Successful Surgical Management for Duodenum Obstruction in a 66 Year-Old Woman Previously Undiagnosed Intestinal Malrotation
[Abstract] Intestinal malrotation is a congenital abnormality and is rarely seen in the adulthood. Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstructi...
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| Veröffentlicht in: | FUKUOKA ACTA MEDICA 2013-12, Vol.104 (12), p.569-574 |
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| creator | Motomura, Takashi Takahashi, Ikuo Noguchi, Shinichi Ochi, Tomohiro Kajiwara, Yuichiro Mano, Yohei Nakanishi, Ryota Fujinaka, Yoshihiko Nishida, Kojiro Yamashita, Yo-ichi Saeki, Hiroshi Kawanaka, Hirofumi Morita, Masaru Ikeda, Tetsuo Soejima, Yuji Nishizaki, Takashi Maehara, Yoshihiko |
| description | [Abstract] Intestinal malrotation is a congenital abnormality and is rarely seen in the adulthood. Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstruction. Several tests revealed that she had intestinal malrotation previously undiagnosed. Operative findings showed the fusion of duodenum with jejunum by the incomplete Treitz ligament. There was no Ladd's band and the right colon was unfixed. Dissection of the fusion completely released her symptom and she discharged without any complication. This is the first report of untypically intestinal malrotation in the adulthood without Ladd's band. |
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Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstruction. Several tests revealed that she had intestinal malrotation previously undiagnosed. Operative findings showed the fusion of duodenum with jejunum by the incomplete Treitz ligament. There was no Ladd's band and the right colon was unfixed. Dissection of the fusion completely released her symptom and she discharged without any complication. This is the first report of untypically intestinal malrotation in the adulthood without Ladd's band.</description><identifier>ISSN: 0016-254X</identifier><identifier>PMID: 24693686</identifier><language>eng</language><publisher>Japan: Fukuoka Medical Association</publisher><subject>Aged ; Digestive System Abnormalities ; Digestive System Surgical Procedures - methods ; Duodenal Obstruction - diagnosis ; Duodenal Obstruction - etiology ; Duodenal Obstruction - surgery ; Female ; Humans ; Intestinal Volvulus - complications ; Intestinal Volvulus - congenital ; Intestinal Volvulus - diagnosis ; Intestinal Volvulus - surgery ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>FUKUOKA ACTA MEDICA, 2013-12, Vol.104 (12), p.569-574</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24693686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Motomura, Takashi</creatorcontrib><creatorcontrib>Takahashi, Ikuo</creatorcontrib><creatorcontrib>Noguchi, Shinichi</creatorcontrib><creatorcontrib>Ochi, Tomohiro</creatorcontrib><creatorcontrib>Kajiwara, Yuichiro</creatorcontrib><creatorcontrib>Mano, Yohei</creatorcontrib><creatorcontrib>Nakanishi, Ryota</creatorcontrib><creatorcontrib>Fujinaka, Yoshihiko</creatorcontrib><creatorcontrib>Nishida, Kojiro</creatorcontrib><creatorcontrib>Yamashita, Yo-ichi</creatorcontrib><creatorcontrib>Saeki, Hiroshi</creatorcontrib><creatorcontrib>Kawanaka, Hirofumi</creatorcontrib><creatorcontrib>Morita, Masaru</creatorcontrib><creatorcontrib>Ikeda, Tetsuo</creatorcontrib><creatorcontrib>Soejima, Yuji</creatorcontrib><creatorcontrib>Nishizaki, Takashi</creatorcontrib><creatorcontrib>Maehara, Yoshihiko</creatorcontrib><creatorcontrib>Department of Surgery and Science</creatorcontrib><creatorcontrib>Department of Surgery</creatorcontrib><creatorcontrib>Matsuyama Red Cross Hospital</creatorcontrib><creatorcontrib>Kyushu University</creatorcontrib><creatorcontrib>Department of Pediatric Surgery</creatorcontrib><creatorcontrib>Graduate School of Medical Sciences</creatorcontrib><title>Successful Surgical Management for Duodenum Obstruction in a 66 Year-Old Woman Previously Undiagnosed Intestinal Malrotation</title><title>FUKUOKA ACTA MEDICA</title><addtitle>Fukuoka Igaku Zasshi</addtitle><description>[Abstract] Intestinal malrotation is a congenital abnormality and is rarely seen in the adulthood. Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstruction. Several tests revealed that she had intestinal malrotation previously undiagnosed. Operative findings showed the fusion of duodenum with jejunum by the incomplete Treitz ligament. There was no Ladd's band and the right colon was unfixed. Dissection of the fusion completely released her symptom and she discharged without any complication. This is the first report of untypically intestinal malrotation in the adulthood without Ladd's band.</description><subject>Aged</subject><subject>Digestive System Abnormalities</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Duodenal Obstruction - diagnosis</subject><subject>Duodenal Obstruction - etiology</subject><subject>Duodenal Obstruction - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intestinal Volvulus - complications</subject><subject>Intestinal Volvulus - congenital</subject><subject>Intestinal Volvulus - diagnosis</subject><subject>Intestinal Volvulus - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0016-254X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtLxDAUhbtQdND5C5Klm0IeTZouxTcoI4yDuipJczvESZMxaYQBf7wdH4t7z-J-HM49B8UMYyJKyqvX42KektUYU0oaSuRRcUwr0TAhxaz4Wuaug5T67NAyx7XtlEOPyqs1DOBH1IeIrnIw4POAFjqNMXejDR5ZjxQSAr2BiuXCGfQSBuXRU4RPG3JyO7Tyxqq1DwkMuvcjpNH6H3MXw6j2JqfFYa9cgvmfnhSrm-vny7vyYXF7f3nxUL5TLseSaq2I6KUUtTY15oqymtScSU2wkAy06UAy03MpocPKSK0aoqghXEBjKsxOivNf320MH3kK0g42deCc8jBlbQknDFe8YXv07A_NegDTbqMdVNy1_41NwO0vMF33ZQXvrIf2PeQ4fZdas-F93uTQUkxYiwmuCJ1kGi6aadUVpYxQytk35ix_fQ</recordid><startdate>20131225</startdate><enddate>20131225</enddate><creator>Motomura, Takashi</creator><creator>Takahashi, Ikuo</creator><creator>Noguchi, Shinichi</creator><creator>Ochi, Tomohiro</creator><creator>Kajiwara, Yuichiro</creator><creator>Mano, Yohei</creator><creator>Nakanishi, Ryota</creator><creator>Fujinaka, Yoshihiko</creator><creator>Nishida, Kojiro</creator><creator>Yamashita, Yo-ichi</creator><creator>Saeki, Hiroshi</creator><creator>Kawanaka, Hirofumi</creator><creator>Morita, Masaru</creator><creator>Ikeda, Tetsuo</creator><creator>Soejima, Yuji</creator><creator>Nishizaki, Takashi</creator><creator>Maehara, Yoshihiko</creator><general>Fukuoka Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20131225</creationdate><title>Successful Surgical Management for Duodenum Obstruction in a 66 Year-Old Woman Previously Undiagnosed Intestinal Malrotation</title><author>Motomura, Takashi ; Takahashi, Ikuo ; Noguchi, Shinichi ; Ochi, Tomohiro ; Kajiwara, Yuichiro ; Mano, Yohei ; Nakanishi, Ryota ; Fujinaka, Yoshihiko ; Nishida, Kojiro ; Yamashita, Yo-ichi ; Saeki, Hiroshi ; Kawanaka, Hirofumi ; Morita, Masaru ; Ikeda, Tetsuo ; Soejima, Yuji ; Nishizaki, Takashi ; Maehara, Yoshihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j258t-2bba16f8867bd705a23717538b10683ebdce83df588ec0ad8ba91a2d156e9d403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Digestive System Abnormalities</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Duodenal Obstruction - diagnosis</topic><topic>Duodenal Obstruction - etiology</topic><topic>Duodenal Obstruction - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intestinal Volvulus - complications</topic><topic>Intestinal Volvulus - congenital</topic><topic>Intestinal Volvulus - diagnosis</topic><topic>Intestinal