open access

Vol 66, No 4 (2007)
REVIEW ARTICLES
Published online: 2007-08-13
Submitted: 2012-02-06
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Intestinal malrotations: a review and report of thirty cases

S. Aslanabadi, A. Ghalehgolab-Behbahan, M. Jamshidi, P. Veisi, S. Zarrintan
Folia Morphol 2007;66(4):277-282.

open access

Vol 66, No 4 (2007)
REVIEW ARTICLES
Published online: 2007-08-13
Submitted: 2012-02-06

Abstract

Intestinal malrotation is a developmental anomaly affecting the position and peritoneal attachments of the small and large bowels during organogenesis in foetal life. It has been defined as absent or incomplete rotation and fixation of the embryonic gut around the superior mesenteric artery. In the present paper, we review the definition, history, embryology/aetiology, epidemiology, symptoms and signs, diagnosis and treatment of intestinal malformations. Moreover, we report the records of 30 cases of malrotation admitted to our department over a period of five years. The final intraoperative diagnosis of the cases presented was 53.3% pure malrotation, 33.3% malrotation with mid-gut volvulus, 6.7% malrotation with duodenal atresia, 3.3% malrotation with Meckel’s diverticulum and duodenal atresia, and 3.3% malrotation and biliary atresia. Preoperative imaging studies were performed for 27 cases and surgical management was successfully conducted without any mortality among the cases studied. This article provides an overview of basic and clinical aspects of intestinal malrotation. In addition, the signs and symptoms, imaging findings, and final intraoperative diagnoses presented by the subjects reported on are of potential use and clinical interest.

Abstract

Intestinal malrotation is a developmental anomaly affecting the position and peritoneal attachments of the small and large bowels during organogenesis in foetal life. It has been defined as absent or incomplete rotation and fixation of the embryonic gut around the superior mesenteric artery. In the present paper, we review the definition, history, embryology/aetiology, epidemiology, symptoms and signs, diagnosis and treatment of intestinal malformations. Moreover, we report the records of 30 cases of malrotation admitted to our department over a period of five years. The final intraoperative diagnosis of the cases presented was 53.3% pure malrotation, 33.3% malrotation with mid-gut volvulus, 6.7% malrotation with duodenal atresia, 3.3% malrotation with Meckel’s diverticulum and duodenal atresia, and 3.3% malrotation and biliary atresia. Preoperative imaging studies were performed for 27 cases and surgical management was successfully conducted without any mortality among the cases studied. This article provides an overview of basic and clinical aspects of intestinal malrotation. In addition, the signs and symptoms, imaging findings, and final intraoperative diagnoses presented by the subjects reported on are of potential use and clinical interest.
Get Citation

Keywords

malrotation; embryology; intestine; organogenesis

About this article
Title

Intestinal malrotations: a review and report of thirty cases

Journal

Folia Morphologica

Issue

Vol 66, No 4 (2007)

Pages

277-282

Published online

2007-08-13

Bibliographic record

Folia Morphol 2007;66(4):277-282.

Keywords

malrotation
embryology
intestine
organogenesis

Authors

S. Aslanabadi
A. Ghalehgolab-Behbahan
M. Jamshidi
P. Veisi
S. Zarrintan

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