Vol 66, No 4 (2007)
Review article
Submitted: 2012-02-06
Published online: 2007-08-13
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.
Vol 66, No 4 (2007)
REVIEW ARTICLES
Submitted: 2012-02-06
Published online: 2007-08-13
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.
Keywords
malrotation; embryology; intestine; organogenesis
Title
Intestinal malrotations: a review and report of thirty cases
Journal
Folia Morphologica
Issue
Vol 66, No 4 (2007)
Article type
Review article
Pages
277-282
Published online
2007-08-13
Page views
594
Article views/downloads
1848
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