• Ned Tijdschr Geneeskd · Jan 2015

    Review Case Reports

    [Malrotation with or without volvulus].

    • Charlotte M Heidsma, Hulsker Caroline C C CC, David van der Zee, and William H Kramer.
    • Wilhelmina Kinderziekenhuis, afd. Kinderchirurgie, Utrecht.
    • Ned Tijdschr Geneeskd. 2015 Jan 1; 159: A8859.

    AbstractMalrotation occurs when there is a failure in the intestinal rotation leading to abnormal fixation to the abdominal wall and a mesentery with a short root. Volvulus is a life-threatening complication of malrotation. It can lead to irreversible intestinal necrosis and requires immediate attention. Early recognition of malrotation and surgical correction could prevent the onset of volvulus. We describe 3 cases of children with a malrotation. Case A involves a 2-year-old boy who suffered from repeated episodes of vomiting. Case B, a 1-month-old female, was taken to the general practitioner after acute onset of crying and flexing of the legs. Case C, a 5-year-old-boy with no medical history, had started vomiting hourly. In presenting these 3 cases, we highlight the dangers of untreated malrotation and make recommendations on how to manage a patient suspected of having this congenital abnormality.

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