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Cirujano general
versión impresa ISSN 1405-0099
Resumen
CERVANTES-GUTIERREZ, Oscar et al. Intestinal malrotation and cecum volvulus. Case presentation and bibliographic review. Cir. gen [online]. 2021, vol.43, n.4, pp.259-264. Epub 09-Jun-2023. ISSN 1405-0099. https://doi.org/10.35366/109130.
Introduction:
intestinal malrotation is the result of an alteration during embryonic development. The absence of the Treitz ligament together with the mesenteric fixation failures causes a displacement of the small intestine towards the right side of the abdomen, accompanied by a localized cecum on the left side, remaining attached to the abdominal wall by fibrous peritoneal bands “Ladd bands”, associated with caecal volvulus and intestinal obstruction.
Clinical case:
we present the clinical case of a 61-year-old female patient who arrived to the emergency room presenting an acute abdomen secondary to caecal volvulus and intestinal obstruction associated with intestinal malrotation.
Conclusions:
it is necessary to have a high index of suspicion in patients with acute abdomen since most of the patients go through their adult life asymptomatic or with non-specific gastrointestinal symptoms.
Palabras llave : volvulus; cecum; intestinal malrotation; intestinal obstruction.