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Clinics and Practice
Volume 9
Issue 1
10.4081/cp.2019.1091
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Article

Delayed Laparoscopic Cholecystectomy in a Case of Acute Cholecystitis and Intestinal Malrotation Type I

by
Ana Arias
1,*,
Carlos Ordieres
2,
Adrian Huergo
2,
Marta Posadilla
2,
Pedro Amor
2 and
Ana Milla
2
1
Internal Medicine Service, Puerta de Hierro Hospital, Madrid, Spain
2
Internal Medicine Service, Alvarez Buylla Hospital, Mieres, Spain
*
Author to whom correspondence should be addressed.
Clin. Pract. 2019, 9(1), 1091; https://doi.org/10.4081/cp.2019.1091
Submission received: 14 June 2018 / Revised: 7 February 2019 / Accepted: 7 February 2019 / Published: 20 February 2019

Abstract

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.
Keywords: intestinal malrotation; cholecystititis; cholelithiasis intestinal malrotation; cholecystititis; cholelithiasis

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MDPI and ACS Style

Arias, A.; Ordieres, C.; Huergo, A.; Posadilla, M.; Amor, P.; Milla, A. Delayed Laparoscopic Cholecystectomy in a Case of Acute Cholecystitis and Intestinal Malrotation Type I. Clin. Pract. 2019, 9, 1091. https://doi.org/10.4081/cp.2019.1091

AMA Style

Arias A, Ordieres C, Huergo A, Posadilla M, Amor P, Milla A. Delayed Laparoscopic Cholecystectomy in a Case of Acute Cholecystitis and Intestinal Malrotation Type I. Clinics and Practice. 2019; 9(1):1091. https://doi.org/10.4081/cp.2019.1091

Chicago/Turabian Style

Arias, Ana, Carlos Ordieres, Adrian Huergo, Marta Posadilla, Pedro Amor, and Ana Milla. 2019. "Delayed Laparoscopic Cholecystectomy in a Case of Acute Cholecystitis and Intestinal Malrotation Type I" Clinics and Practice 9, no. 1: 1091. https://doi.org/10.4081/cp.2019.1091

APA Style

Arias, A., Ordieres, C., Huergo, A., Posadilla, M., Amor, P., & Milla, A. (2019). Delayed Laparoscopic Cholecystectomy in a Case of Acute Cholecystitis and Intestinal Malrotation Type I. Clinics and Practice, 9(1), 1091. https://doi.org/10.4081/cp.2019.1091

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