Trends in Internal Medicine
Open AccessRare Cause of Recurrent Deep Vein Thrombosis of the Lower Limbs in a Young Adult Woman Aged 21: Intestinal Malrotation a Case Report from Nianankoro Fomba Regional Hospital of Segou (HNF/S), Discovered in 2023
Authors: Boua Daoud Camara, Dramane Traoré, Amadou Koné, Kaly Keïta, Djibril Sy, Djénèbou Traoré, Assétou Soukho Kaya, Mamadou Dembélé, Hamar Alassane Traoré.
Abstract
Presenting in adults, intestinal malrotation is difficult to diagnose, as it manifests itself with atypical symptoms such as chronic, vague abdominal pain and weight loss. Radiological correlation is often essential to diagnose these patients. For surgical intervention, a laparoscopic approach is considered best in expert hands. Even if the disease is chronic, great care should be taken when treating intestinal malrotation in adult men. Timely surgery can work wonders and prevent catastrophic complications.
Interrupting the 90° intestinal rotation with reintegration and abutments results in a position where the entire small intestine, including the duodenojejunal angle, is located on the right of the spine, while the entire colon is on the left. Vascular complications are dominated by ischemia of the mesenteric artery and occasionally thrombosis of the mesenteric vein.
Deep vein thrombosis of the lower limbs secondary to intestinal malrotation is an exceptional occurrence. To our knowledge, we report the only case in the literature.
Conclusion: If the diagnosis of intestinal malrotation is made late, surgical intervention may be life threatening; in our patient, surgical abstention was observed.
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