Abstract

ROJAS-BORDA, Felipe; FAJARDO, Patricia; SENEJOA, Nairo  and  PRADA, Andrés. Intestinal Nonrotation, Imaging Findings in the Malrotation Spectrum: Case Report. Rev. colomb. Gastroenterol. [online]. 2023, vol.38, n.4, pp.486-491.  Epub Feb 26, 2024. ISSN 0120-9957.  https://doi.org/10.22516/25007440.967.

Intestinal nonrotation is a rare embryonic developmental anomaly with a reported incidence of up to 0.5% in autopsies. Given the asymptomatic course, the diagnosis may be late, so it becomes an incidental finding. This study presents the most common imaging characteristics to familiarize readers with this pathology.

We describe the case of a 73-year-old patient who consulted for pain in the right inguinal region associated with the sensation of a mass. There were no significant findings on physical examination. An abdominal tomography with contrast was requested as a study method, identifying a reversal of the superior mesenteric artery/superior mesenteric vein relationship with the cecum, appendix, and ileocecal valve in the left flank and mesogastrium. A displacement of thin intestinal loops towards the right hemiabdomen was also noted.

Keywords : Diagnostic imaging; volvulus; congenital abnormalities.

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