Full Text:


영남의대학술지 Vol.24_No.2 Suppl. P.S632-635, Dec. 2007

Case Report

장의 역회전 1 예

A Case of Reversed Intestinal Rotation

박원규, 조재호, 장재천, 김재운, 황미수
영남대학교 의과대학 영상의학교실
책임저자:박원규, 대구광역시 남구 대명 5동 317-1, 영남대학교 의과대학 영상의학교실
Tel: (053) 620-3048, Fax: (053) 653-5484
E-mail: wkpark@ynu.ac.kr

December 30, 2007


Diagnosis and treatment of a patient with a congenital anomaly of the midgut with persistent symptom in adult can be difficult because it is particularly in adults. Reversed rotation of the midgut is the rarest of all malrotation anomalies. We report a case of reversed intestinal rotation and review the embryology, clinical presentation, and radiographic findings of this disorder. Although this anomaly is rare, it may be diagnosed by the knowledge of embryology and anatomy.

Key Words: Intestine, Mid gut, Malrotation, Reversed rotation


1. Truesdale PE. Retroposition of the transverse colon. JAMA 1935;104:1697-700.

2. Tscherning E. To tiflalde af ileus pa Graund af sjaeldnere Misdannelser. Nord Med 1883; 15:1-13.

3. Valioulis I, Anagnostopoulos D, Sfougaris D. Reversed midgut rotation in a neonate: case report with a brief review of the literature. J Pediatr Surg 1997;32(4):643-5.

4. Singer JA, Korn R. Reversed rotation of the midgut presenting as duodenal and transverse colon obstruction in a 19-year-old man. Am Coll Surg 2003;197(6):1048-9.

5. Cathcart RS 3d, Williamson B, Gregorie HB Jr, Glasow PF. Surgical treatment of midgut nonrotation in the adult patient. Surg Gynecol Obstet 1981;152(2):207-10.

6. Dott NM. Anomalies of intestinal rotation.: Their embryology and surgical aspects with report of five cases. Br J Surg 1923;11:251-81.

7. Amir-Jahed AK. Classification of reversed intestinal rotation. Surgery 1968;64(6):1071-4.

8. Berrocal T, Lamas M, Gutierrez J, Torres I, Prieto C, del Hoyo ML. Congenital anomalies of the small intestine, colon, and rectum. Radiographics 1999;19(5):1219-36

9. Estrada RL, Gurd FN. Surgical correction of reversed rotation of the midgut loop. Surg Gynecol Obstet 1962;114(6):707-17.

10. Stewart DR, Colodny AL, Dagget WC. Malrotation of the bowel in infants and children: a 15 year review. Surgery 1976;79 (6):716-20.

11. Wang CA, Welch CE. Anomalies of intestinal rotation in adolescents and adults. Surgery 1963;54(6):839-55.

12. Deprima SJ, Hardy DC, Brant WE. Reversed intestinal rotation. Radiology 1985;157(3):603- 604.