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MID GUT VOLVULUS WITH REVERSE ROTATION OF GUT - A RARE CAUSE OF ACUTE INTESTINAL OBSTRUCTION IN A PREGNANT LADY

RAKESH S RAKESH S

Abstract


Abstract :
Reversed rotation of mid gut the most
unusual presentation of intestinal malrotation
is responsible for only 2 to 4 of all
rotational abnormalities of the midgut. It
was first described in late 1800 and occurs
when the midgut loop rotates
wrongly in clockwise 90 rather than normal
anti-clockwise 270. As a result, the
duodenum and transverse colon are in
an inverted position and transverse colon
lies behind the superior mesenteric artery
and anteriorly placed duodenum.
Here we report a rare case of a
pregnant lady with reverse rotation of gut
presenting as midgut volvulus in second
trimester for which surgery was done and
the patient recovered uneventfully. Foetal
outcome was unaffected by the surgery.
We also present a review of the
available literature.


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