Case of Small Bowel Bleeding Due to Malrotation
Author Information
Author(s): Belgaumkar Ajay, Karamchandani Dheeraj, Peddu Praveen, Schulte Klaus-Martin
Primary Institution: King's College Hospital, Denmark Hill, London, UK
Hypothesis
Is there an association between congenital malrotation and gastrointestinal hemorrhage in middle-aged patients?
Conclusion
The case highlights that congenital malrotation can lead to life-threatening gastrointestinal bleeding in adults.
Supporting Evidence
- Congenital malrotation is typically diagnosed in infants, making this case unusual.
- The patient had a history of chronic abdominal pain and iron deficiency.
- Histological examination showed dilated blood vessels in the jejunum wall.
Takeaway
A 56-year-old man had a serious bleeding problem in his intestines because of a twist in his gut that is usually seen in babies. Doctors fixed it with surgery.
Methodology
The patient underwent emergency laparotomy after initial resuscitation and imaging, followed by segmental resection of the small bowel.
Limitations
The case is based on a single patient, limiting generalizability.
Participant Demographics
One middle-aged male patient, aged 56.
Digital Object Identifier (DOI)
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