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Prearterial Reversed Midgut Rotation: A Rare Congenital Anomaly

Prearterial Reversed Midgut Rotation: A Rare Congenital Anomaly Abstract • A patient with a right-sided descending colon, left-sided ascending colon, and transverse colon in front of the superior mesenteric artery is described. We believe that this is only the second case of "prearterial" reversed midgut rotation existing with normally situated stomach and liver. The best explanation for these relationships seems to be (a) anomalous positioning of the primitive midgut-hindgut junction right of midline; (b) ensuing midgut rotation in a reversed, or clockwise, direction. (Arch Surg 1981;116:1084-1087) References 1. Rose RF: Retroposition of the transverse colon complicated by ileoceacal volvulus: A report of one case with recovery, and a review of the literature . Med J Aust 1941;1:225-229. 2. Davies O, Johansen R, Goldman L: Reversed rotation of the bowel causing acute intestinal obstruction . Ann Surg 1955;142:875-880.Crossref 3. Estrada RL: Anomalies of Intestinal Rotation and Fixation . Springfield, Ill, Charles C Thomas Publisher, 1958. 4. Aldrich RT: Intestinal malrotation in the adult . NZ Med J 1961;60:420-423. 5. Findlay CW, Humphreys GH: Congenital anomalies of intestinal rotation in the adult . Surg Gynecol Obstet 1956;103:417-438. 6. Wang C, Welch CE: Anomalies of intestinal rotation in adolescents and adults . Surgery 1963;54:839-855. 7. Estrada RL, Gurd FN: Surgical correction of reversed rotation of the midgut loop . Surg Gynecol Obstet 1962;114:707-718. 8. Scobie WG: A case of reversed rotation presenting as duodenal ileus . Br J Surg 1969;56:709-711.Crossref 9. Stagg LH, Sheiner HJ: Reversed rotation of the gut incidental to cholecystitis in a left-sided gall bladder . Br J Surg 1973;60:413-416.Crossref 10. Desai KM: Reversed rotation of the mid gut: Case reports . Br J Surg 1979;66:779.Crossref 11. Amir-Jahed AD: Classification of reversed intestinal rotation . Surgery 1968;64:1071-1074. 12. Mascarel M: Anomalie du tube digestif (extrait des pros-verbaus des ceances de la Cociete) . Bull Soc Anal 1840;15:215. 13. Hamdy M, Sorour MF: On a case of displacement of the descending colon . J Anat Physiol 1909;43:242-243. 14. Black CA: Displacements of the colon . Ann Surg 1912;56:888-899.Crossref 15. McIntosh R, Donovan EJ: Disturbances of rotation of the intestinal tract . Am J Dis Child 1939;57:116-166.Crossref 16. Van Meurs DP: Ileocolic intussusception associated with non-rotation of midgut, congenital heart disease and congenital hydrocele . Br J Surg 1946;34:91-93.Crossref 17. Raghib G, Ruttenberg HD, Anderson RC, et al: Termination of left superior vena cava in left atrium, atrial septal defect and absence of coronary sinus . Circulation 1965;31:906-918.Crossref 18. Mall FP: Development of the human intestine and its position in the adult . Bull Johns Hopkins Hosp 1898;9:197-208. 19. Frazer JE, Robbins RH: On the factors concerned in causing rotation of the intestine in man . J Anat Physiol 1915;50:75-110. 20. Jackson CM: On the developmental topography of the thoracic and abdominal viscera . Anat Rec 1909;3:361-396.Crossref 21. Bardeen CR: The critical period in the development of the intestines . Am J Anat 1914;16:427-445.Crossref 22. Snyder WH, Chaffin L: Embryology and pathology of the intestinal tract: Presentation of 40 cases of malrotation . Ann Surg 1954;140:368-380.Crossref 23. Dott NM: Anomalies of intestinal rotation: Their embryology and surgical aspects, with report of five cases . Br J Surg 1923;11:251-285.Crossref 24. Haller JD, Morgenstern L: Anomalous rotation and fixation of the left colon . Am J Surg 1964;108:331-338.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Prearterial Reversed Midgut Rotation: A Rare Congenital Anomaly

