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CC BY-NC-ND 4.0 · Journal of Coloproctology 2021; 41(03): 325-328
DOI: 10.1055/s-0041-1732327
Case Report

Intestinal Malrotation, Mesocolic Hernia, and Meckel Diverticulum – Differential Diagnosis of Abdominal Pain in Adults: Case Report and Literature Review

Marcus Vinícius Silva Costa 
1   Programa de Residência Médica em Cirurgia Geral, Hospital Santa Bárbara, Faculdade de Medicina São Leopoldo Mandic, Campinas, São Paulo - SP, Brazil
,
Márcia Cristina de Alencastro 
2   Hospital Santa Bárbara, Faculdade de Medicina São Leopoldo Mandic, Campinas, São Paulo - SP, Brazil
,
Samyra Braz de Linica 
1   Programa de Residência Médica em Cirurgia Geral, Hospital Santa Bárbara, Faculdade de Medicina São Leopoldo Mandic, Campinas, São Paulo - SP, Brazil
,
Tiago dos Santos Ferreira 
3   Department of Radiology, Hospital Estadual Sumaré, Universidade Estadual de Campinas, São Paulo - SP, Brazil
,
Edson Soares Bezerra 
4   Urology Department, Hospital Santa Bárbara, Faculdade de Medicina São Leopoldo Mandic, Campinas, São Paulo - SP, Brazil
,
Sérgio Bisogni 
4   Urology Department, Hospital Santa Bárbara, Faculdade de Medicina São Leopoldo Mandic, Campinas, São Paulo - SP, Brazil
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Abstract

Intestinal malrotation is a congenital anomaly caused by incomplete rotation or absence of rotation of the primitive intestine along the axis of the upper mesenteric artery during embryonic development. Embryonic development and its anatomical variations were described by Dott in 1923.

Intestinal malrotation is a rare condition among adults – prevalent in a mere 0.0001% to 0.19% of the population –, and it may be associated with other anatomical deformities. It can be asymptomatic or manifest with varying intensity, from obstruction to necrosis of intestinal segments. In general, this abnormality is diagnosed in the first year of life; however, symptoms may appear later in life, making diagnosis in adults difficult on account of non-specific symptoms.

In the present study, we report a case of intestinal malrotation associated with chronic non-specific symptoms progressing to mesenteric angina.

Keywords

intestinal malrotation - Meckel diverticulum - intestinal angina - Ladd procedure - chronic abdominal pain


Publication History

Received: 08 July 2020

Accepted: 15 January 2021

Article published online:
20 September 2021

© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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