Korean J Gastrointest Endosc.  1992 May;12(1):103-106.

Chronic Midgut Volvulus Due to Movable Pancreas: 1 case report

• Kim JT
• Roe IH
• Kim SJ

Abstract

Incomplete fixation of pancreas, which may be associated with a wide mobility of root of SMA, result in chronic midgut volvulus. Movable pancreas is an uncommon form of incomplete intestnal fixation and rotation. Herein, we present a caae of movable pancreas. A patient was a 32-year-old male with the complaint of colicky intermittent abdomnal pain. The abdominal ultrasonography and CT showed a movable pancreas. The head of pancreas was located in the left of the abdominal aorta during the inspiratory time and left decubitus position. At surgery, pancreas was mobile and the root of mesentery was very weak and fibrotic. Duodenum and mesentery were fixed by 0.7 mm Dacron patch along the right peritoneal gutter and the retroperitoneum from ligament of Treitz to the ileocecal attachment. Duodenojejunostomy was performed for the prevention of SMA syndrome. The symptoms disappeared and recovery was prompt. Following the procedure, the patient remains asymptomatic until 10 months after operation

Keyword

Movable pancreas; Midgut volvulus

MeSH Terms

Adult
Aorta, Abdominal
Duodenum
Head
Humans
Intestinal Volvulus*
Ligaments
Male
Mesentery
Pancreas*
Polyethylene Terephthalates
Ultrasonography
Polyethylene Terephthalates