Digestive Diseases and Sciences

, Volume 57, Issue 2, pp 284–287 | Cite as

Adult Intestinal Malrotation: When Things Turn the Wrong Way

  • Owen P. Palmer
  • Horace H. Rhee
  • Walter G. Park
  • Brendan C. Visser
Stanford Multidisciplinary Seminars

Case Presentation and Evolution

A 26-year-old man presented to a local emergency department with hematemesis and melena associated with mild mid-epigastric abdominal discomfort and light-headedness. He had no prior history of gastrointestinal (GI) bleeding, but he recalled having as a young child, up to 10 years of age, intermittent self-limited attacks of crampy abdominal pain that were never severe enough to prompt evaluation. He had no other significant medical history. His past surgical history was notable only for skull surgery as an infant. He took no medications on a regular basis, and used non-steroidal anti-inflammatory drugs infrequently. From 18 to 21 years of age, he indulged in heavy alcohol use but currently had only 3–4 drinks per week. On presentation, his hemoglobin was 13.7 g/dl and his blood urea nitrogen 29 mg/dl; otherwise, his laboratory values were unremarkable. An esophagogastroduodenoscopy (EGD) to the second portion of the duodenum reportedly showed mild...


Esophageal Varix Superior Mesenteric Vein Venous Malformation Intestinal Malrotation Intermittent Abdominal Pain 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Owen P. Palmer
    • 1
  • Horace H. Rhee
    • 2
  • Walter G. Park
    • 2
  • Brendan C. Visser
    • 1
  1. 1.Department of SurgeryStanford University Medical CenterStanfordUSA
  2. 2.Department of Medicine, Division of Gastroenterology and HepatologyStanford University Medical CenterStanfordUSA

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