A case of reversed intestinal rotation presenting as duodenal ileus

Abstract

An unusual case of intestinal obstruction associated with reversed intestinal rotation is presented. The ileus was developed due to a fibrous periduodenal band of congenital origin, binding the duodenum to the mesocolon and small bowel mesentery. The embryology, clinical presentation and treatment of this extremely rare developmental anomaly of intestinal rotation are discussed.

Key words: Duodenum ileus, intestinal embryology, reversed intestinal rotation.