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Malrotation of the gut: An uncommon but important surgical condition in children and adolescents
Author(s) -
Leung Michael W.Y.,
Fan TszWo,
Chao Nicholas S.Y.,
Wong Beatrice P.Y.,
Chung KwongWai,
Kwok WingKin,
Liu Kelvin K.W.
Publication year - 2009
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2008.00431.x
Subject(s) - medicine , intestinal malrotation , presentation (obstetrics) , vomiting , acute abdomen , pediatrics , abdomen , surgery
We describe three cases of malrotation of the gut in schoolchildren and adolescents presenting with bilious vomiting and acute abdomen. Malrotation of the intestine is traditionally considered a neonatal or infantile disorder. However, rotational anomalies can also occur in late childhood or even adulthood. Intestinal rotation is usually incomplete in this older age group with late presentation. Diagnosis depends on a high index of clinical suspicion. Contrast meal and follow‐through is required to confirm the diagnosis. Surgery is indicated to correct the rotational anomaly.