{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T15:23:03Z","timestamp":1781968983739,"version":"3.54.5"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A 77-year-old woman underwent CT to evaluate haematemesis. The images showed that the third part of the duodenum flexed steeply on the right side of the aorta and ran caudally, without crossing anterior to the aorta. The duodenal-jejunal junction and jejunum were located on the patient\u2019s right side. Upper gastrointestinal endoscopy revealed a laceration at the gastric cardia, and a diagnosis of Mallory\u2013Weiss syndrome was made. Repeat CT 7\u2009days later revealed that the abnormal positioning of the intestinal tract had resolved spontaneously. Two months later, the patient experienced another episode of haematemesis, and CT revealed repeat deviation of the duodenal-jejunal junction and jejunum to her right side. Upper gastrointestinal endoscopy revealed another laceration at the gastric cardia, as in the previous study. On the basis of the initial CT findings showing the duodenal-jejunal junction in the right hemi-abdomen, intestinal malrotation was suspected. However, because the jejunum deviated repeatedly to the right side but resolved spontaneously, we diagnosed dysplasia of the ligament of Treitz. Laparotomy revealed a formed ligament of Treitz; however, fixation in the upper jejunum was incomplete. Additionally, CT revealed that the anterior pararenal space was loosely fixed and mobile. These factors may have caused the right-sided deviation of the small intestine. In this case, the third part of the duodenum likely flexed on the right side of the aorta, causing an obstruction that resulted in repeat vomiting episodes and Mallory\u2013Weiss syndrome.<\/jats:p>","DOI":"10.1093\/bjrcr\/uaae046","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T21:49:50Z","timestamp":1732744190000},"source":"Crossref","is-referenced-by-count":1,"title":["A case of small intestinal fixation failure"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7615-6654","authenticated-orcid":false,"given":"Kanako","family":"Oyanagi","sequence":"first","affiliation":[{"name":"Department of Radiology and Radiation Oncology, Niigata University Graduate School of Medical and Dental Sciences , Niigata 951-8510,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Horii","sequence":"additional","affiliation":[{"name":"Department of Radiology and Radiation Oncology, Niigata University Graduate School of Medical and Dental Sciences , Niigata 951-8510,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Radiology and Radiation Oncology, Niigata University Graduate School of Medical and Dental Sciences , Niigata 951-8510,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuyasu","family":"Takizawa","sequence":"additional","affiliation":[{"name":"Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences , Niigata 951-8510,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"issue":"4","key":"2024121100225309400_uaae046-B1","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/00000441-192910000-00005","article-title":"Hemorrhages from lacerations of the cardiac orifice of the stomach due to vomiting","volume":"178","author":"Mallory","year":"1929","journal-title":"Am J Med Sci"},{"issue":"6","key":"2024121100225309400_uaae046-B2","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.2214\/ajr.179.6.1791429","article-title":"Intestinal malrotation in adolescents and adults: spectrum of clinical and imaging features","volume":"179","author":"Pickhardt","year":"2002","journal-title":"AJR Am J Roentgenol"},{"issue":"4","key":"2024121100225309400_uaae046-B3","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s00261-007-9284-3","article-title":"The ligament of Treitz (the suspensory ligament of the duodenum): anatomic and radiographic correlation","volume":"33","author":"Kim","year":"2008","journal-title":"Abdom Imaging"},{"issue":"5","key":"2024121100225309400_uaae046-B4","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1148\/rg.2020200045","article-title":"Imaging spectrum of duodenal emergencies","volume":"40","author":"Gosangi","year":"2020","journal-title":"Radiographics"},{"issue":"9","key":"2024121100225309400_uaae046-B5","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1111\/j.1440-1746.2006.04324.x","article-title":"Does the pancreas move with respiration?","volume":"21","author":"Bhasin","year":"2006","journal-title":"J Gastroenterol Hepatol"},{"issue":"2","key":"2024121100225309400_uaae046-B6","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/S0009-9260(05)80061-3","article-title":"Pancreatic and renal mobility","volume":"45","author":"Morgan","year":"1992","journal-title":"Clin Radiol"}],"container-title":["BJR|Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjrcr\/advance-article-pdf\/doi\/10.1093\/bjrcr\/uaae046\/60836634\/uaae046.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjrcr\/article-pdf\/10\/6\/uaae046\/61007856\/uaae046.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjrcr\/article-pdf\/10\/6\/uaae046\/61007856\/uaae046.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T01:04:59Z","timestamp":1733879099000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjrcr\/article\/doi\/10.1093\/bjrcr\/uaae046\/7909823"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/bjrcr\/uaae046","relation":{},"ISSN":["2055-7159"],"issn-type":[{"value":"2055-7159","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,11]]},"published":{"date-parts":[[2024,11,1]]},"article-number":"uaae046"}}