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KMID : 0371319710130110027
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Journal of the Korean Surgical Society
1971 Volume.13 No. 11 p.27 ~ p.32
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Intestinal Obstruction due to Congenital Malrotation
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Abstract
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The malrotation of the intestine has been known to be developed by the abnormality in the develop
ment and the process of the rotation of the midgut in the embryo, from 4 weeks to 12 weeks, and is
clinically significant when there is fibrous band in the 2nd or 3rd portion of the duodenum or compli
cated volvulus due to abnormal mesenteric development, which results mechanically intestinal obstruction.
We have experienced 2 cases of the intestinal obstruction due to congenital malrotaion in adults
and one in the child and report with review of the literatures.
Case 1.
This 41 years old male patient has been suffering from indigestion, epigastric discomfort and inter
mittent vomiting without abdominal pain since 15 years of his age.
Operation findings:
There was a incomplete duodenal malrotation due to compression of the 2nd portion of the duodenum
by the hepatocolic ligarment and duodenal band with undescent ascending colon.
Case 2.
This 44 years old male patient was admitted to the hospital with complaints of the indigestion,
postprandial abdominal pain and vomiting since he was 2 years old.
Operation findings:
There was marked distension of the duodenim and distal jejunum due to the compression of the
distal jejunum by the congenital jejunal fibrous band and the peritoneal band with incomplete rotation
of intestine.
Case 3.
This 14 years old girl was admitted with chief complaints of the vomiting epigastric discomfort and
bowel habit change after solid food since 5 years ago.
Operations findings:
There was incomplete obstruction of the duodenum due to compression of the third portion of the
duodenum by the duodenijejunal band with malrotation of intestine.
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