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Case report
Caecum volvulus as a late presentation of intestinal malrotation in an adult: a challenging diagnosis
  1. Ana Torre,
  2. Andreia Amado,
  3. Susana Graça and
  4. Antónia Póvoa
  1. General Surgery Department, Centro Hospitalar Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal
  1. Correspondence to Dr Ana Torre; anatorre90{at}gmail.com

Abstract

Intestinal malrotation is usually diagnosed in early childhood. It results from failure of the normal gut rotation during embryological development. We present a case of a 62-year-old woman with a delayed presentation of an intestinal malrotation. She was admitted in the emergency department with an acute intestinal obstruction. Exploratory laparotomy revealed Ladd’s band with caecum volvulus and intestinal malrotation. Ladd’s procedure and right hemicolectomy were performed with uneventful recovery. Since both caecum volvulus and intestinal malrotation are rare events, particularly in adulthood, clinical diagnosis is challenging. Our aim is to increase the awareness of surgeons about this rare association as a cause of acute intestinal obstruction.

  • congenital disorders
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2021-247645

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    Footnotes

    • Contributors AT contributed to case report writing, data collection and discussion writing. AP performed surgery. AP, SARG and AP critically reviewed the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.