An 18 years’ review of exomphalos highlighting the association with malrotation

Sinha, Chandni; Kader, Masih; Dykes, Evelyn H.; Said, Ayah

doi:10.1007/s00383-011-2930-4

Cited by 9 publications

(3 citation statements)

References 9 publications

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“…The rate of complications from malrotation in patients with gastroschisis, omphalocele or CDH is not available in the literature. Sinha et al published a review of their 18-year experience of omphalocele and malrotation, in which they looked at 42 cases of patients with abdominal wall defects [5]. They noted a 45% incidence of malrotation in the "major" anomaly (abdominal wall defect N5 cm) and 31% in the "minor" one (defect b 5 cm).…”

Section: Question 1: Which Patients Should Undergo Screening For Malrmentioning

confidence: 98%

Asymptomatic malrotation: Diagnosis and surgical management

Graziano

Islam

Dasgupta

et al. 2015

Journal of Pediatric Surgery

109

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Section: Question 1: Which Patients Should Undergo Screening For Malrmentioning

confidence: 98%

Asymptomatic malrotation: Diagnosis and surgical management

Graziano

Islam

Dasgupta

et al. 2015

Journal of Pediatric Surgery

109

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“…They also recommend performing a prophylactic laparoscopic Ladd's procedure at a later stage in patients with intestinal malrotation. 11,12 Surgical treatment: Primary closure…”

Section: Surgical Treatment: General Considerationsmentioning

confidence: 99%

Abdominal wall defects: Prenatal diagnosis, newborn management, and long-term outcomes

Gamba¹,

Midrio²

2014

Seminars in Pediatric Surgery

127

108

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“…There is a notable lack of quality data on screening for malrotation in asymptomatic patients. The current evidence is focused on patient populations that have a higher prevalence of malrotation including those with congenital heart disease such as heterotaxy syndrome [ 11 ] and abdominal wall defects [ 12 ]. An APSA systematic review on screening concluded that there is minimal Level 4 evidence to support screening in these high-risk groups, resulting in a Grade D recommendation [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

A problem at any age: a case report of congenital malrotation with bowel ischemia in an 84-year-old

et al. 2022

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Background Malrotation with bowel ischemia is classically thought of as a disease of infants. However, the true prevalence of malrotation in both the pediatric and adult population is unknown due to the unclear number of asymptomatic patients. Case presentation A previously healthy 84-year-old man with no prior abdominal surgeries presented with an acute abdomen and was found on CT to have small bowel located in the right hemiabdomen and an abnormal SMA-SMV relationship suggestive of intestinal malrotation, as well as pneumatosis intestinalis. He underwent an exploratory laparotomy, where he was found to have a paraduodenal space which did not contain any bowel but was the likely source of an internal hernia. His duodenojejunal flexure was located to the right of the spinal column, the cecum in the left lower quadrant, a thick congenital band at the proximal jejunum, and multiple Ladd’s bands at the level of the duodenum. The bowel appeared viable and a Ladd’s procedure was performed. The patient had an uneventful post-operative course. Conclusions There is a lack of guidelines regarding screening for and management of asymptomatic malrotation in older children and adults. However, the traditional thinking is that asymptomatic malrotation diagnosed after two years of age poses minimal risk. This case illustrates the potential risk of an internal hernia in the setting of malrotation at any time during one’s lifetime.

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An 18 years’ review of exomphalos highlighting the association with malrotation

Abstract: The association of malrotation in exomphalos major and exomphalos minor infants is alarmingly high and supports the need to actively exclude this abnormality, either operatively or radiologically.

Cited by 9 publications

References 9 publications

Asymptomatic malrotation: Diagnosis and surgical management

Asymptomatic malrotation: Diagnosis and surgical management

Abdominal wall defects: Prenatal diagnosis, newborn management, and long-term outcomes

A problem at any age: a case report of congenital malrotation with bowel ischemia in an 84-year-old

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