Fatima Mannan, Maaz Zuberi, Roger Christopher Gill, Rehman Alvi.
Adult intestinal malrotation; a signifi cant surgical entity.
Pak J Surg Jan ;31(4):265-8.

Objective:Th e aim of this study was to review diagnosis and surgical management of adult patients with intestinal Malrotation which presented to our institute. Patients and methods:A retrospective review of the surgical outcome of adults with intestinal malrotation was performed. Twenty patients were observed and treated between November 1984 and January 2014 (8 women and 12 men; the mean age of the patients was 40 years) at Aga Khan University Hospital, Karachi. Patient demographics, surgical outcomes, including perioperative morbidity and mortality were measured. Results:Most of the patients were symptomatic at the time of presentation. Abdominal pain was the most frequently occurring symptom. CT scan abdomen was done in 14 patients. In 5 of these patients diagnosis was missed. 8 patients had upper GI contrast study. 16 patients underwent laparotomy and four were managed conservatively. Follow-up ranged from 2 to 52 months. Two patients had post-operative complications: both had adhesive obstruction and were managed conservatively in both the cases. No deaths occurred as a result of surgical intervention in the fi rst 30 day period. Conclusions:Intestinal malrotation is a rare but important cause of abdominal pain in adults. Patients may present with variety of nonspecifi c clinical symptoms and signs. Successful management includes early diagnosis and appropriate management.

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