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Related Experiment Videos

[Intestinal malrotation in children].

A Fernández Sánchez1, P López Pereira, J A Díez Pardo

  • 1Hospital Infantil La Paz, Departamento de Cirugía Pediátrica, Facultad de Medicina de la Universidad Autónoma de Madrid.

Anales Espanoles De Pediatria
|November 1, 1987
PubMed
Summary

Intestinal malrotation, often overlooked, presents varied symptoms. This study details 33 pediatric cases, highlighting midgut volvulus and intestinal obstruction as common complications, with an 85% survival rate.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Developmental Biology

Context:

  • Intestinal malrotation is underrepresented in Spanish medical literature.
  • Variable clinical presentations can lead to delayed diagnosis in infants and children.
  • This report reviews a significant cohort of pediatric cases.

Purpose:

  • To analyze the clinical presentation, complications, and outcomes of intestinal malrotation in pediatric patients.
  • To highlight the importance of early diagnosis and surgical intervention.
  • To contribute to the understanding of this condition in a specific geographic context.

Summary:

  • The study reviewed 33 pediatric patients (1 week to 8 years) surgically treated for intestinal malrotation between 1965 and 1985.
  • Midgut volvulus (50%) and intestinal obstruction (especially in neonates) were the most frequent complications and presentations.

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  • Associated malformations occurred in 30% of patients, and were present in all non-survivors. Long-term survival was 85%.

    • Impact:

    • Emphasizes the critical need for increased awareness and timely diagnosis of intestinal malrotation in pediatric populations.
    • Provides valuable data on surgical outcomes and associated risks, informing clinical practice.
    • Underscores the link between associated anomalies and patient prognosis.