J, Shi EC, et al. The radiologist says malrotation: does the surgeon operate?. Pediatr Surg Int. 2000;16(1-2):45-49. doi:10.1007/s003830050012
  • 9. Fukuya T, Brown BP, Lu CC. Midgut volvulus as a complication of intestinal malrotation in adults. Dig Dis Sci. 1993;38(3):438-444. doi:10.1007/BF01316496
  • 10. Khatami A, Mahdavi K, Karimi MA. Ultrasound as a feasible method for the assessment of malrotation. Pol J Radiol. 2014;79:112-116. Published 2014 May 19. doi:10.12659/PJR.890219
  • 11. Akdulum İ, Akyüz M, Gürün E, et al. The Change in the Renal Pelvis Anterior-Posterior Diameter Between Prevoiding and Postvoiding Status, and Its Correlation With Vesicoureteral Reflux. Ultrasound Q. 2020;36(4):371-374. doi:10.1097/RUQ.0000000000000521
  • 12. Pickhardt PJ, Bhalla S. Intestinal malrotation in adolescents and adults: spectrum of clinical and imaging features. AJR Am J Roentgenol. 2002;179(6):1429-1435. doi:10.2214/ajr.179.6.1791429
There are 12 citations in total.

Details

Primary Language English
Subjects Surgery, ​Internal Diseases
Journal Section Original Articles
Authors

Ramazan Tiken 0000-0003-1624-474X

Publication Date May 6, 2021
Acceptance Date March 17, 2021
Published in Issue Year 2021 Volume: 3 Issue: 2

Cite

AMA Tiken R. Cause of Recurrent Abdominal Pain: Incidental Intestinal Nonrotation. Med Records. May 2021;3(2):151-153. doi:10.37990/medr.881819

Chief Editors
Prof. Dr. Berkant Özpolat, MD
Department of Thoracic Surgery, Ufuk University, Dr. Rıdvan Ege Hospital, Ankara, Türkiye

Editors
Prof. Dr. Sercan Okutucu, MD
Department of Cardiology, Ankara Lokman Hekim University, Ankara, Türkiye

Assoc. Prof. Dr. Süleyman Cebeci, MD
Department of Ear, Nose and Throat Diseases, Gazi University Faculty of Medicine, Ankara, Türkiye

Field Editors
Assoc. Prof. Dr. Doğan Öztürk, MD
Department of General Surgery, Manisa Özel Sarıkız Hospital, Manisa, Türkiye

Assoc. Prof. Dr. Birsen Doğanay, MD
Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Türkiye

Assoc. Prof. Dr. Sonay Aydın, MD
Department of Radiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Türkiye

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PhD, Dr. Evin Mise
Department of Work Psychology, Ankara University, Ayaş Vocational School, Ankara, Türkiye

Dt. Çise Nazım
Department of Periodontology, Dr. Burhan Nalbantoğlu State Hospital, Lefkoşa, North Cyprus

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Department of Statistics, Hacettepe University, Faculty of Science, Ankara, Türkiye

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