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Case Reports in Surgery
Volume 2014, Article ID 453128, 4 pages
http://dx.doi.org/10.1155/2014/453128
Case Report

Intestinal Malrotation: A Rare Cause of Small Intestinal Obstruction

1Department of General Surgery, School of Medicine, Bozok University, 66100 Yozgat, Turkey
2Department of Radiology, School of Medicine, Bozok University, 66100 Yozgat, Turkey

Received 15 April 2014; Revised 10 September 2014; Accepted 15 September 2014; Published 9 October 2014

Academic Editor: Boris Kirshtein

Copyright © 2014 Mesut Sipahi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The diagnosis of intestinal malrotation is established by the age of 1 year in most cases, and the condition is seldom seen in adults. In this paper, a patient with small intestinal malrotation-type intraperitoneal hernia who underwent surgery at an older age because of intestinal obstruction is presented. Case. A 73-year-old patient who presented with acute intestinal obstruction underwent surgery as treatment. Distended jejunum and ileum loops surrounded by a peritoneal sac and located between the stomach and transverse colon were determined. The terminal ileum had entered into the transverse mesocolon from the right lower part, resulting in kinking and subsequent segmentary obstruction. The obstruction was relieved, and the small intestines were placed into their normal position in the abdominal cavity. Conclusion. Small intestinal malrotations are rare causes of intestinal obstructions in adults. The appropriate treatment in these patients is placement of the intestines in their normal positions.