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ANOMALIES OF INTESTINAL ROTATION AS A CAUSE OF INTESTINAL OBSTRUCTION: REPORT OF TWO PERSONAL OBSERVATIONS; REVIEW OF ONE HUNDRED AND THREE REPORTED CASES

ANOMALIES OF INTESTINAL ROTATION AS A CAUSE OF INTESTINAL OBSTRUCTION: REPORT OF TWO PERSONAL... Abstract In the practice of abdominal surgery a clear conception of the various possibilities of derangement of intestinal rotation and fixation is essential. Anomalies in position of the intestinal tract may exist without symptom and manifest themselves incidentally at operation. Because of the bewildering disposition of the viscera the operation may be unnecessarily prolonged or the ultimate object abandoned. Under other conditions, because of the abnormal position of the cecum, a patient with acute appendicitis may be watched until perforation has occurred. Of greater importance to the surgeon, however, are the forms of intestinal obstruction secondary to torsion or kink, dependent on abnormalities of intestinal rotation and fixation. Since many of these obstructions are chronic and date from birth, and since the surgeon usually sees the patient only in consultation, it is equally important for the internist and the pediatrician to be familiar with this characteristic clinical picture. The occurrence in References 1. Meckel, J. F.: Blindungsgeschichte des Darmkanals der Säugetiere und namentlich der Menschen , Deutsche Arch. f. Physiol. 3:1, 1817. 2. Mall, F. P.: Development of the Human Intestine and Its Position in the Adult , Bull. Johns Hopkins Hosp. 9:197, 1898. 3. Frazer, J. E., and Robbins, R. H.: On the Factors Concerned in Causing Rotation of the Intestine in Man , J. Anat. & Physiol. 50:75, 1915. 4. Dott, N. M.: Anomalies of Intestinal Rotation: Their Embryological and Surgical Aspects, with Report of Five Cases , Brit. J. Surg. 11:251, 1923. 5. Haymond, H. E., and Dragstedt, L. R.: Anomalies of Intestinal Rotation , Surg., Gynec. & Obst. 53:316, 1931. 6. Lickley, J. D., and Cameron, J.: Note on a Case of Abnormal Disposition of the Peritoneum , J. Anat. & Physiol. 41:88, 1906. 7. These cases comprise 103 collected from the literature and the 2 cases reported here. 8. Cruveilhier, E.: Disposition particulière de péritoine. Duodenum pourvu d'un mésentère; mésentère unique pour tous les intestins , Bull. Soc. anat. de Paris 2:202, 1827. 9. Hubner, Hans: Volvulus des gesamten Dünndarmes und aufsteigenden nebst einem Teile des queren Dickdarms beim Mesenterium ileocolicum commune nach Exstirpation einer Mesenterialzyste , Virchows Arch. f. path. Anat. 201:427, 1910. 10. Hunter, J. I.: A Mesenteric Cyst of Jejeunal Origin Complicated by Retrojejeunal Position of the Transverse Colon , Brit. M. J. 2:800, 1922. 11. Reinhold, Paul: Kyste du mésentère compliqué de volvulus du grêle et du colon. Resection du kyste et de l'intestin grêle. Reduction du volvulus. Guérison , Bull. et mém. Soc. de chir. de Paris 58:523, 1932. 12. Braeunig, Karl: Volvulus des Dünndarms und Colon ascendens bei Hemmungsmissbildung des Darms , Deutsche Ztschr. f. Chir. 186:284, 1924. 13. Grant, J. W. G.: Case of Non-Rotation of the Intestine , Brit. J. Surg. 18:166, 1930. 14. Benham, H. W.: An Unusual Case of Volvulus , Lancet 2:340, 1932. 15. Moritz, A. R.: Mesenterium Commune with Intestinal Obstruction , Am. J. Path. 8:735, 1932. 16. Sauerbeck, Ernst: Ueber Entwickelungshemmung des Mesenteriums und abnorme Lageverhältnisse des Darms, insbesondere des Dickdarms , Arch. f. klin. Chir. 89:873, 1909. 17. Sencert: Cas d'arrêt de torsion de l'intestin , Compt. rend. Soc. de biol. 58:325, 1905. 18. Radaeli, Guilio: Sopra un caso di ileo in gravidanza da volvulo del tenue, del cieco e del colon ascendente , Ann. di ostet. e ginec. 