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Malrotation of the Gut: Not Just a Diagnosis of Infancy

Sunmeet Singh1, Mandy L Maneval1, Kiran Sargar2

  • 1Family Medicine, Geisinger Lewistown Hospital, Lewistown, USA.

Cureus
|May 15, 2025
PubMed

Insights

Midgut malrotation, a congenital gastrointestinal defect, can affect adolescents and adults, not just infants. Early diagnosis is crucial to prevent serious complications like volvulus.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Developmental Biology

Background:

  • Midgut malrotation is a congenital anomaly arising from abnormal embryonic gastrointestinal development.
  • Historically diagnosed in infancy, advanced imaging now identifies it in older populations.
  • Delayed diagnosis in adolescents and adults can lead to severe gastrointestinal distress and complications.

Observation:

  • An adolescent presented with a three-week history of abdominal pain and other gastrointestinal symptoms.
  • The symptoms were attributed to undiagnosed midgut malrotation.

Findings:

  • The case highlights the potential for midgut malrotation to manifest in adolescence.
  • This underscores the importance of considering malrotation in the differential diagnosis of persistent abdominal pain in this age group.

Implications:

  • Recognizing midgut malrotation in adolescents and adults is critical for timely intervention.
  • Failure to diagnose can result in significant patient harm, including life-threatening volvulus.
  • Improved awareness and diagnostic vigilance are needed for this condition in non-infant populations.

Keywords:
abdominal paingut embryogenesisgut malrotationmidgut malrotationvolvulus

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