Authors:

Constantinos Avgoustou^1*, Christina Avgoustou²

¹General Surgeon, Director of Surgery General Hospital of Nea Ionia “Constantopoulion-Patission”, Athens, Greece

²Intern of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece

Abstract:

Midgut malrotation (MGM) refers to a broad spectrum of rotation and fixation anomalies of the gut during fetal development, which are clinically evident mostly early in life as newborn emergencies and rarely later as milder forms in adults. Most commonly, adult patients are asymptomatic throughout life or they are insidiously presenting unspecific symptoms for a significant period of time before the diagnosis is made. Less commonly, adult MGM cases are acutely complicated with challenging and life-threatening conditions, such as the obstructive midgut or right colon volvulus and the ileocolonic intussusception, which require prompt diagnosis, intensive resuscitation and emergent surgical intervention. Intentionally, high index of suspicion and awareness are essential, if bowel infarction is to be prevented and high morbidity and mortality reduced.

Keywords:

Adult midgut malrotation, midgut volvulus, right colon volvulus, ileocolonic intussusception, bowel obstruction, diagnosis, surgical treatment

Citation:

Christina Avgoustou. Complicated Adult Midgut Malrotation: A Challenge to Diagnose and Treat. World Journal of Medical Oncology 2021.