Slovenská chirurgia 3/2019
Volvulus céka as a result of incomplete intestinal malrotation in adult age
Intestinal malrotation is defined as anomalous rotation and fixation of the small intestine within embryonic development. Due to its rarity and non-specific symptoms, the diagnosis of intestinal malrotation in adult patients is often delayed and therefore associated with increased morbidity. In the case report we present a patient with caecal volvulus as a result of incomplete intestinal rotation. A thirty-year-old patient was admitted to the surgery department due to subileus symptoms. Considering clinical condition and assistive imaging examinations, laparotomy was indicated, by which incomplete bowel rotation was verified – duodenom reversing correctly from the Trietz ligament is located to the left of vasa mesenterica superiror, caecum situated in the left epigastrium, caecal volvulus present. Caecum resection was done with ileo-transverzo anastomosis side-to-side. The patient was postoperatively without difficulties and subsequently discharged to ambulatory care.
Keywords: malrotation, caecal volvulus, resection