Volvulus - surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Motomura, Takashi</creatorcontrib><creatorcontrib>Takahashi, Ikuo</creatorcontrib><creatorcontrib>Noguchi, Shinichi</creatorcontrib><creatorcontrib>Ochi, Tomohiro</creatorcontrib><creatorcontrib>Kajiwara, Yuichiro</creatorcontrib><creatorcontrib>Mano, Yohei</creatorcontrib><creatorcontrib>Nakanishi, Ryota</creatorcontrib><creatorcontrib>Fujinaka, Yoshihiko</creatorcontrib><creatorcontrib>Nishida, Kojiro</creatorcontrib><creatorcontrib>Yamashita, Yo-ichi</creatorcontrib><creatorcontrib>Saeki, Hiroshi</creatorcontrib><creatorcontrib>Kawanaka, Hirofumi</creatorcontrib><creatorcontrib>Morita, Masaru</creatorcontrib><creatorcontrib>Ikeda, Tetsuo</creatorcontrib><creatorcontrib>Soejima, Yuji</creatorcontrib><creatorcontrib>Nishizaki, Takashi</creatorcontrib><creatorcontrib>Maehara, Yoshihiko</creatorcontrib><creatorcontrib>Department of Surgery and Science</creatorcontrib><creatorcontrib>Department of Surgery</creatorcontrib><creatorcontrib>Matsuyama Red Cross Hospital</creatorcontrib><creatorcontrib>Kyushu University</creatorcontrib><creatorcontrib>Department of Pediatric Surgery</creatorcontrib><creatorcontrib>Graduate School of Medical Sciences</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>FUKUOKA ACTA MEDICA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Motomura, Takashi</au><au>Takahashi, Ikuo</au><au>Noguchi, Shinichi</au><au>Ochi, Tomohiro</au><au>Kajiwara, Yuichiro</au><au>Mano, Yohei</au><au>Nakanishi, Ryota</au><au>Fujinaka, Yoshihiko</au><au>Nishida, Kojiro</au><au>Yamashita, Yo-ichi</au><au>Saeki, Hiroshi</au><au>Kawanaka, Hirofumi</au><au>Morita, Masaru</au><au>Ikeda, Tetsuo</au><au>Soejima, Yuji</au><au>Nishizaki, Takashi</au><au>Maehara, Yoshihiko</au><aucorp>Department of Surgery and Science</aucorp><aucorp>Department of Surgery</aucorp><aucorp>Matsuyama Red Cross Hospital</aucorp><aucorp>Kyushu University</aucorp><aucorp>Department of Pediatric Surgery</aucorp><aucorp>Graduate School of Medical Sciences</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Surgical Management for Duodenum Obstruction in a 66 Year-Old Woman Previously Undiagnosed Intestinal Malrotation</atitle><jtitle>FUKUOKA ACTA MEDICA</jtitle><addtitle>Fukuoka Igaku Zasshi</addtitle><date>2013-12-25</date><risdate>2013</risdate><volume>104</volume><issue>12</issue><spage>569</spage><epage>574</epage><pages>569-574</pages><issn>0016-254X</issn><abstract>[Abstract] Intestinal malrotation is a congenital abnormality and is rarely seen in the adulthood. Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstruction. Several tests revealed that she had intestinal malrotation previously undiagnosed. Operative findings showed the fusion of duodenum with jejunum by the incomplete Treitz ligament. There was no Ladd's band and the right colon was unfixed. Dissection of the fusion completely released her symptom and she discharged without any complication. This is the first report of untypically intestinal malrotation in the adulthood without Ladd's band.</abstract><cop>Japan</cop><pub>Fukuoka Medical Association</pub><pmid>24693686</pmid><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Digestive System Abnormalities Digestive System Surgical Procedures - methods Duodenal Obstruction - diagnosis Duodenal Obstruction - etiology Duodenal Obstruction - surgery Female Humans Intestinal Volvulus - complications Intestinal Volvulus - congenital Intestinal Volvulus - diagnosis Intestinal Volvulus - surgery Tomography, X-Ray Computed Treatment Outcome |
| title | Successful Surgical Management for Duodenum Obstruction in a 66 Year-Old Woman Previously Undiagnosed Intestinal Malrotation |
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