Computed Tomographic Findings of Anomalies of Intestinal Rotation in Adult Patients.
- Author:
Ki Byung SONG
1
;
Myoung Sik HAN
;
Seung Mun JUNG
;
Hyuk Jai JANG
;
Yong Ho KIM
;
Jin Ho KWAK
;
Yong Pil CHO
;
Youn Baik CHOI
Author Information
1. Department of Surgery, University of Ulsan College of Medicine, Seoul Asan Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Computed tomography;
X-Ray;
Malrotation;
Adult
- MeSH:
Abdomen;
Adult*;
Appendicitis;
Child;
Colon;
Colonic Neoplasms;
Diagnosis;
Humans;
Infant;
Intestinal Obstruction
- From:Journal of the Korean Surgical Society
2005;69(5):423-426
- CountryRepublic of Korea
- Language:English
-
Abstract:
Anomalies of the intestinal rotation mainly produce clinical manifestations in infants and children, but are uncommon in adults. We report three adult patients who presented with a surgical abdomen and the characteristic computed tomographic findings associated with anomalies of the intestinal rotation. Two patients presented with acute appendicitis, and one presented with an intestinal obstruction caused by colon cancer. In all patients, the computed tomographic findings were suggestive and were helpful for making a preoperative diagnosis of the anomalies of intestinal rotation: (1) a left-sided colon and/or (2) mesenteric vascular inversion. A computed tomographic scan is useful not only for providing an accurate diagnosis of a suspected surgical abdomen but also for detecting associated rotational anomalies, which may require a separate surgical correction.
