{"id":10549,"date":"2025-09-12T03:57:01","date_gmt":"2025-09-12T03:57:01","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?p=10549"},"modified":"2025-09-15T09:30:33","modified_gmt":"2025-09-15T09:30:33","slug":"beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-september-2025\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult\/","title":{"rendered":"Beyond Gastroenteritis: An Unexpected Diagnosis of Intestinal Malrotation in an Adult"},"content":{"rendered":"<p class=\"caps\">[vc_section][vc_row][vc_column][vc_column_text]<\/p>\n<h2>Introduction:<\/h2>\n<p>Intestinal malrotation is a congenital anomaly resulting from an abnormal rotation and fixation of the midgut during embryological development. While typically diagnosed in neonates and infants presenting with signs of bowel obstruction or volvulus, malrotation can occasionally be identified incidentally in adults during imaging for unrelated complaints. This anomaly often results in an abnormal location of the duodenojejunal (DJ) junction, inversion of the SMA-SMV relationship, and ectopic cecal position. Although it may remain asymptomatic, nonrotation predisposes patients to life-threatening complications such as midgut volvulus.<\/p>\n<h2>Case:<\/h2>\n<p>A patient underwent cross-sectional imaging for evaluation of nonspecific abdominal symptoms. Contrast-enhanced CT imaging revealed the following key findings:<\/p>\n<ul class=\"list\">\n<li>The <strong>duodenojejunal (DJ) junction<\/strong> was abnormally located <strong>to the right of the midline<\/strong> and <strong>inferior to the level of the duodenal bulb<\/strong>, without crossing the midline.<\/li>\n<li>The <strong>third portion of the duodenum (D3)<\/strong> was <strong>absent in its usual retro-mesenteric location<\/strong>.<\/li>\n<li>The <strong>superior mesenteric vein (SMV)<\/strong> was found <strong>to the left of the superior mesenteric artery (SMA)<\/strong>, representing a <strong>reversed SMA-SMV relationship<\/strong>, which is abnormal.<\/li>\n<li>The <strong>cecum was ectopically positioned<\/strong> in the <strong>left hypochondrium identified by locating the ileocecal junction and the appendix with fecolith<\/strong><strong>.<\/strong><\/li>\n<\/ul>\n<p>There were no signs of bowel obstruction or volvulus on imaging at the time of study<\/p>\n<figure style=\"text-align: center; margin-bottom: 25px;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-10550\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-2.jpg\" alt=\"Beyond Gastroenteritis: An Unexpected Diagnosis of Intestinal Malrotation in an Adult\" width=\"900\" height=\"480\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-2.jpg 900w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-2-300x160.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-2-768x410.jpg 768w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/figure>\n<figure style=\"text-align: center; margin-bottom: 25px;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-10551\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-3.jpg\" alt=\"Beyond Gastroenteritis: An Unexpected Diagnosis of Intestinal Malrotation in an Adult\" width=\"890\" height=\"319\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-3.jpg 890w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-3-300x108.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-3-768x275.jpg 768w\" sizes=\"auto, (max-width: 890px) 100vw, 890px\" \/><\/figure>\n<figure style=\"text-align: center; margin-bottom: 25px;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-10552\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-4.jpg\" alt=\"\" width=\"966\" height=\"586\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-4.jpg 966w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-4-300x182.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2025\/09\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult-4-768x466.jpg 768w\" sizes=\"auto, (max-width: 966px) 100vw, 966px\" \/><\/figure>\n<h2>Discussion:<\/h2>\n<p>Intestinal rotation anomalies encompass a spectrum of developmental errors that occur during the embryological rotation and fixation of the midgut. The normal 270\u00b0 counterclockwise rotation brings the small bowel to the central and left abdomen, and the colon to the right side, with the DJ junction placed left of the midline and posterior to the superior mesenteric vessels.<\/p>\n<p><strong>Imaging<\/strong> plays a critical role in the diagnosis. CT findings such as abnormal DJ junction position, absent retro-mesenteric D3, reversed SMA-SMV relationship, and ectopic cecal location are highly suggestive of malrotation. In uncertain cases, an upper GI contrast study can provide additional functional and anatomical details.