50:1085, 1928. 19. Donald, Charles: Volvulus of Small Gut, Caecum and Ascending Colon Associated with Congenital Reversed Rotation of Intestine and with Pregnancy , Brit. J. Surg. 15:269, 1927. 20. Hausmann, L.: Beiträge zu den Lageanomalien des Darmes: Mesenterium Commune, Postposition des Dickdarms (Col. Transversum) hinter dem Dünndarms (Duodenum) Achsendrehung , Zentralbl. f. Chir. 27:19, 1900. 21. Hamann, C. A.: Faulty Rotation of the Intestine , Ann. Surg. 76:491, 1922. 22. Kuljazbo and Koreski, quoted by Brenner.43 23. Durante, G.: Occlusions congénitales de l'intestin , Bull. Soc. anat. de Paris 6:593, 1901. 24. Oberling, Charles: Trois cas de volvulus par torsion du mésentère commun persistant , Rev. franç. de pédiat. 3:96, 1927. 25. Pinkerton, C. C.: Volvulus Neonatorum Due to Anomalous Intestinal Rotation , Ann. Surg. 86:633, 1927.Crossref 26. Blecher: Ueber Ileus bedingt durch seltenere Formen von Volvulus , Deutsche Ztschr. f. Chir. 64:48, 1902.Crossref 27. Lawson, T. C.: Volvulus of the Entire Small Intestine , California & West. Med. 26:189, 1927. 28. Michaelis, P.: Achsendrehung des Dünndarms und des Colon ascendens bei einem Neugeborenen , Wien. klin. Rundschau 27:662, 1913. 29. (a) Dott, N. M.: Volvulus Neonatorum , Brit. M. J. 1:230, 1927 30. Charlsey, G. W., and Richardson, G.: A Case of Volvulus Neonatorum , Brit. M. J. 1:494, 1928. 31. Rixford, E.: Failure of Primary Rotation of the Intestine (Left-Sided Colon) in Relation to Intestinal Obstruction , Ann. Surg. 72:114, 1920. 32. Helmsmuller: Ein Fall von Achsendrehung des gesamten Dünndarms und des aufsteigenden Dickdarms, Thesis, Kiel, 1898 33. Köhler, H.: Volvulus des Zokokolons und des gesamten Dünndarms , Deutsche med. Wchnschr. 44:519, 1918. 34. Peigneaux, and Fruchard, Henri: Troubles digestifs graves chez une jeune fille de quinze ans en relation avec des malformations portant sur le duodenum et le colon droit , Bull. et mém. Soc. de chir. de Paris 56:335, 1930. 35. Harvey, Frank: Intestinal Obstruction in a Child of Three Days Due to Abnormal Intestinal Rotation , Brit. J. Surg. 14:187, 1926. 36. Ladd, W. E.: Congenital Obstructions of the Duodenum in Children , New England J. Med. 206:277, 1932. 37. Denzer, B. S.: Congenital Duodenal Obstruction; Malrotation of the Intestine , Am. J. Dis. Child. 24:534 ( (Dec.) ) 1922. 38. Woolsey, R. A.: Non-Rotation of the Midgut , Internat. J. Med. & Surg. 40:314, 1927. 39. Brouet, and Caroli: Arrêt de torsion de l'intestin , Bull. et mém. Soc. de chir. de Paris 54:366, 1930. 40. Hecker, Paul; Grünwald, E., and Kuhlmann, C. J.: Les anomalies congénitales de forme et de position du gros intestin et leur importance chirurgicale , Rev. de chir., Paris 64:661, 1926. 41. Waugh, George E.: Congenital Malformations of the Mesentery: A Clinical Entity , Brit. J. Surg. 15:438, 1927. 42. Lee, A. E., and Nye, L. J. J.: Chronic Duodenal Obstruction Due to Non-Rotation of the Midgut Loop with Superadded Volvulus , M. J. Australia 2:18, 1932. 43. Brenner, E. C.: Total Volvulus , Am. J. Surg. 16:34, 1932. 44. Heyman, E.: Volvulus des gesamten Dünndarms , Deutsche med. Wchnschr. 48:725, 1922.Crossref 45. Serck-Hanssen, Trygne: Retroposition Coli, Volvulus Coeci , Med. Rev., Bergen 43:557, 1926. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ANOMALIES OF INTESTINAL ROTATION AS A CAUSE OF INTESTINAL OBSTRUCTION: REPORT OF TWO PERSONAL OBSERVATIONS; REVIEW OF ONE HUNDRED AND THREE REPORTED CASES

Archives of Surgery , Volume 29 (6) – Dec 1, 1934

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American Medical Association
Copyright
Copyright © 1934 American Medical Association. All Rights Reserved.
