METHODS: Between July and March , infants who underwent abdominal surgery through transumbilical minilaparotomy were. Request PDF on ResearchGate | Aspectos embriológicos, clínicos y radiológicos de la malrotación intestinal | Intestinal malrotation with its propensity to. PDF | On Feb 11, , G.A. Mena and others published Signo del remolino: malrotación intestinal y vólvulo de intestino medio.

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For a better experience, use the Read by QxMD app. We designed this study to investigate the long-term complications following operative intervention for intestinal malrotation. Surgical intervention frequently leads to other complications in these patients.

Since the first description by William Ladd, the Ladd’s procedure has been the surgery of choice for the correction of malrotation. The first case was a year-old man initially treated for diverticulitis but at laparotomy was found to have malrotation of the midgut and a perforated left-sided appendicitis Congenital membrane causing duodenal obstruction and malpositioning of the descending colon.

Medical information of 10 infants with chylous ascites, who were admitted to the hospital between andwas retrospective analyzed. Primary visceral myopathy caused by a pathogenic mutation in the gene encoding the enteric smooth muscle actin gamma 2 ACTG2 affects gastrointestinal and genitourinary tracts and often presents as chronic intestinal pseudoobstruction.

The lethal twist – a story of unspoken pain: In addition to the known disease manifestations of feeding intolerance and intestinal malrotation, our patient had a late-onset hypertrophic pyloric stenosis and a late-onset choledochal cyst, the former of which has not previously been described in patients with ACTG2-associated visceral myopathy Acute abdominal pain is a common symptom attributable to numerous causes.

Complexity was defined as complicated conditions other than intestinal atresia and malrotation Upper gastrointestinal UGI contrast studies have been considered the gold standard for diagnosis.

Laparoscopic repair of malrotation: Our hypothesis is that laparoscopic treatment leads to less small bowel obstruction because of the fewer adhesions in comparison to laparotomy, without increasing the risk of recurrent volvulus. A retrospective analysis of 25 cases of intestinal malrotation on cross-sectional imaging [24 computed tomography CT examinations, one magnetic resonance imaging MRI examination], was performed by two specialist gastrointestinal radiologists We present a rare case of malrotation in a year-old patient who presented with cramping, generalized right abdominal pain, and vomiting for a duration of one day.


Children were divided into 2 groups by 17 patients: The “whirlpool sign” of Color Doppler Sonography was recognized as a characteristic for malrotation with volvulus Preoperatively, all patients underwent a period of conservative treatment. Am J Surg ; We describe a method for delineating the duodenal anatomy with US as a means to exclude malrotation. The purpose of this study was to use a large national database to determine the clinical significance of older children presenting with malrotation to develop treatment recommendations for this group.

Malrotacion Intestinal

The aim of this study was to determine the pattern of presentation of malrotation in older Nigerian children. We describe a method for delineating the duodenal anatomy with US as a means to exclude malrotation.

Nigerian Journal of Medicine: Intestinal malrotation associated with a volvulus requires immediate surgical intervention.

The treatment of choice when there are clear symptoms is Ladd’s procedure. Utility of sonographic assessment of the position of the third part of the duodenum using water instillation in intestinal malrotation: Upper gastrointestinal UGI contrast studies have been considered the gold standard for diagnosis.

The rotated bowel was viable and of good color. Intestinal malrotation and particularly volvulus are potentially devastating conditions. The purpose of this study was to determine the incidence and clinical presentation of intestinal malrotation from infancy through adulthood by examining the experience of a single institution caring for patients of all ages with this condition.

Apendicitis aguda complicada en un paciente con malrotación intestinal: Reporte de caso

A retrospective review of medical records from adolescent or adult patients identified with a diagnosis of anomaly of intestinal fixation or malrotation, who were treated within our health system between and Clinical data of 81 neonates who underwent laparoscopic Ladd operations malrotwcion intestinal malrotation in the Children’s Hospital, Zhejiang University School of Medicine between January and January were reviewed. Anatomical imaging findings indicating normal bowel rotation can be identified on cross-sectional imaging, including magnetic resonance imaging MRI performed for non-related indications.

Intraoperative findings were conspicuous by the presence of midgut volvulus and gastric perforation in the posterior wall. Ladd’s procedure was then performed by cutting all the bands and rotating the bowel loops to reduce the volvulus and closing the mesocolon orifice. Intestinal malrotations with midgut volvulus are surgical emergencies that can lead to life-threatening intestinal necrosis.


Intestinal Malrotation and Volvulus in Neonates: Based on width and fate the dorsal mesentery can be subdivided into that of the caudal foregut, midgut, and hindgut. The efficiency of sonography in diagnosing volvulus in neonates with suspected intestinal malrotation.

Congenital chylous ascites in infants: Laparoscopic treatment of intestinal malrotation in neonates and infants: Outcomes in patients less than 16 years of age were compared with outcomes from those older than It remains unclear, however, whether laparoscopy for the treatment of malrotation has a success rate equal to that of open surgery and what relative mslrotacion exist in terms of conversion and redo surgery in larger numbers of patients Intestinal rotational anomalies are failure of normal rotation and this arrest in development can predispose to develop a malfixated midgut that is a risk factor for volvulus malrotackon significant morbidity and mortality especially in early childhood Small intestinal volvulus SBV is the abnormal twisting of bowel around the axis malrotcaion its mesentery, leading to obstruction and vascular compromise, resulting in bowel ischemia and necrosis which are life-threatening.

Delayed presentation of familial intestinal malrotation with volvulus in two adult siblings. On inspection laparoscopically,the cecum was lying in a subhepatic position to the left of the midline.

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We conducted a retrospective audit of US scans performed at a tertiary referral centre to exclude malrotation for paediatric surgery between and CAT-scan is the diagnostic technique of choice in adult patients, as it provides additional information such as mesenteric vessel position whirlpool signintestinal viability, the presence of volvulus and other associated malformations.

The aim of our study was to determine whether the surgical approach for the treatment of malrotation had an impact on patient outcome. Both groups had similar demographic and other preoperative parameters. The clinical data collected included age, gender, presenting symptoms, diagnostic tests, type of operation, operative time, narcotic requirement, time to oral intake, length of hospital stay, and outcome