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Intestinal malrotation beyond the neonatal period
Summary
Intestinal malrotation in children often presents with vague symptoms, leading to diagnostic delays. Early recognition of clinical and radiographic signs is crucial for timely treatment.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Diagnostics
Background:
- Intestinal malrotation is a congenital anomaly requiring prompt diagnosis and management.
- Delayed diagnosis in children can lead to significant complications.
Purpose of the Study:
- To analyze the clinical presentation and diagnostic challenges of intestinal malrotation in children treated outside the neonatal period.
- To emphasize the importance of specific historical and radiological findings.
Main Methods:
- Retrospective review of 162 children with intestinal malrotation over 13 years.
- Analysis of clinical features, diagnostic timelines, and management strategies for patients presenting after the neonatal period.
Main Results:
- Only 20 of 162 patients were diagnosed and treated outside the neonatal period.
- Patients outside the neonatal period often had non-specific symptoms, with diagnostic delays up to 5 years.
- Clinical history and radiographic findings were key to diagnosis.
Conclusions:
- Intestinal malrotation diagnosed post-neonatally presents with non-specific symptoms and significant diagnostic delays.
- Thorough patient history and careful interpretation of radiographic findings are essential for early diagnosis and improved outcomes.