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
GARDNER CE, HART D. ANOMALIES OF INTESTINAL ROTATION AS A CAUSE OF INTESTINAL OBSTRUCTION: REPORT OF TWO PERSONAL OBSERVATIONS; REVIEW OF ONE HUNDRED AND THREE REPORTED CASES. Arch Surg. 1934;29(6):942–981. doi:10.1001/archsurg.1934.01180060049005
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