An Adult Case of Intestinal Malrotation Concomitant with Intestinal Obstruction due to Transomental Hernia

Katsuyoshi Furumoto, Rei Mizuno, Tomohiko Mori, Daisuke Ito, Yukitsuna Eshita and Masafumi Kogire

Department of Surgery, Kishiwada City Hospital

A 42-year-old woman seen for lower abdominal pain and vomiting was found in abdominal computed tomography to have a dilated colon containing much feces at the lower abdomen and an SMV rotation sign, suggesting ileus due to intestinal malrotation. Abdominal symptoms subsided with conservative treatment. Colonoscopy showed stenosis of ascending colon. As abdominal pain recurred after oral intake started, we conducted laparotomy and identified as intestinal nonrotation and found the ileocolic portion incarcerated through the omental opening, which we easily released. We report this case because transomental hernia is not a typical cause of intestinal obstruction with intestinal malrotation.

Key words
intestinal malrotation, internal hernia, transomental hernia

Reprint requests
Katsuyoshi Furumoto Department of Surgery, Kishiwada City Hospital
1001 Gakuhara-cho, Kishiwada, 596-8501 JAPAN

Accepted
November 28, 2007

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