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← Return to SMAS vs duodenal malrotation
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Symptoms I am experiencing now include severe weight loss, no appetite, slow swallowing, constipation/diarrhea cycles, LUQ pain and weakness. Significant physical weakness. Previous symptoms included extreme nausea, and vomiting. At one point I was assigned the diagnosis "failure to thrive."
One CT shows evidence of SMA Syndrome. The next CT shows no evidence of SMA but has proof of duodenal malrotation. My surgeon calls my condition "bizarre" and we will do exploratory surgery to determine what radiography apparently cannot for me. Why is my duodenum moving around so much, and what are the treatment options?
Any input from anyone with experience in either or both diagnoses would be gratefully appreciated!
Replies to "Symptoms I am experiencing now include severe weight loss, no appetite, slow swallowing, constipation/diarrhea cycles, LUQ..."
I have had my diagnostic laparoscopy with the following findings. Would anyone possibly have input for me as to my unusual anatomy? How long this fix might last? Prognosis? Second opinion from Mayo Clinic?
"Partial malrotation, without apparent SMA syndrome. No Ladd bands nor para duodenal hernia however, at the LOT there was a mesenteroparietal recess (beneath the SMA vessels) whereby the proximal bowel tended to reside. The bowel was pulled from the recess but wanted to return to this retro SMA recess. We sutured the mesenteric tissue to the preaortic tissue to close off this recess. The LOT was pexyed the preaortic tissue straightening the bowel, as a lead point. EGD with moderate gastritis, likely slipped wrap and a hiatal Ticron stitch erosion noted. Duodenal diverticulum visualized without signs of inflammation, obstruction, or food residual."
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Thanks @rozy288,
I needed that.