Presentation
One day history of colicky, diffuse abdominal pain. Prior admission to hospital one week prior with similar pain and subsequent admission for management of bowel obstruction due to dilated loops of small bowel with no clear transition point on imaging.
Patient Data
- evidence of previous sleeve gastrectomy and cholecystectomy
- cecum noted on the patient's left side
- duodenal-jejunal flexure observed not to cross midline
- dilated small bowel loops in the right lower quadrant measuring up to 3 cm
Case Discussion
A 50-year old lady presented with colicky, diffuse abdominal pain, on a background of a similar presentation one week prior. She was noted to have complete intestinal malrotation on cross sectional abdominal imaging.
She underwent a diagnostic laparoscopy due to her second presentation with abdominal pain. This confirmed complete intestinal malrotation with her duodeno-jejunal flexure on the right side of the abdomen and her colon arising on the left side of the abdomen. She was also noted to have films of omental tissue overlying the DJ flexure, which were divided intra-operatively.
The patient had an uncomplicated recovery post-operatively and had resolution of her pain.
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