Midgut Malrotation in Adulthood

Tamotsu KANAZAWA; Kunio KASUGAI; Mitsuki MIYATA; Masayuki MIYASHITA; Mari MIZUNO; Fumitaka NAGASE; Kiyotomi HIBINO; Wataru MURAMATU; Katsuo HAYASHI; Mariko AIHARA; Toshiaki YOSHIDA; Keiko UTSUMI; Masakazu NITTA

doi:10.2169/internalmedicine.39.626

Tamotsu KANAZAWA, Kunio KASUGAI, Mitsuki MIYATA, Masayuki MIYASHITA, Mari MIZUNO, Fumitaka NAGASE, Kiyotomi HIBINO, Wataru MURAMATU, Katsuo HAYASHI, Mariko AIHARA, Toshiaki YOSHIDA, Keiko UTSUMI, Masakazu NITTA

Author information

Tamotsu KANAZAWA
the Second Department of Internal Medicine, Aichi Medical University
Kunio KASUGAI
the Second Department of Internal Medicine, Aichi Medical University
Mitsuki MIYATA
the Second Department of Internal Medicine, Aichi Medical University
Masayuki MIYASHITA
the Second Department of Internal Medicine, Aichi Medical University
Mari MIZUNO
the Second Department of Internal Medicine, Aichi Medical University
Fumitaka NAGASE
the Second Department of Internal Medicine, Aichi Medical University
Kiyotomi HIBINO
the Second Department of Internal Medicine, Aichi Medical University
Wataru MURAMATU
the Second Department of Internal Medicine, Aichi Medical University
Katsuo HAYASHI
the Second Department of Internal Medicine, Aichi Medical University
Mariko AIHARA
the Second Department of Internal Medicine, Aichi Medical University
Toshiaki YOSHIDA
the Second Department of Internal Medicine, Aichi Medical University
Keiko UTSUMI
the Second Department of Internal Medicine, Aichi Medical University
Masakazu NITTA
the Second Department of Internal Medicine, Aichi Medical University

Keywords: reverse rotation, paraduodenal hernia, the small intestine barium study

JOURNAL FREE ACCESS

2000 Volume 39 Issue 8 Pages 626-631

DOI https://doi.org/10.2169/internalmedicine.39.626

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Abstract

A 29-year-old man was admitted to our hospital with a history of recurrent right upper quadrant abdominal pain and vomiting. These symptoms appeared intermittently for 7 years. Various examinations revealed a diagnosis of midgut malrotation. Laparotomy was performed and revealed reverse rotation of the duodenum with paraduodenal hernia and a normal rotating colon. This case suggests that recurrent abdominal complaints in an adult should arouse suspicion of midgut malrotation.
(Internal Medicine 39: 626-631, 2000)

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