Malrotation of the midgut associated with horseshoe kidney presenting as gastric outlet obstruction in a 15-year-old boy

Nwokoro, Chigbundu Collins; Emmanuel, EA; Olatunji, AO; Salami, B A; Amosu, LO; Ogundele, Ibukunolu Olufemi

doi:10.4103/ajps.ajps_92_17

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Only one other case study has described a patient with CSK (in this case, a horseshoe kidney) developing malrotation after the age of one [ 11 ]. However, several case studies have described patients who have undergone nephrectomies and then developed caecal volvulus above the age of one.…”

Section: Discussionmentioning

confidence: 99%

“…There have been several case reports of post-nephrectomy patients developing a caecal volvulus [ 8 - 10 ] and one report of a child developing malrotation with a horseshoe kidney [ 11 ]. Apart from this one case, no other cases have been reported of children being born with a solitary kidney and developing midgut volvulus after the age of one.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

‘Grumbling’ Midgut Volvulus in an Older Paediatric Patient With Congenital Solitary Kidney: A Case Report

Emmerson,

Dawson

2023

Cureus

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Midgut volvulus is a life-threatening condition, with the majority of cases presenting before the first year of life. Congenital gastrointestinal abnormalities can be associated with midgut volvulus; however, similar associations have not been described with congenital renal abnormalities. Congenital solitary kidney (CSK) means that a child is born with only one functional kidney. Here, we describe a case of a five-year-old child with CSK who atypically presents with midgut volvulus. The case highlights how midgut volvulus may present with chronic symptoms in those over the age of one and the importance of upper GI contrast studies for diagnosis of midgut volvulus in this population and suggests CSK along with other causes of solitary kidney as possible risk factors for volvulus.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

‘Grumbling’ Midgut Volvulus in an Older Paediatric Patient With Congenital Solitary Kidney: A Case Report

Emmerson,

Dawson

2023

Cureus

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Delayed Presentation of Malrotation after Infancy: A Systematic Review Based on Clinical Presentations, Associated Anomalies, Diagnosis, and Management

Sharma,

Borkar,

Ashwin

et al. 2024

Journal of Indian Association of Pediatric Surgeons

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Need and Purpose of Review: Approximately 75% of patients with classic malrotation and midgut volvulus present in neonatal age-group; another 15% may present up to one year. In these, the diagnosis is made because of typical presentation. However, there are many cases in which malrotation has been detected after infancy. In-spite of the variable case reports and studies in literature, there is no specific data on the incidence of malrotation after infancy, its presentation and management guidelines. With this systematic review, we aim to coalesce these findings from various individual case reports and studies. Methods Used for Collecting and Analysing Data: This systematic review was performed as per the PRISMA (preferred reporting items for systematic review and meta-analyses) guidelines. The authors conducted thorough searches in databases like PubMed/MEDLINE, SCOPUS, Google Scholar and Web of Science for relevant articles. Studies were reviewed for clinical presentation and outcome for malrotation diagnosed beyond infancy. Main Conclusions: Clinical presentation of malrotation after infancy can be acute as well as chronic; acute presentation being common under 2 years of age and chronic symptoms present as age increases. Sudden onset of abdominal pain and bilious vomiting are commonest acute symptoms and intermittent episodes of recurring vague abdominal pain associated with vomiting and diarrhoea are the commonest chronic symptoms. The diagnostic modalities vary from UGI Contrast series to USG with colour Doppler and CECT scan. Management is operative open as well as laparoscopic Ladd’s procedure is being favoured. Key Messages Presentation of malrotation beyond infancy is infact more than that reported in literature. Timely and appropriate diagnosis of malrotation is essential to avoid gangrene and subsequent gut loss and morbidity.

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Malrotation of the midgut associated with horseshoe kidney presenting as gastric outlet obstruction in a 15-year-old boy

Cited by 2 publications

References 6 publications

‘Grumbling’ Midgut Volvulus in an Older Paediatric Patient With Congenital Solitary Kidney: A Case Report

‘Grumbling’ Midgut Volvulus in an Older Paediatric Patient With Congenital Solitary Kidney: A Case Report

Delayed Presentation of Malrotation after Infancy: A Systematic Review Based on Clinical Presentations, Associated Anomalies, Diagnosis, and Management

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