Midgut Volvulus Secondary to Intestinal Malrotation in Adult Male: A Case Report and Mini Review

Jatal, S. N. and Jatal, Sudhir and Jatal, Supriya and Swami, Ganesh (2023) Midgut Volvulus Secondary to Intestinal Malrotation in Adult Male: A Case Report and Mini Review. Asian Journal of Research in Surgery, 6 (2). pp. 303-309.

[thumbnail of Jatal622023AJRS108543.pdf] Text
Jatal622023AJRS108543.pdf - Published Version

Download (644kB)


Intestinal malrotation is a congenital anomaly that occurs due to abnormal rotation and fixation of the intestine when it returns to the abdominal cavity during fatal development. There have been only 92 documented cases of this condition in medical literature. The incidence of malrotation is approximately 1 in 6,000 live births. Most malrotation cases, about 60-80%, become evident in the first month of life, with 90% being diagnosed within the first year. Adult presentations of malrotation are exceedingly rare, accounting for only 0.2 to 0.5% of cases, and among these, only 15% present with midgut volvulus. The incidence of midgut malrotation in adults has been reported to be between 0.00011 and 0.19%. Most diagnoses of midgut malrotation in adults occur in asymptomatic patients, often through imaging investigations or incidental findings during surgeries for other medical issues.

Diagnosis of midgut volvulus is primarily established through various methods, with CT abdomen being the most common (67%), followed by ultrasonography (15%), and during exploratory laparotomy (18%). It's important to note that midgut volvulus is associated with a high risk of bowel ischemia and necrosis, as it affects the blood supply to the intestines through the mesenteric artery, resulting in a significant 5% mortality rate.

We are reporting an unusual case involving a 20-year-old male who was found to have midgut volvulus affecting his jejunum and small bowel. This condition was a consequence of congenital malrotation of the bowel. The patient underwent an exploratory laparotomy, during which the volvulus was corrected by detorsion, inter-mesenteric bands adhesiolysis, and an appendectomy was performed.

Item Type: Article
Subjects: Eprints STM archive > Medical Science
Depositing User: Unnamed user with email admin@eprints.stmarchive
Date Deposited: 06 Nov 2023 11:50
Last Modified: 06 Nov 2023 11:50
URI: http://public.paper4promo.com/id/eprint/1399

Actions (login required)

View Item
View Item