Related Experiment Video
Updated: Mar 15, 2026
19:15
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
88.3K
Malrotation in infancy and childhood
Felicity Arthur1, Robert Carachi2
1Department of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow, UK arthurfelicity@gmail.com.
Scottish Medical Journal
|September 1, 2016
Summary
Diagnosing intestinal malrotation in older children is challenging. This study found chronic abdominal pain and non-bilious vomiting are common signs, necessitating increased awareness for earlier intervention.
Area of Science:
- Pediatric surgery
- Gastrointestinal surgery
- Congenital anomalies
Background:
- Intestinal malrotation with midgut volvulus is a critical neonatal surgical emergency.
- Classic symptoms like bilious vomiting are often absent in older children, delaying diagnosis.
- Delayed diagnosis in older children leads to poorer outcomes.
Purpose of the Study:
- To identify common presenting features of intestinal malrotation in children over 28 days old.
- To improve early diagnosis and outcomes for post-neonatal intestinal malrotation.
- To highlight the need for increased diagnostic awareness in this age group.
Main Methods:
- Retrospective review of children over 28 days old who underwent Ladd's procedure for malrotation.
- Study period: 1998-2014 at Royal Hospital for Sick Children, Glasgow.
- Analysis of presenting complaints, diagnostic time, intraoperative findings, and outcomes.
Main Results:
- Children aged 28 days to 15 years often present with chronic abdominal pain and non-bilious vomiting.
- These symptoms differ from typical neonatal presentations.
- A significant complication rate was observed in this age group.
Conclusions:
- Timely diagnosis of intestinal malrotation in post-neonatal children is crucial.
- Education on recognizing atypical presentations is vital for healthcare providers.
- Earlier diagnosis can lead to improved patient outcomes.
Related Concept Videos
01:20Gastrointestinal Motility Disorders
1.5K
Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
1.5K
00:51Anatomical Movements
16.9K
Anatomical movements refer to the various actions or motions that can be performed by the body's joints and muscles. These movements are described using specific terms to provide a standardized way of discussing and understanding the range of motion at different joints.
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist,...
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist,...
16.9K
01:20Inborn Errors of Metabolism
986
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
986
01:30Neurulation
47.0K
Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the...
47.0K
01:14Piaget's Stage 1 of Cognitive Development
2.2K
The sensorimotor stage, the initial phase of Jean Piaget's theory of cognitive development, spans the first two years of a child's life. During this period, infants actively engage with their surroundings, building cognitive awareness through direct interaction with the world. This interaction is primarily based on sensory perception and motor actions, allowing infants to gradually understand basic physical properties and predict how objects interact within their environment.
Exploration...
Exploration...
2.2K
01:30Esophageal Strictures-I: Introduction
1.1K
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
1.1K