2018 Volume 38 Issue 3 Pages 521-525
There are various types of surgical treatment for adult intestinal malrotation. We present two cases of adult intestinal malrotation that were treated surgically with intestinal tacking. Case 1: A 43-year-old man presented to our hospital with abdominal pain. A computed tomography (CT) scan suggested a midgut vovulus so he was taken to surgery. The patient had a midgut volvulus caused by intestinal malrotation. We corrected the volvulus and tacked the intestine. The patient was discharged on the 10th postoperative day. Case 2: A 73-year-old man had recurrent abdominal pain for 30 years. An abdominal CT scan revealed a midgut volvulus, which surgical exploration showed to have been caused by an intestinal malrotation. We tacked the intestine, similar to Case 1. The patient was discharged on the 8th postoperative day. Intestinal tacking has generally fallen out of favor for cases of adult intestinal malrotation, due to complications such as ileus and herniation. However, we continue to successfully perform this technique and we describe it herein along with a literature review.
