Rare clinical presentation mode of intestinal malrotation after neonatal period: Malabsorption‐like symptoms due to chronic midgut volvulus

İmamoğlu, Mustafa; Çay, Ali; Sarıhan, Haluk; Şen, Yaşar

doi:10.1046/j.1442-200x.2004.01859.x

Cited by 15 publications

(6 citation statements)

References 7 publications

(25 reference statements)

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“… 2 Imamoglu et al described 4 patients (8 months to 10 years) presenting with malabsorption-like symptoms and chronic midgut volvulus secondary to intestinal malrotation; the median interval between symptom onset and diagnosis was 35 months. 3 Our patient presented with atypical symptoms during infancy, highlighting the importance of considering malrotation in the differential diagnosis of failure to thrive and CD in an infant.…”

Section: Discussionmentioning

confidence: 75%

Chronic Diarrhea in an Infant With Malrotation: A Diagnostic Dilemma

et al. 2022

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In children, diarrhea has a global incidence of 2.7 episodes per child-year and contributes to significant disease burden and mortality in children under 5 years of age. Chronic diarrhea, defined as diarrhea lasting for more than 2 weeks, may be particularly challenging to evaluate and manage in children under 2 years of age. While most have infectious enteritis or cow milk protein intolerance, others have conditions such as malnutrition, anatomic abnormalities, or congenital enteropathies that can be challenging to diagnose and treat. We present here a complex case of chronic diarrhea in an infant and highlight such diagnostic and therapeutic challenges.

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Section: Discussionmentioning

confidence: 75%

Chronic Diarrhea in an Infant With Malrotation: A Diagnostic Dilemma

et al. 2022

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“…Late presentation poses difficulties in the diagnosis and at times in treatment as demonstrated in our case. [2][3][4][5][6][7] The presentation in our case was incidental to investigation of the ongoing abdominal symptoms and the treatment was impossible in the wake of extensive adhesive plastic tuberculous peritonitis.…”

Section: Discussionmentioning

confidence: 92%

Laparoscopic management of midgut malrotation and tuberculous peritonitis in an adolescent boy

Patel

Jackson²,

Zani³

et al. 2014

BMJ Case Reports

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An unusual case of miliary plastic peritonitis associated with midgut malrotation in an adolescent in whom various diagnostic investigations, medical management and staged initial laparoscopic diagnostic followed by therapeutic procedure was curative have been presented. Tuberculous miliary plastic peritonitis causes dense adhesions between bowel loops and prevents midgut volvulus in a pre-existing malrotation. Diagnosis can be a challenge and threshold for diagnostic laparoscopy should be low. Interval correction of malrotation by laparoscopy after complete resolution of tuberculosis is easy, safe and effective, and cosmetically more pleasing. Midgut malrotation is a congenital anomaly referring to either lack of or incomplete rotation of fetal axis around the axis of superior mesenteric artery during fetal development. Most patients present with bilious vomiting in the first month of life because of duodenal obstruction or a volvulus. This is an unusual case of midgut malrotation in association with tuberculous peritonitis in an adolescent boy.

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“…The diagnosis of AP used to be based on duodenography which showed duedenal overextension and restriction of passage of contrast material (10). On ultrasound, the fluid-filled dilated descending duodenum may also be seen encircled by pancreatic tissue in infants (11)(12)(13)(14)(15). Other patients will present beyond neonatal period with nonspecific symptoms or some will be asymptomatic during their entire life and AP will be discovered incidentally on Computed Tomography or Magnetic Resonance (16).…”

Section: Discussionmentioning

confidence: 99%

A rare cause of a congenital duodenal obstruction in the newborn period with nonbilious vomiting: Annular pancreas

Örnek¹,

Uçarci²

2018

MJWBS

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Yenidoğan bebeklerde konjenital duodenal obstrüksiyonun (CDO) çeşitli nedenleri iyi bilinmektedir, ancak spesifik bir radyolojik tanı koymak zordur. CDO'lar ekstrinsik ve intrenik olarak sınıflandırılır. Annuler pankreas (AP) ekstrinsik nedenlere karışır ve operasyon sırasında sıklıkla fark edilir. Anulus genellikle duodenumun ikinci bölümünü tamamen çevreleyen bir pankreatik doku bandından oluşur. Yenidoğan döneminde duodenumun ilk bölümünü tamamen çevreleyen, noninvaziv kusma ve sarılık ile birlikte CDO'nun nadir bir nedeni olarak AP'yi, tanımlayacağız ve tanı stratejilerini ile yönetimini tartışacağız.

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Rare clinical presentation mode of intestinal malrotation after neonatal period: Malabsorption‐like symptoms due to chronic midgut volvulus

Abstract: Malrotation anomalies should be included in the differential diagnosis in a child presented with malabsorption-like clinical features.

Cited by 15 publications

References 7 publications

Chronic Diarrhea in an Infant With Malrotation: A Diagnostic Dilemma

Chronic Diarrhea in an Infant With Malrotation: A Diagnostic Dilemma

Laparoscopic management of midgut malrotation and tuberculous peritonitis in an adolescent boy

A rare cause of a congenital duodenal obstruction in the newborn period with nonbilious vomiting: Annular pancreas

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