Intestinal malrotation

Case contributed by Kamel Mahmoud Alkhateeb
Diagnosis almost certain

Presentation

Chronic left lower quadrant abdominal pain and discomfort.

Patient Data

Age: 45 years
Gender: Male
ct

The small intestine is predominantly in the right hemi-abdomen while the colon, including the ileocecal junction and ascending colon, is seen on the left. This is indicative of intestinal non-rotation.
 

Case Discussion

Anomalies of intestinal rotation are often incidental findings in adults. 

The ultrasound was performed for this patient who was complaining left lower quadrant chronic pain. Scanning lower abdomen showed that cecum and appendix were not seen in right fossa and the colon was predominantly on the left side. The CT was advised for suspected intestinal malrotation

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