Intestinal malrotation - incidental in older patient

Case contributed by Dr Michael P Hartung

Presentation

Flank pain.

Patient Data

Age: 65
Gender: Female

No acute pathology. 

Typical findings of intestinal malrotation: SMA right of SMV, 3rd portion of the duodenum never crosses midline, small bowel on in right abdomen, colon in mid-left abdomen, cecum/IC valve in pelvis. Appendix starts in pelvis and courses into the right lower quadrant. 

Case Discussion

Incidental findings on a flank pain study in an older patient. Although not often the case with malrotation, this particular patient never had any issues with malrotation throughout her life.

Appendix terminates in the right lower quadrant, so if this patient did have appendicitis, a relatively typical presentation of lower abdominal or pelvic pain would be expected. 

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Case information

rID: 63856
Published: 21st Oct 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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