Volvolo da malrotazione intestinale in soggetto adulto. Osservazione personale e revisione della letteratura

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COD: 05_2010_377-382 Categorie: ,

Armando Nardone, Nicolò Tamini, Luca Nespoli, Riccardo Pirovano

Ann. Ital. Chir., 2010; 81: 377-381

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Intestinal maltoration is a rare cause of bowel obstruction in adults and it could create a perplexing situation for surgeons
not familiar with this pediatric pathology. Symptomatic patients present either acutely with bowel obstruction and intestinal
ischemia with a midgut or cecal volvolus, or chronically with vague abdominal pain.
Several modalities can be used to describe the intestinal abnormality such as barium X-ray, computer tomography scans,
angiography and sometimes also the explorative laparotomy.
The authors report on a case 62 years-old women presented to Emergency Center for plurime episodies of biliar emesis
and diffuse abdominal pain in the last 5 days and treated for bowel obstruction secondary to a midgut volvolus in anomaly
of fetal intestinal rotation.