Malrotation

Congenital anatomical anomaly that results from an abnormal rotation of the gut as it returns to the abdominal cavity during embryogenesis

Pathophysiology

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Clinical presentation

  • Most common presentation in the infant is midgut volvulus - presents with bilious (green) vomiting
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  • Up to 40% of patients with malrotation show signs within the first week of life
  • 50-60% diagnosed by 1 month and 75% diagonosed by age 1

Investigations

  • Upper GI contrast and followthrough
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Management

  • Surgical correction