ISSN
0004-0010
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1538-3644
DOI
10.1001/archsurg.1934.01180060049005
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Abstract

Abstract In the practice of abdominal surgery a clear conception of the various possibilities of derangement of intestinal rotation and fixation is essential. Anomalies in position of the intestinal tract may exist without symptom and manifest themselves incidentally at operation. Because of the bewildering disposition of the viscera the operation may be unnecessarily prolonged or the ultimate object abandoned. Under other conditions, because of the abnormal position of the cecum, a patient with acute appendicitis may be watched until perforation has occurred. Of greater importance to the surgeon, however, are the forms of intestinal obstruction secondary to torsion or kink, dependent on abnormalities of intestinal rotation and fixation. Since many of these obstructions are chronic and date from birth, and since the surgeon usually sees the patient only in consultation, it is equally important for the internist and the pediatrician to be familiar with this characteristic clinical picture. The occurrence in References 1. Meckel, J. F.: Blindungsgeschichte des Darmkanals der Säugetiere und namentlich der Menschen , Deutsche Arch. f. Physiol. 3:1, 1817. 2. Mall, F. P.: Development of the Human Intestine and Its Position in the Adult , Bull. Johns Hopkins Hosp. 9:197, 1898. 3. Frazer, J. E., and Robbins, R. H.: On the Factors Concerned in Causing Rotation of the Intestine in Man , J. Anat. & Physiol. 50:75, 1915. 4. Dott, N. M.: Anomalies of Intestinal Rotation: Their Embryological and Surgical Aspects, with Report of Five Cases , Brit. J. Surg. 11:251, 1923. 5. Haymond, H. E., and Dragstedt, L. R.: Anomalies of Intestinal Rotation , Surg., Gynec. & Obst. 53:316, 1931. 6. Lickley, J. D., and Cameron, J.: Note on a Case of Abnormal Disposition of the Peritoneum , J. Anat. & Physiol. 41:88, 1906. 7. These cases comprise 103 collected from the literature and the 2 cases reported here. 8. Cruveilhier, E.: Disposition particulière de péritoine. Duodenum pourvu d'un mésentère; mésentère unique pour tous les intestins , Bull. Soc. anat. de Paris 2:202, 1827. 9. Hubner, Hans: Volvulus des gesamten Dünndarmes und aufsteigenden nebst einem Teile des queren Dickdarms beim Mesenterium ileocolicum commune nach Exstirpation einer Mesenterialzyste , Virchows Arch. f. path. Anat. 201:427, 1910. 10. Hunter, J. I.: A Mesenteric Cyst of Jejeunal Origin Complicated by Retrojejeunal Position of the Transverse Colon , Brit. M. J. 2:800, 1922. 11. Reinhold, Paul: Kyste du mésentère compliqué de volvulus du grêle et du colon. Resection du kyste et de l'intestin grêle. Reduction du volvulus. Guérison , Bull. et mém. Soc. de chir. de Paris 58:523, 1932. 12. Braeunig, Karl: Volvulus des Dünndarms und Colon ascendens bei Hemmungsmissbildung des Darms , Deutsche Ztschr. f. Chir. 186:284, 1924. 13. Grant, J. W. G.: Case of Non-Rotation of the Intestine , Brit. J. Surg. 18:166, 1930. 14. Benham, H. W.: An Unusual Case of Volvulus , Lancet 2:340, 1932. 15. Moritz, A. R.: Mesenterium Commune with Intestinal Obstruction , Am. J. Path. 8:735, 1932. 16. Sauerbeck, Ernst: Ueber Entwickelungshemmung des Mesenteriums und abnorme Lageverhältnisse des Darms, insbesondere des Dickdarms , Arch. f. klin. Chir. 89:873, 1909. 17. Sencert: Cas d'arrêt de torsion de l'intestin , Compt. rend. Soc. de biol. 58:325, 1905. 