The Acute Anomaly of Intestinal Non-Rotation

Abstract

Intestinal non-rotation is a rare fetal disorder of the intestine. It is seen very rarely in adults and may present acutely as bowel obstruction. Surgical intervention is frequently delayed in these patients due to atypical symptoms. The classical surgical treatment for intestinal non-rotation is the Ladd procedure which consists of lysis of duodenal adhesions and placement of the cecum into the left upper quadrant. In this article, we present a 62 year-old man who had volvulus of the right colon caused by intestinal non-rotation. The patient underwent a right hemicolectomy and end-to-end ileotransversostomy. The postoperative period was uneventful, and the patient is asymptomatic at the 9th month of follow-up.