Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I
In adults, intestinal malrotation is an oligosymptomatic entity that is occasionally discovered during the course of diagnostic studies for other causes. In the case described herein, intestinal malrotation was discovered during investigation for cholelithiasis and acute cholecystitis. Malrotation m...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2019-02-01
|
| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/1091 |
| _version_ | 1797999552324698112 |
|---|---|
| author | Ana Arias Carlos Ordieres Adrian Huergo Marta Posadilla Pedro Amor Ana Milla |
| author_facet | Ana Arias Carlos Ordieres Adrian Huergo Marta Posadilla Pedro Amor Ana Milla |
| author_sort | Ana Arias |
| collection | DOAJ |
| description | In adults, intestinal malrotation is an oligosymptomatic entity that is occasionally discovered during the course of diagnostic studies for other causes. In the case described herein, intestinal malrotation was discovered during investigation for cholelithiasis and acute cholecystitis. Malrotation may occur due to alterations in the asymmetric cellular dynamics of the mesentery responsible for intestinal shortening and unilateral retraction, this may occur as a secondary event following alterations in the expression of homeodomain transcription factors. The incidental finding of asymptomatic intestinal malrotation in adults does not preclude its surgical treatment. However, when intestinal malrotation is associated with cholecystitis, due to cholelithiasis, it is advisable, to first treat the cholecystitis conservatively, in our case, and then perform partial adhesiolysis of the Ladd bands that hinder access to the cystic area and carry out cholecystectomy by elective laparoscopy. |
| first_indexed | 2024-04-11T11:06:26Z |
| format | Article |
| id | doaj.art-7c38144362914cc1836d40c77ec00e91 |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-11T11:06:26Z |
| publishDate | 2019-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-7c38144362914cc1836d40c77ec00e912022-12-22T04:28:17ZengMDPI AGClinics and Practice2039-72752039-72832019-02-019110.4081/cp.2019.1091Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type IAna Arias0Carlos Ordieres1Adrian Huergo2Marta Posadilla3Pedro Amor4Ana Milla5Internal Medicine Service, Puerta de Hierro Hospital, MadridInternal Medicine Service, Alvarez Buylla Hospital, MieresInternal Medicine Service, Alvarez Buylla Hospital, MieresInternal Medicine Service, Alvarez Buylla Hospital, MieresInternal Medicine Service, Alvarez Buylla Hospital, MieresInternal Medicine Service, Alvarez Buylla Hospital, MieresIn adults, intestinal malrotation is an oligosymptomatic entity that is occasionally discovered during the course of diagnostic studies for other causes. In the case described herein, intestinal malrotation was discovered during investigation for cholelithiasis and acute cholecystitis. Malrotation may occur due to alterations in the asymmetric cellular dynamics of the mesentery responsible for intestinal shortening and unilateral retraction, this may occur as a secondary event following alterations in the expression of homeodomain transcription factors. The incidental finding of asymptomatic intestinal malrotation in adults does not preclude its surgical treatment. However, when intestinal malrotation is associated with cholecystitis, due to cholelithiasis, it is advisable, to first treat the cholecystitis conservatively, in our case, and then perform partial adhesiolysis of the Ladd bands that hinder access to the cystic area and carry out cholecystectomy by elective laparoscopy.https://www.clinicsandpractice.org/index.php/cp/article/view/1091Intestinal malrotationCholecystititisCholelithiasis |
| spellingShingle | Ana Arias Carlos Ordieres Adrian Huergo Marta Posadilla Pedro Amor Ana Milla Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I Clinics and Practice Intestinal malrotation Cholecystititis Cholelithiasis |
| title | Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I |
| title_full | Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I |
| title_fullStr | Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I |
| title_full_unstemmed | Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I |
| title_short | Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I |
| title_sort | delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type i |
| topic | Intestinal malrotation Cholecystititis Cholelithiasis |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/1091 |
| work_keys_str_mv | AT anaarias delayedlaparoscopiccholecystectomyinacaseofacutecholecystitisandintestinalmalrotationtypei AT carlosordieres delayedlaparoscopiccholecystectomyinacaseofacutecholecystitisandintestinalmalrotationtypei AT adrianhuergo delayedlaparoscopiccholecystectomyinacaseofacutecholecystitisandintestinalmalrotationtypei AT martaposadilla delayedlaparoscopiccholecystectomyinacaseofacutecholecystitisandintestinalmalrotationtypei AT pedroamor delayedlaparoscopiccholecystectomyinacaseofacutecholecystitisandintestinalmalrotationtypei AT anamilla delayedlaparoscopiccholecystectomyinacaseofacutecholecystitisandintestinalmalrotationtypei |