18. Radaeli, Guilio: Sopra un caso di ileo in gravidanza da volvulo del tenue, del cieco e del colon ascendente , Ann. di ostet. e ginec. 50:1085, 1928. 19. Donald, Charles: Volvulus of Small Gut, Caecum and Ascending Colon Associated with Congenital Reversed Rotation of Intestine and with Pregnancy , Brit. J. Surg. 15:269, 1927. 20. Hausmann, L.: Beiträge zu den Lageanomalien des Darmes: Mesenterium Commune, Postposition des Dickdarms (Col. Transversum) hinter dem Dünndarms (Duodenum) Achsendrehung , Zentralbl. f. Chir. 27:19, 1900. 21. Hamann, C. A.: Faulty Rotation of the Intestine , Ann. Surg. 76:491, 1922. 22. Kuljazbo and Koreski, quoted by Brenner.43 23. Durante, G.: Occlusions congénitales de l'intestin , Bull. Soc. anat. de Paris 6:593, 1901. 24. Oberling, Charles: Trois cas de volvulus par torsion du mésentère commun persistant , Rev. franç. de pédiat. 3:96, 1927. 25. Pinkerton, C. C.: Volvulus Neonatorum Due to Anomalous Intestinal Rotation , Ann. Surg. 86:633, 1927.Crossref 26. Blecher: Ueber Ileus bedingt durch seltenere Formen von Volvulus , Deutsche Ztschr. f. Chir. 64:48, 1902.Crossref 27. Lawson, T. C.: Volvulus of the Entire Small Intestine , California & West. Med. 26:189, 1927. 28. Michaelis, P.: Achsendrehung des Dünndarms und des Colon ascendens bei einem Neugeborenen , Wien. klin. Rundschau 27:662, 1913. 29. (a) Dott, N. M.: Volvulus Neonatorum , Brit. M. J. 1:230, 1927 30. Charlsey, G. W., and Richardson, G.: A Case of Volvulus Neonatorum , Brit. M. J. 1:494, 1928. 31. Rixford, E.: Failure of Primary Rotation of the Intestine (Left-Sided Colon) in Relation to Intestinal Obstruction , Ann. Surg. 72:114, 1920. 32. Helmsmuller: Ein Fall von Achsendrehung des gesamten Dünndarms und des aufsteigenden Dickdarms, Thesis, Kiel, 1898 33. Köhler, H.: Volvulus des Zokokolons und des gesamten Dünndarms , Deutsche med. Wchnschr. 44:519, 1918. 34. Peigneaux, and Fruchard, Henri: Troubles digestifs graves chez une jeune fille de quinze ans en relation avec des malformations portant sur le duodenum et le colon droit , Bull. et mém. Soc. de chir. de Paris 56:335, 1930. 35. Harvey, Frank: Intestinal Obstruction in a Child of Three Days Due to Abnormal Intestinal Rotation , Brit. J. Surg. 14:187, 1926. 36. Ladd, W. E.: Congenital Obstructions of the Duodenum in Children , New England J. Med. 206:277, 1932. 37. Denzer, B. S.: Congenital Duodenal Obstruction; Malrotation of the Intestine , Am. J. Dis. Child. 24:534 ( (Dec.) ) 1922. 38. Woolsey, R. A.: Non-Rotation of the Midgut , Internat. J. Med. & Surg. 40:314, 1927. 39. Brouet, and Caroli: Arrêt de torsion de l'intestin , Bull. et mém. Soc. de chir. de Paris 54:366, 1930. 40. Hecker, Paul; Grünwald, E., and Kuhlmann, C. J.: Les anomalies congénitales de forme et de position du gros intestin et leur importance chirurgicale , Rev. de chir., Paris 64:661, 1926. 41. Waugh, George E.: Congenital Malformations of the Mesentery: A Clinical Entity , Brit. J. Surg. 15:438, 1927. 42. Lee, A. E., and Nye, L. J. J.: Chronic Duodenal Obstruction Due to Non-Rotation of the Midgut Loop with Superadded Volvulus , M. J. Australia 2:18, 1932. 43. Brenner, E. C.: Total Volvulus , Am. J. Surg. 16:34, 1932. 44. Heyman, E.: Volvulus des gesamten Dünndarms , Deutsche med. Wchnschr. 48:725, 1922.Crossref 45. Serck-Hanssen, Trygne: Retroposition Coli, Volvulus Coeci , Med. Rev., Bergen 43:557, 1926.

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1934

References