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Intestinal malrotation in Trinidad.
1Department of Surgery, Faculty of Medical Sciences, University of the West Indies, Mount Hope, Trinidad.
Journal of the Royal College of Surgeons of Edinburgh
|June 1, 1992
Summary
Malrotation of the intestines in children under 10 presents serious risks, with early symptoms including vomiting and malnutrition. This condition in infants requires prompt diagnosis and surgical care to reduce high morbidity and mortality rates.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Malrotation of the intestines is a congenital condition that can lead to significant gastrointestinal issues in infants.
- Early diagnosis and intervention are critical for managing complications associated with intestinal malrotation.
Purpose of the Study:
- To analyze the clinical presentation, diagnostic methods, and outcomes of intestinal malrotation in children under 10 years old.
- To highlight the challenges in surgical care and associated morbidity and mortality rates.
Main Methods:
- Retrospective analysis of medical records for 51 children diagnosed with intestinal malrotation.
- Focus on 20 cases where malrotation was the primary diagnosis, examining age at presentation, symptoms, and diagnostic approaches.
Main Results:
- Half of the primary cases presented within the first month of life, with universal vomiting and frequent malnutrition.
- Radiological investigations were key diagnostic tools, identifying malrotation in most cases.
- 35% of cases involved volvulus, but no resections were required; however, morbidity and a 15% mortality rate were observed.
Conclusions:
- Intestinal malrotation in young children is associated with severe symptoms and requires vigilant management.
- Prompt diagnosis and appropriate surgical intervention are crucial to improve outcomes and reduce mortality in affected infants.