Abnormalities of intestinal rotation and fixation occur in one out of 500 live births and usually present within the first month of life. We report a case of a 14-year-old girl with lifelong, chronic abdominal pain. Despite treatment by multiple specialists and psychiatrists, her pain remained severe. A barium enema revealed that her left colon was located along her right paracolic gutter, suggesting a form of malrotation/non-fixation. Laparoscopy, followed by laparotomy, demonstrated a complete lack of fixation of her entire colon. Due to the mobility of the colon, as well as its redundant mesentery, her entire small bowel was chronically trapped within the colonic mesentery. A subtotal colectomy was performed with a primary ileosigmoid anastomosis. Six months later, she remains pain-free for the first time in her life. © 2014 The Authors. Published by Elsevier Inc. All rights reserved.
Available at: http://works.bepress.com/andreana-butter/16/