October 1960

Volvulus of the Cecum Associated with Malrotation of the Small Intestine in an Adult

Author Affiliations

From the Department of Surgery and the General Surgery Service, Tripler U.S. Army Hospital, Honolulu, Hawaii.

Arch Surg. 1960;81(4):593-597. doi:10.1001/archsurg.1960.01300040077013

Introduction  Anatomists recognized and described congenital abnormal intestinal rotations more than 100 years ago.3,6,8 It was not until 1923, however, that the clinical significance of these abnormalities was completely appreciated.6 That they can be a cause of intestinal obstruction in the infant is now well known.* That congenital abnormal intestinal rotations can also be a cause of obstruction in the adult is apparently less well known although frequently reported.† For this reason the following is presented.

Report of a Case  This 59-year-old Caucasian man was first seen in September of 1958 because of abdominal pain and vomiting. The history revealed that for the 20 years prior to admission, the patient had had intermittent episodes of abdominal distention associated with generalized crampy abdominal pain. Epsom salts caused the passage of large amounts of feces and flatus prior to subsidence of an attack. Attacks of this nature had occurred three

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