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[Intestinal obstruction in children due to isolated intestinal malrotation. Report of 11 cases]

R Ramirez1, K Chaumoître, F Michel

  • 1Service de chirurgie pédiatrique, hôpital Nord, AP-HM, université de la Méditerranée, chemin des Bourrelys, 13915 Marseille cedex 20, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|December 23, 2008
PubMed

Insights

Early diagnosis of intestinal malrotation in children is crucial. Prompt identification and treatment, such as the Ladd procedure, can prevent serious complications from this congenital anomaly.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Motility Disorders

Background:

  • Intestinal malrotation is a congenital anomaly requiring prompt diagnosis and management.
  • The Ladd procedure is a common surgical intervention for symptomatic intestinal malrotation.

Observation:

  • A study reviewed 11 children who underwent the Ladd procedure for intestinal malrotation between 1996 and 2007.
  • Common presentations included bilious vomiting, weight loss, and melena.
  • Intraoperative findings frequently involved midgut volvulus and incomplete malrotation.

Findings:

  • Radiological and ultrasound investigations aided in diagnosing intestinal malrotation, though not always preoperatively.
  • Seven out of eleven patients presented with midgut volvulus, a potentially life-threatening complication.
  • Incomplete malrotation (180 degrees) was observed in the majority of cases.

Implications:

  • Emphasizes the importance of early diagnosis of intestinal malrotation in pediatric patients.
  • Highlights the effectiveness of the Ladd procedure in managing complications.
  • Suggests that timely intervention can prevent severe outcomes associated with intestinal malrotation.
Abstract

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