Section 1 of 4
Introduction
Kavya Jasti, Wilder R Calmet Rocca, Ashley Hopfinger, Walter A Ramsey, Daniela Rebollo, Shayan Khalafi, David D Zhang, Laurence R Sands, Vanessa Hui, Nivedh V Paluvoi, and Austin R Dosch · about 1 minutes
Congenital intestinal nonrotation is a subtype of malrotation secondary to intestinal rotation failure, resulting in the colon on the left side of the abdomen and the small bowel on the right. While 90% of patients present in infancy with signs of volvulus, presentation in adults is often asymptomatic and rare with an incidence of 0.2% [1, 2].
Familial adenomatous polyposis (FAP) is an autosomal dominant condition caused by adenomatous polyposis coli mutation and characterized by extensive colorectal adenomas, predisposing individuals to colorectal cancer with a lifetime risk of almost 100% without prophylactic colectomy or proctocolectomy [3–5].
We present a case of symptomatic FAP with incidental intestinal nonrotation who underwent laparoscopic total colectomy, representing a rare coexistence of these conditions.