A Case of Intestinal Malrotation with Ogilvie Syndrome

Abstract

A 60-year-old man was brought into our hospital in poor general condition due to abdominal distention caused by intestinal dilatation. We attempted deglutition to the patient by inserting a colonoscope and placed a transanal ileus tube, but we failed to improve his symptoms. We diagnosed the case as Ogilvie's syndrome and created a double-barrel stoma in the transverse colon and the patient achieved improvement. After improvement of intestinal dilation, close examination revealed the presence of intestinal malrotation. Ogilvie syndrome is a rare disorder that results in colorectal stricture due to bowel passage obstruction. Due to the extreme rarity, we report a case of Ogilvie's syndrome associated with intestinal malrotation, which was relieved by colostomy.