Small bowel haemorrhage associated with partial midgut malrotation in a middle-aged man

Abstract

We describe a case of life-threatening small bowel haemorrhage in a 56 year old man, who was found to have partial midgut malrotation at laparotomy. An association between congenital malrotation and gastrointestinal haemorrhage has not previously been reported in this age group. We discuss the association between gut malrotation and small intestinal pathology and describe the principles of management in these patients.

Spontaneous Arteriocholedochal Fistula as a Cause of Life-Threatening Hemobilia in a Type I Giant Choledochal Cyst: A Case Report on an Unusual Situation Requiring Whipple’s Pancreatoduodenectomy

“…The authors report a case of a spontaneous arteriocholedochal fistula in a Todani type I giant choledochal cyst where life-threatening hemobilia occurred. Whereas arteriocholedochal fistulas and giant choledochal cysts have been reported separately, both presenting in one patient is an unreported finding [1,3-5,9,12]. The fact that this patient required a Whipple’s pancreatoduodenectomy (WPD) for treatment also makes this case unique.…”

“…Arteriocholedochal fistulas have been reported after invasive procedures such as percutaneous transhepatic cholangiography, percutaneous biliary stent procedures, transhepatic biopsies; after trauma and surgery to the hepatobiliary tract; and even after liver transplant [1,2,4-7]. They are treated efficiently by angioembolization of the involved vessel leading to complete resolution in 80-100% cases [2,5,8].…”

Traumatic rupture of the diaphragm resulting in the sub-acute presentation of an incarcerated intra-thoracic transverse colon

“…They can present in acute, latent, or obstructive phases, and may occur at the initial injury to many years later [3]. Due to the non-specific presenting symptomatology, the diagnosis of TDI is challenging and requires a high index of suspicion.…”

Nonrotation of Intestine: A Case Report

“…Midgut volvulus is the common cause of biliary vomiting and abdominal pain in children [7]. Its importance relates to clinical condition like intestinal obstruction leading to ischemia and hemorrhage [8].…”