Public Health and Primary CareCASE REPORTS

Constipation-Predominant Irritable Bowel Syndrome Complicating Asymptomatic Nonrotation of the Midgut

Timothy P. Plackett, DO; Jonathan Myers, DO; and Ronald A. Gagliano, MD
Notes and Affiliations
Notes and Affiliations

Received: January 4, 2010

Accepted: April 14, 2010

Published: August 1, 2010

J Osteopath Med; 110(8): 437-440

Nonrotation is a part of the spectrum of anatomic anomalies comprising malrotation. Most cases of nonrotation are symptomatic and managed surgically with a Ladd’s procedure. However, incidental discovery of asymptomatic patients has also been reported. In these cases, the role of surgery is debated. The authors describe a case of nonrotation in a young woman with constipation-predominant irritable bowel syndrome that caused symptoms associated with nonrotation. Medical management of her irritable bowel syndrome resulted in the resolution of all abdominal complaints and a Ladd’s procedure was not recommended. The authors include a literature review of nonrotation with an emphasis on the treatment of asymptomatic disease.

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