Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 5, Number 5, May 2014, pages 267-269

Recurrent Vomiting and Epigastric Pain Attacks in an Adult Patient With Colonic Malrotation

Figures

Figure 1.
Figure 1. In axial CT imaging at infraumbilical level cecum and appendix was seen in the left lower abdominal quadrant (white arrow). Collabed dessendan colon was seen in lateral of cecum (black arrow).
Figure 2.
Figure 2. In axial CT image the ascending colon (thin white arrow) had a turn to the right side of the abdomen and thereafter it joined to transverse colon (black arrow) after making hepatic flexura (white arrow) nearly at the second part of the duodenum.
Figure 3.
Figure 3. Axial CT image demonstrates transition point (thin white arrow) between dilated second part and collabed third part of duodenum where the ascending colon passes from the right to the left of mid-abdomen. Additionally in this level also seen whirl sign (black arrow) due to rotation of superior mesenteric vein (SMV) leftward on superior mesenteric artery (SMA).
Figure 4.
Figure 4. On surgical exploration, there was distension in the stomach and throughout the duodenum and, there were Ladd’s bands crossing and squeezing especially the distal part of the duodenum.