Intestinal malrotation

Case contributed by Dr Prashant Gupta

Presentation

Vague long-standing upper abdominal pain.

Patient Data

Age: 75 years
Gender: Male

The duodenum if traced can be seen to cross to the left side and then twist around with duodenojejunal junction to the right of midline. The cecum is in the right iliac fossa. Thick MIP images show mesenteric "whirl" around the SMA.

Note that pancreatic uncinate process is well formed and SMA/SMV relationship is preserved.

Incidentally noted cardiomegaly and right pleural effusion.

Case Discussion

Previously thought to be of only academic interest, current thinking (2012) dictates that incidentally noted malrotation should be surgically corrected.

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