<\/p>\n<p>These anatomical aberrations predisposes to midgut volvulus, bowel obstruction, internal hernias, chronic abdominal pain, and bowel ischemia due to abnormal intestinal positioning and narrow mesenteric attachment.<\/p>\n<p>While most symptomatic cases are identified in infancy, adult presentations are not uncommon, particularly in cases of intermittent symptoms or complications like volvulus. In asymptomatic individuals, incidental detection may warrant a discussion about potential risks.<\/p>\n<h2><strong>Conclusion:<\/strong><\/h2>\n<p>This case illustrates the classic imaging features of <strong>intestinal Malrotation<\/strong> in an adult. Recognition of this condition is crucial, even in asymptomatic individuals, due to the potential for life-threatening complications such as volvulus. A high index of suspicion and appropriate imaging interpretation are essential for timely diagnosis and management.<\/p>\n<h2>References:<\/h2>\n<ul class=\"list\">\n<li><strong>Sharif MA, Zaman A, Shabbir-Moosajee M.<\/strong> Intestinal malrotation presenting with midgut volvulus in adulthood: a case report and review of the literature. <em>Case Rep Surg.<\/em> 2017;2017:5293562.<\/li>\n<li><strong>Urkin ET, Lund DP, Shaaban AF, Schurr MJ, Weber SM.<\/strong> Age-related differences in diagnosis and morbidity of intestinal malrotation. <em>J Am Coll Surg.<\/em> 2008;206(4):658-663.<br \/>\n[PMID: 18359137]<\/li>\n<\/ul>\n<div class=\"row\" style=\"padding-top: 30px;\">\n<div class=\"col-md-2 col-sm-4 col-xs-4 paddingbottom\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-9382\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/11\/ameer.jpg\" alt=\"\" width=\"853\" height=\"854\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/11\/ameer.jpg 853w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/11\/ameer-300x300.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/11\/ameer-150x150.jpg 150w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/11\/ameer-768x769.jpg 768w\" sizes=\"auto, (max-width: 853px) 100vw, 853px\" \/><\/div>\n<div class=\"col-md-10 col-sm-8 col-xs-8 paddingbottom\">\n<p style=\"font-size: 15px;\" align=\"left\"><b>Dr. Ameer Hussain A<br \/>\nConsultant Radiologist<br \/>\n<a href=\"https:\/\/www.kauveryhospital.com\/\">Kauvery Hospital Chennai<\/a><\/b><\/p>\n<\/div>\n<\/div>\n<div class=\"row\" style=\"padding-top: 30px;\">\n<div class=\"col-md-2 col-sm-4 col-xs-4 paddingbottom\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-8409\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/05\/dr.manish.jpg\" alt=\"\" width=\"1500\" height=\"1502\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/05\/dr.manish.jpg 1500w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/05\/dr.manish-300x300.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/05\/dr.manish-1024x1024.jpg 1024w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/05\/dr.manish-150x150.jpg 150w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2024\/05\/dr.manish-768x769.jpg 768w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><\/div>\n<div class=\"col-md-10 col-sm-8 col-xs-8 paddingbottom\">\n<p style=\"font-size: 15px;\" align=\"left\"><b>Dr. Manish Yadav<br \/>\nDNB Radiology Resident<br \/>\n<a href=\"https:\/\/www.kauveryhospital.com\/\">Kauvery Hospital Chennai<\/a><\/b><\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column][vc_column_text] Introduction: Intestinal malrotation is a congenital anomaly resulting from an abnormal rotation and fixation of the midgut during embryological development. While typically diagnosed in neonates and infants presenting with<\/p>\n","protected":false},"author":2,"featured_media":10601,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[92],"tags":[],"class_list":["post-10549","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ima-journal-september-2025"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Beyond Gastroenteritis: An Unexpected Diagnosis of Intestinal Malrotation in an Adult<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-september-2025\/beyond-gastroenteritis-an-unexpected-diagnosis-of-intestinal-malrotation-in-an-adult\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Beyond Gastroenteritis: An Unexpected Diagnosis of Intestinal Malrotation in an Adult\" \/>\n<meta property=\"og:description\" content=\"[vc_section][vc_row][vc_column][vc_column_text] Introduction: Intestinal malrotation is a congenital anomaly resulting from an abnormal rotation and fixation of the midgut during embryological development. 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