Midgut volvulus is a life-threatening condition that commonly presents during the first year of life rarely antenatally. Here we report successful urgent surgical management of an unusual case with malrotation exhibiting the sonographic findings of volvulus in utero that leads to premature birth. This 34-wk, 2700 g infant was born via spontaneous vaginal delivery. Prenatal ultrasound showed pol...

  Absract   Intestinal malrotation is a general term used for any deviation from normal embryonic GI tract rotations. This abnormality, denotes a spectrum of conditions (non rotation, incomplete rotation) that according to the severity of anatomic consequence, can result in complications found in infancy, childhood, adolescence, adulthood or old age. This article, reports another case of intest...

introduction the use of an umbilical catheterization is a usual practice in neonatal units. the insertion of the catheter has potential complications. case presentation here, we report on our observation of a seven-day-old female newborn admitted for an abdominal distention and vomiting bile. initially, diagnosis was midgut volvulus, for which an operation was performed. during the surgery, no ...

Introduction: Rotation of the small bowel around its mesenteric vascular pedicle is termed midgut volvulus. This abnormality frequently causes obstruction and, most importantly, compromises the intestinal blood flow, threatening bowel viability. Midgut volvulus can be primary without findings of any associated underlying cause, or secondary to other congenital or acquired conditions. Primary mi...

Intestinal malrotation complicated by the development of midgut volvulus presents a difficult management dilemma because of the risk of short bowel syndrome. Here, we present our experience with a case of severe intestinal ischemia after derotation in a newborn successfully managed using systemic tissue plasminogen activator. The present report supports the usefulness of thrombolysis as a thera...

Congenital midgut malrotation is a complex gastrointestinal anomaly, which could easily lead to midgut volvulus and gastrointestinal obstruction. Large studies on congenital midgut malrotation in adults are rarely investigated. The current study aimed to explore the clinical profile and diagnostic modalities of congenital midgut malrotation in Chinese adult patients. Clinical and radiological d...

KEY CLINICAL MESSAGE Midgut volvulus can rarely present with acute chylous peritonitis. Common etiologies for chylous ascites need to be excluded before this diagnosis is made. Correction of the volvulus and peritoneal lavage suffice as treatment.

A 4 year-old boy presented with sudden, intense, and constant abdominal pain that awoke him from sleep. He had experienced no nausea or vomiting, and stooling had been regular. Vital signs were blood pressure: 133/87, heart rate: 120, respiratory rate: 28, SaO2: 99%, and temperature: 35.7. On physical exam the patient was writhing in pain with a mildly distended abdomen, with bowel sounds prese...

Malrotation of the midgut is mainly a childhood congenital anomaly. Adult Midgut malrotation is rare with the clinical symptomatology varied and non-specific making pre-operative diagnosis difficult. Midgut volvulus from malrotation is a true surgical emergency requiring early intervention to prevent bowel necrosis and death.We report a 27yr old male who was referred to our centre with paralyti...

Abnormalities in midgut rotation occur during the physiological herniation of the midgut between the 5th and 10th week of gestation (Warner, 1997). The most significant abnormality is a narrow small bowel mesentery which is prone to volvulus. This occurs most frequently in the neonatal period. Less commonly (Nehra and Goldstein, 2011), midgut malrotation presents in adulthood with either acute ...