SynthesisWorld journal of surgery2020
Adult Presentations of Congenital Midgut Malrotation: A Systematic Review.
Synthesis in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed, 50 citations in OpenAlex.
- ASO Author Reflections: When Anatomy Misleads-Stepwise Oncologic Strategy for Pancreaticoduodenectomy in Complete Situs Inversus with a Common Mesentery.Annals of surgical oncology · 2026Article
- Adult intestinal malrotation with Ladd's bands causing acute small-bowel obstruction in a virgin abdomen: a case report.International journal of surgery case reports · 2026Article
- Caecal volvulus around a Ladd's band in undiagnosed adult malrotation.Journal of surgical case reports · 2026Article
- Intestinal Malrotation in Adults: A Retrospective Cross-Sectional Study Based on Computed Tomography Findings.Cureus · 2026Article
- Chronic gastrointestinal symptoms in adulthood revealing congenital intestinal malrotation with midgut volvulus: a case report.Journal of surgical case reports · 2026Article
- The safety and feasibility of minimally invasive Ladd's procedures in adult patients: a NSQIP analysis.Surgical endoscopy · 2026Article
- Caught in the Whirl: A Case Report of Midgut Volvulus in an Elderly Patient.Journal of education & teaching in emergency medicine · 2026Article
- Incomplete reversed midgut rotation with 540° volvulus in an adult: a case report.International journal of surgery case reports · 2026Article
- Laparoscopic Ladd surgery in adult with chronic intestinal obstruction due to midgut malrotation.Journal of surgical case reports · 2026Article
- Right paraduodenal hernia caused by a long vessel-like peritoneal band: a rare anatomical variation in a young adult.Journal of surgical case reports · 2026Article
- Adult Malrotation With Midgut Volvulus: A Case Requiring Temporary Abdominal Closure and Second-Look Operation.Cureus · 2026Article
- Article
- Robotic right hemicolectomy for transverse colon cancer in a patient with stringer type IIa intestinal malrotation: a case report with intraoperative video.Frontiers in surgery · 2026Article
- Intestinal Malrotation Through Acute Obstructive Abdomen in an Adolescent From Northeastern Brazil: A Case Report.Case reports in medicine · 2026Article
- Subacute Small Bowel Obstruction in a 50-Year-Old Woman With Complete Intestinal Malrotation: A Case Report.Cureus · 2026Article
- Eosinophilic Gastroenteritis Accompanied with Partial Midgut Malrotation in an Adult: A Case Report.The American journal of case reports · 2025Article
- Laparoscopic Ladd's Procedure for Adult Intestinal Malrotation With Volvulus: A Case Report and Literature Review.Cureus · 2025Article
- Severe Duodenal Bleeding with Heterotaxy Syndrome Controlled by Combined Hemostatic Strategies.Internal medicine (Tokyo, Japan) · 2025Article
- Diagnosis of adult midgut malrotation in CT: sign of absent retromesenteric duodenum reliable.Insights into imaging · 2025Article
- [Intestinal perforation secondary to intestinal malrotation in an adult: Case report].Revista medica del Instituto Mexicano del Seguro Social · 2025Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdult midgut malrotation is a rare cause of an acute abdomen requiring urgent intervention. It may also present in the non-acute setting with chronic, non-specific symptoms. The objective of this study is to identify the clinical features, appropriate investigations and current surgical management associated with adult malrotation.
methodsA systematic review was conducted according to PRISMA guidelines, identifying confirmed cases of adult malrotation. Patient demographics, clinical features, investigation findings and operative details were analysed.
resultsForty-five reports met the inclusion criteria, totalling 194 cases. Mean age was 38.9 years (n = 92), and 52.3% were male (n = 130). The commonest presenting complaints were abdominal pain (76.8%), vomiting (35.1%) and food intolerance (21.6%). At least one chronic symptom was reported in 87.6% and included intermittent abdominal pain (41.2%), vomiting (12.4%) and obstipation (11.9%). Computerised tomography scanning was the most frequent imaging modality (81.4%), with a sensitivity of 97.5%. The whirlpool sign was observed in 30.9%; abnormalities of the superior mesenteric axis were the commonest finding (58.0%). Ladd's procedure was the most common surgical intervention (74.5%). There was no significant difference in resolution rates between emergency and elective procedures (p = 0.46), but length of stay was significantly shorter for elective cases. (p = 0.009). There was no significant difference in risk of mortality, or symptom resolution, between operative and conservative management (p = 0.14 and p = 0.44, respectively).
conclusionMalrotation in the adult manifests with chronic symptoms and should be considered as a differential diagnosis in patients with abdominal pain, vomiting and food intolerance.
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