Correspondence to: Mr SJ K Holmes. Introduction There are now sufficient data on the sonographic appearance ofnormal fetal gut to allow intestinal abnormality in the antenatal period to be diagnosed, although as yet relatively little attention has been paid to the implications for the child. We present eight such cases. Six children were found to have midgut atresia, three of whom had evidence ...

We report 37 patients ranging in age from 1 month to 14 years treated for intestinal malrotation during a five year period. The main presenting features consisted of intermittent attacks of vomiting (15 patients), failure to thrive (seven), and recurrent colicky abdominal pain (seven). The diagnosis was confirmed by gastrointestinal contrast studies in all but three patients. A standard Ladd's ...

The most common cause of intestinal obstruction in children is postsurgical adhesions. Internal herniation through the falciform ligament is very rare, but frequently causes small bowel obstruction when it occurs. To the best of our knowledge, this is the first case report regarding large bowel obstruction associated with midgut malrotation through the falciform ligament in a child.

The subject of malrotation and midgut volvulus in infancy and childhood is reviewed from the perspective of experience with 138 patients evaluated in a published series and a further 82 cases seen since. Embryology, historical aspects, clinical presentation, investigation, surgery, and outcome are discussed. The diagnosis of malrotation and volvulus should always be kept in mind when assessing ...

This study is to prospectively evaluate the efficiency of sonography for volvulus diagnosis in neonates with clinically suspected intestinal malrotation.A total of 83 patients with suspected intestinal malrotation who underwent detailed abdominal sonography and upper gastrointestinal contrast study were included. Malrotation was characterized by inversion of the superior mesenteric artery (SMA)...

Midgut volvulus as a result of malrotation classically presents in early life and is associated with intestinal obstruction and compromised vascular supply of the gut. On rare occasions this condition may manifest itself in teenagers and adults, often with disastrous outcome. We report a 28-year-old patient who presented with maelena and endoscopy showing varices in the duodenum and large bowel...

Midgut malrotation is a congenital anomaly referring to either lack of or incomplete rotation of the fetal intestines around the axis of the superior mesenteric artery during fetal development. Most patients present with bilious vomiting in the first month of life because of duodenal obstruction or a volvulus. It is rare for this condition to present in adulthood. The true incidence in adults i...