Bezerra AM, Yamaguchi OY, Gonçalves LA, Nascimento BAC, Sassatani AS, Assef JC. Má rotação intestinal em adultos: um relato de caso e revisão da literatura. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo, São Paulo. 2019. 64(1): 61-64. DOI: 10.26432/1809-3019.2019.64.1.061
Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo
malrotation is a congenital anomaly caused by an incomplete or lack of
normal gut rotation during embryogenic period. It manifests in varying
ways. In this study, we present a case that represents this diagnosis. Case Report:
Female patient, 51 years old, arrives at the Santa Isabel’s Emergency
Department complaining about a continuous epigastric pain for the last 3
days, irradiating to the lower abdominal quadrant and right side of
abdomen, associated with nausea, bilious vomiting, and failure to
thrive. As an initial approach, image and laboratory studies were
performed, with a diagnostic hypothesis of obstructive acute abdomen. In
contrasted tomography, no contrast phase, signals of malrotation were
seen. Conclusion: This case report provides a typical
presentation of a complication from intestinal malrotation in an adult.
Image studies were critical to this diagnosis.
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