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Increased risk of complications in acute onset intestinal malrotation

Sidsel Vang Wallberg1, Niels Qvist

  • 1Græsmarken 24, 5260 Odense S, Denmark. sidselvw@gmail.com.

Danish Medical Journal
|December 21, 2013
PubMed

Insights

Intestinal malrotation presents acutely in children and chronically in adults. Early symptom recognition is crucial, as complications and mortality are linked to acute presentations in both age groups.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Surgical Pathology

Background:

  • Intestinal malrotation is a serious condition with diverse clinical presentations, ranging from acute to chronic symptoms.
  • Understanding the varied clinical manifestations across all age groups is essential for timely diagnosis and management.

Purpose of the Study:

  • To investigate the clinical presentation of intestinal malrotation in patients of all ages.
  • To compare the presentation patterns between pediatric and adult populations.

Main Methods:

  • Retrospective analysis of patients operated for intestinal malrotation between 1990 and 2012.
  • Data collected included demographics, symptom duration, diagnostic imaging, and outcomes.
  • Patients were categorized into children (0-15 years) and adults (>15 years).

Main Results:

  • A total of 54 patients (47 children, 7 adults) were identified.
  • Children predominantly exhibited acute symptoms, whereas adults typically presented with chronic symptoms.
  • Mortality rates were 6% in children and 14% in adults, with deaths attributed to volvulus.

Conclusions:

  • Intestinal malrotation manifests in both acute and chronic forms in children and adults.
  • Complications and mortality were exclusively observed in patients with acute symptom onset.
  • Awareness of symptom profiles is vital for improving patient outcomes.
Abstract

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