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Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1981.01380200080017
Publisher site
See Article on Publisher Site

Abstract

Abstract • A patient with a right-sided descending colon, left-sided ascending colon, and transverse colon in front of the superior mesenteric artery is described. We believe that this is only the second case of "prearterial" reversed midgut rotation existing with normally situated stomach and liver. The best explanation for these relationships seems to be (a) anomalous positioning of the primitive midgut-hindgut junction right of midline; (b) ensuing midgut rotation in a reversed, or clockwise, direction. (Arch Surg 1981;116:1084-1087) References 1. Rose RF: Retroposition of the transverse colon complicated by ileoceacal volvulus: A report of one case with recovery, and a review of the literature . Med J Aust 1941;1:225-229. 2. Davies O, Johansen R, Goldman L: Reversed rotation of the bowel causing acute intestinal obstruction . Ann Surg 1955;142:875-880.Crossref 3. Estrada RL: Anomalies of Intestinal Rotation and Fixation . Springfield, Ill, Charles C Thomas Publisher, 1958. 4. Aldrich RT: Intestinal malrotation in the adult . NZ Med J 1961;60:420-423. 5. Findlay CW, Humphreys GH: Congenital anomalies of intestinal rotation in the adult . Surg Gynecol Obstet 1956;103:417-438. 6. Wang C, Welch CE: Anomalies of intestinal rotation in adolescents and adults . Surgery 1963;54:839-855. 7. Estrada RL, Gurd FN: Surgical correction of reversed rotation of the midgut loop . Surg Gynecol Obstet 1962;114:707-718. 8. Scobie WG: A case of reversed rotation presenting as duodenal ileus . Br J Surg 1969;56:709-711.Crossref 9. Stagg LH, Sheiner HJ: Reversed rotation of the gut incidental to cholecystitis in a left-sided gall bladder . Br J Surg 1973;60:413-416.Crossref 10. Desai KM: Reversed rotation of the mid gut: Case reports . Br J Surg 1979;66:779.Crossref 11. Amir-Jahed AD: Classification of reversed intestinal rotation . Surgery 1968;64:1071-1074. 12. Mascarel M: Anomalie du tube digestif (extrait des pros-verbaus des ceances de la Cociete) . Bull Soc Anal 1840;15:215. 13. Hamdy M, Sorour MF: On a case of displacement of the descending colon . J Anat Physiol 1909;43:242-243. 14. Black CA: Displacements of the colon . Ann Surg 1912;56:888-899.Crossref 15. McIntosh R, Donovan EJ: Disturbances of rotation of the intestinal tract . Am J Dis Child 1939;57:116-166.Crossref 16. Van Meurs DP: Ileocolic intussusception associated with non-rotation of midgut, congenital heart disease and congenital hydrocele . Br J Surg 1946;34:91-93.Crossref 17. Raghib G, Ruttenberg HD, Anderson RC, et al: Termination of left superior vena cava in left atrium, atrial septal defect and absence of coronary sinus . Circulation 1965;31:906-918.Crossref 18. Mall FP: Development of the human intestine and its position in the adult . Bull Johns Hopkins Hosp 1898;9:197-208. 19. Frazer JE, Robbins RH: On the factors concerned in causing rotation of the intestine in man . J Anat Physiol 1915;50:75-110. 20. Jackson CM: On the developmental topography of the thoracic and abdominal viscera . Anat Rec 1909;3:361-396.Crossref 21. Bardeen CR: The critical period in the development of the intestines . Am J Anat 1914;16:427-445.Crossref 22. Snyder WH, Chaffin L: Embryology and pathology of the intestinal tract: Presentation of 40 cases of malrotation . Ann Surg 1954;140:368-380.Crossref 23. Dott NM: Anomalies of intestinal rotation: Their embryology and surgical aspects, with report of five cases . Br J Surg 1923;11:251-285.Crossref 24. Haller JD, Morgenstern L: Anomalous rotation and fixation of the left colon . Am J Surg 1964;108:331-338.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1981

References