Intestinal non-rotation

Case contributed by Reem Nazeer Ali AbdulJabbar
Diagnosis certain

Presentation

Lower abdominal pain

Patient Data

Age: 30 years
Gender: Female
ct

The duodenum, duodeno-jejunal junction and rest of the small intestine are seen predominantly in the right hemi-abdomen, while the ileocecal junction, cecum and colon are on the left side.

There is an inverse relationship between SMA and SMV (right-sided SMA and left-sided SMV).

These features represent intestinal non-rotation.

No dilated bowel or free fluid.

Case Discussion

Intestinal non-rotation is characterized by a right-sided duodenojejunal junction and a left-sided cecum. In adults, it can be found incidentally, as in this patient.

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