ArticleAbdominal radiology (New York)2021
Intestinal malrotation in adults: prevalence and findings based on CT colonography.
Article in Abdominal radiology (New York), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Intestinal nonrotation with left-sided appendiceal microperforation mimicking colonic perforation: CT diagnostic pitfall and successful conservative treatment.Radiology 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
- Incomplete reversed midgut rotation with 540° volvulus in an adult: a case report.International journal of surgery case reports · 2026Article
- Article
- Adult intestinal non-rotation with chronic obstructive symptoms: a rare case report and review of diagnostic laparoscopy and functional reconstruction beyond standard Ladd's procedure.Journal of surgical case reports · 2025Article
- Does hindgut not rotate? Descending colon transposition and persistent ascending mesocolon: clinical implication and embryological postulation : a case report.Annals of medicine and surgery (2012) · 2025Article
- Left-Sided Perforated Appendicitis in an Elderly Man with Intestinal Malrotation: A Case Report.The American journal of case reports · 2025Article
- Acute subumbilical appendicitis in a patient undiagnosed with intestinal malrotation: a case report.Journal of medical case reports · 2025Article
- Cecal volvulus and nonrotation: two rare pathologic entities as culprits of intestinal obstruction-a case report.Journal of surgical case reports · 2025Article
- [Intestinal perforation secondary to intestinal malrotation in an adult: Case report].Revista medica del Instituto Mexicano del Seguro Social · 2025Article
- Laparoscopic surgery for colorectal cancer in a patient with intestinal malrotation: a case report.Frontiers in oncology · 2025Article
- Left side appendiceal abscess in a patient with intestinal nonrotation: Case report.Radiology case reports · 2024Article
- Quadruple (1440 degrees) intestinal volvulus.Clinical case reports · 2024Article
- Article
- An interesting twist: 90 year-old female with acute small bowel obstruction due to midgut volvulus.Journal of surgical case reports · 2024Article
- Symptomatic intestinal malrotation in adulthood: how we managed it.BMJ case reports · 2023Article
- Left side perforated appendicitis with intestinal non-rotation: a case report.Journal of medical case reports · 2023Article
- Left Side Appendicitis with Abscess Caused by Midgut Malrotation Mimicked by Complicated Diverticulitis of Sigmoid Colon: A Case Report.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2023Article
- Article
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Abstract
objectivesIntestinal malrotation is largely a pediatric diagnosis, but initial detection can be made in adulthood. CT colonography (CTC) provides an ideal means for estimating prevalence. Our purpose was to evaluate the prevalence and imaging findings of intestinal malrotation in asymptomatic adults at CTC screening, as well as incomplete optical colonoscopy (OC) referral.
methodsThe CTC database of a single academic institution was searched for cases of intestinal malrotation (developmental nonrotation). Prevalence was estimated from 11,176 adults undergoing CTC. Demographic, clinical, imaging (CTC and other abdominal exams), and surgical data were reviewed.
results27 cases of malrotation were confirmed (mean age 62 ± 9 years; 15 M/12F), including 17 from the CTC screening cohort (0.17% prevalence) and 10 from incomplete OC (0.75% prevalence; p < 0.001). Most cases (59%; 16/27) were initially diagnosed at CTC. In 67% (12/18); the presence of malrotation was missed on at least one relevant abdominal imaging examination. At least 22% (6/27) had a history of unexplained, chronic intermittent abdominal pain. At CTC, the SMA-SMV relationship was normal in only 11% (3/27). The ileocecal valve was located in the RLQ in only 22% (6/27). Two patients (7%) had associated findings of heterotaxy (polysplenia).
conclusionsThe prevalence of intestinal malrotation was four times greater for patients referred from incomplete OC compared with primary screening CTC, likely related to anatomic challenges at endoscopy. Malrotation was frequently missed at other abdominal imaging examinations. CTC can uncover unexpected cases of malrotation in adults, which may be relevant in terms of potential for future complications.
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