Midgut Non Rotation in a Middle-aged Male with Suspected Pancreatitis

Abstract

Midgut development is a dynamic process that begins from the fifth week of development. During this process, the midgut undergoes physiological herniation in the umbilical cord. Subsequently, it returns to the abdominal cavity through a complex 270° counterclockwise rotation [1]. This normal rotation results in the formation of a duodenojejunal loop on the left-side of the midline, a peripheral large bowel, a centrally located small bowel with the caecum in the right iliac fossa, and the duodenojejunal flexure on the left-side near the pylorus [2]. Disruption of this sequential return can lead to anomalies in midgut rotation, such as non rotation, malrotation, or reverse rotation [1].

Keywords

• asymptomatic
• malrotation
• pitfalls
• radiology
• surgery