AN INTERESTING CASE OF INTESTINAL OBSTRUCTION DUE TOMALROTATION OF MIDGUT AND TRANSMESENTERIC INTERNALHERNIA

Abstract

Congenital Internal hernias[1] are rare causes of intestinal obstruction in adults. AnAssoiatedmalrotation is even rarer. Diagnosis of this condition needs high degreeof suspicion. We describe a case of a young male with a rare presentation ofmalrotation with a transmesenteric internal Hernia presenting as Intestinalobstruction. On laparotomy entire jejunum was within a sac in right side of theabdomen which was found to be herniating from a defect in the small bowelmesentery from the left behind the superior mesenteric vessels and the DJ flexurewas not fixed and was seen on the right side.