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Related Experiment Videos

Intestinal malrotation--experience with 56 patients

R Nair1, G P Hadley

  • 1Department of Paediatric Surgery, University of Natal, Durban.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|May 1, 1996
PubMed
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Intestinal malrotation frequently causes duodenal obstruction in infants due to midgut volvulus, posing a risk of infarction. Early contrast studies are vital for diagnosis when plain films are inconclusive.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatal Medicine

Background:

  • Intestinal malrotation is a significant cause of upper gastrointestinal obstruction in infants.
  • It often presents as duodenal obstruction resulting from midgut loop volvulus.
  • This condition carries a high risk of catastrophic midgut infarction.

Purpose of the Study:

  • To highlight the frequency of intestinal malrotation as a cause of duodenal obstruction in neonates.
  • To emphasize the urgency of diagnostic imaging in suspected cases.
  • To underscore the association between rectal bleeding and bowel gangrene.

Main Methods:

  • Review of clinical presentations and diagnostic approaches for intestinal malrotation.
  • Analysis of outcomes based on diagnostic imaging findings.

Related Experiment Videos

  • Correlation of clinical signs, such as rectal bleeding, with surgical findings.

    • Main Results:

    • Intestinal malrotation is a more common cause of duodenal obstruction in infants than duodenal atresia (92% in neonates).
    • Urgent upper contrast studies are crucial for non-diagnostic plain films.
    • Rectal bleeding is a critical indicator, with 78% of patients experiencing gangrenous bowel.

    Conclusions:

    • Intestinal malrotation requires prompt diagnosis and management to prevent midgut infarction.
    • Early contrast studies are essential when initial imaging is unclear.
    • The presence of rectal bleeding signifies a high likelihood of gangrenous bowel, impacting survival, especially in resource-limited settings.