Intestinal malrotation in the older child: A call for vigilance

Adeniyi, Oluwafunmilayo Funke; Ajayi, Elizabeth Onazahi; Elebute, Olumide A; Lawal, Mary

doi:10.4103/jcls.jcls_53_17

Cited by 4 publications

(6 citation statements)

References 2 publications

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“…Abdominal pain was the most common and consistent symptom in our patients. Other series on malrotation also reported abdominal pain as the most common symptom [14,17].…”

Section: Discussionmentioning

confidence: 95%

Profile of children with intestinal malrotation: A tertiary hospital experience in a developing country

Emeka¹

2020

Arch Clin Gastroenterol

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“…Abdominal pain was the most common and consistent symptom in our patients. Other series on malrotation also reported abdominal pain as the most common symptom [14,17].…”

Section: Discussionmentioning

confidence: 95%

Profile of children with intestinal malrotation: A tertiary hospital experience in a developing country

Emeka¹

2020

Arch Clin Gastroenterol

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“…Abdominal pain was the most common and consistent symptom in our patients. Other series on malrotation also reported abdominal pain as the most common symptom [14,17]. The abdominal pain may be chronic and crampy due to partial intermittent intestinal obstruction or may be severe and acute in cases of midgut volvulus [22].…”

Section: Discussionmentioning

confidence: 96%

“…A series from a single institution involving 170 patients reported that majority of their patients were infants [16]. Howbeit, one study from Lagos Nigeria reported a median age of 7 years [17]. Seventy-five percent of symptomatic cases of intestinal malrotation occur in newborns and up to 90% of cases occur within 1 year of life [18].…”

Section: Discussionmentioning

confidence: 99%

Intestinal Malrotation in Children: Experience of a Tertiary Care Hospital in a Developing Country

Emeka¹

2020

Janaki Med. Coll. J. Med. Sci.

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Background and Objectives: Intestinal malrotation is a congenital disorder resulting from abnormal rotation of the intestine during fetal development. The aim of this study was to evaluate our experience in the management of pediatric patients with intestinal malrotation. Material and Methods: This was a retrospective study of children aged 3 years and below who were treated for intestinal malrotation between January 2014 and December 2018 at the pediatric surgery unit of Enugu State University Teaching Hospital (ESUTH) Enugu, Nigeria. Results: Sixty-one patients had laparotomy for intestinal malrotation during the study period. There was predominance of male neonates and the age range was 10 days to 3 years. Abdominal pain and upper gastrointestinal tract contrast study were the most common symptom and investigation respectively. Intestinal obstruction caused by congenital (Ladd’s) bands was the most common intraoperative finding and Ladd’s procedure was the most performed surgical procedure. Most patients did not develop any post-operative complications. However, surgical site infection was the most common complication following surgery. Mortality occurred in 8 (13.1%) patients. Conclusion: Intestinal malrotation symptoms occur mainly in male neonates and abdominal pain is a common and consistent symptom. Upper gastrointestinal contrast study is diagnostic. There are morbidity and mortality associated with treatment of intestinal malrotation.

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“…Intestinal malrotation is described as abnormal loops position within the peritoneal cavity. 8 Intestinal malrotation has an abnormal short mesenteric root which predisposes the small bowel to twist around and lead to midgut volvulus. The incidence of malrotation is 18,09% among all cases of small intestinal obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of malrotation is 18,09% among all cases of small intestinal obstruction. 8 Most cases (85%) present in the first two weeks of life. 8 Clinical signs of malrotation are bilious vomiting with or without abdominal distention and possible bloody stool due to ischemia.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Jejuno-ileal Atresia vs. Malrotation-associated Midgut Volvulus in Neonates

Julio¹,

Theddy²,

Lokananta³

2021

CDK

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<p>Background. In developing countries, diagnosis and treatment of congenital anomaly in neonates is quite challenging due to limited facilities and resources. Case. A 3 day-old male neonates with clinical presentation of small bowel obstruction and suspected jejuno-ileal atresia in plain abdominal radiograph. Volvulus-associated congenital malrotation with gangrenous intestines was found during surgical exploration. Resection was performed and Bishop-Koop procedure was done. Patient’s condition was deteriorated and succumbed to sepsis on day-three post-operative. Conclusion. This case illustrates potential pitfalls in clinical presentation and interpretation of plain abdominal radiographs that may negatively impact the management of neonatal obstructive ileus.</p><p>Latar Belakang. Diagnosis dan tatalaksana kelainan kongenital pada neonatus di beberapa negara berkembang cukup sulit karena keterbatasan fasilitas dan sumber daya. Kasus. Neonatus laki-laki berusia 3 hari dengan gejala klinis obstruksi usus halus dan gambaran foto polos abdomen mengarah pada atresia jejunoileal. Intraoperatif dijumpai volvulus disebabkan malrotasi kongenital disertai gangren usus. Dilakukan reseksi usus dan prosedur Bishop-Koop. Kondisi pasien memburuk dan meninggal karena sepsis pada hari ketiga post-operasi. Simpulan. Kasus ini menggambarkan beberapa potensi pitfalls dalam interpretasi gejala klinis dan foto polos abdomen yang dapat berdampak negatif pada penanganan.</p>

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Intestinal malrotation in the older child: A call for vigilance

Cited by 4 publications

References 2 publications

Profile of children with intestinal malrotation: A tertiary hospital experience in a developing country

Profile of children with intestinal malrotation: A tertiary hospital experience in a developing country

Intestinal Malrotation in Children: Experience of a Tertiary Care Hospital in a Developing Country

Diagnosis of Jejuno-ileal Atresia vs. Malrotation-associated Midgut Volvulus in Neonates

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