Congenital Malrotation of the Midgut Presenting as Acute Duodenal Obstruction in a Teenager — A Case Report
Dr. Vivek Viswanathan*
Consultant Paediatric Surgeon, Bhailal Amin General Hospital, Vadodara, Gujarat, India.
*Corresponding Author: Dr. Vivek Viswanathan, Consultant Paediatric Surgeon, Bhailal Amin General Hospital, Vadodara, Gujarat, India.
DOI: https://doi.org/10.58624/SVOAPD.2024.03.063
Received: April 25, 2023 Published: May 24, 2024
Abstract
Background: Intestinal malrotation, a congenital anomaly, typically presents in neonates with midgut volvulus. However, recent studies suggest it may occur in adolescents and adults at a higher rate than previously thought. This case report investigates the presentation and management of malrotation with volvulus in an adolescent.
Case Presentation: A 14-year-old boy presented with acute onset abdominal pain, vomiting, and a history of intermittent abdominal pain for several years. Initial diagnosis was gastritis, but imaging revealed malrotation with volvulus. He underwent a successful Ladd's procedure.
Conclusion: This case emphasizes that malrotation can present with chronic or acute symptoms in adolescents. A high index of suspicion for malrotation is crucial, particularly in adolescents with recurrent abdominal pain. Early diagnosis and Ladd's procedure can prevent life-threatening complications.
Keywords: Congenital Malrotation; Midgut; Teenager; Ladd's Procedure
Citation: Viswanathan V. Congenital Malrotation of the Midgut Presenting as Acute Duodenal Obstruction in a Teenager — A Case Report. SVOA Paediatrics 2024, 3:3, 45-49.