J Korean Surg Soc.
2005 Nov;69(5):423-426.
Computed Tomographic Findings of Anomalies of Intestinal Rotation in Adult Patients
- Affiliations
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- 1Department of Surgery, University of Ulsan College of Medicine, Seoul Asan Hospital, Seoul, Korea.
- 2Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea. ypcho@gnah.co.kr
- 3Department of Diagnostic Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
Abstract
- Anomalies of the intestinal rotation mainly produce clinical manifestations in infants and children, but are uncommon in adults. We report three adult patients who presented with a surgical abdomen and the characteristic computed tomographic findings associated with anomalies of the intestinal rotation. Two patients presented with acute appendicitis, and one presented with an intestinal obstruction caused by colon cancer. In all patients, the computed tomographic findings were suggestive and were helpful for making a preoperative diagnosis of the anomalies of intestinal rotation: (1) a left-sided colon and/or (2) mesenteric vascular inversion. A computed tomographic scan is useful not only for providing an accurate diagnosis of a suspected surgical abdomen but also for detecting associated rotational anomalies, which may require a separate surgical correction.
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