Imaging diagnosis and surgical treatment of intestinal malrotation in adult patients

VernacularTitle:成人肠旋转不良的影像诊断和治疗方法
Author: Bo WEI ; Lin CHEN ; Wei Lü ; Yun TANG ; Rong LI
Publication Type:Journal Article
Keywords: Intestinal malrotation; Diagnosis; Treatment
From: Chinese Journal of Digestive Surgery 2009;8(3):220-222
CountryChina
Language:Chinese
Abstract: Objective To investigate the imaging diagnosis and surgical treatment of intestinal malrotation in adult patients. Methods The clinical data of 11 adult patients with intestinal malrotation who had been admitted to General Hospital of PLA from January 2003 to December 2007 were retrospectively analyzed. Multiple imaging modalities, including barium enema, gastrointestinal radiography, B sonography, computed tomography (CT) scan and mesenteric angiography were applied for diagnosis. All patients received Ladd procedure. Results Two patients were diagnosed by gastrointestinal radiography +B sonography, 4 by gastrointestinal radiography +CT scan, 1 by angiography, 1 by B sonography + CT scan, 1 by iodine radiography + CT scan and 2 by intraopera-tive examination. After the operation, 2 had renal insufficiency, 1 had intestinal fistula and 1 had short bowel syndrome and died at the third month after operation. Conclusion Combined application of multiple imaging modalities can improve the diagnostic rate, and Ladd procedure is effective and safe for adult patients with intes-tinal malrotation.