The performance of ultrasound and upper gastrointestinal study in diagnosing malrotation in children, with or without volvulus

Mohamed Burhan, Mohamad Sufian; Hamid, Hamzaini Abd; Zaki, Faizah Mohd; Ning, Chai Jia; Zainal, Isa Azzaki; Ros, Izzat Arslan Che; Daud, Che Zubaidah Bt Che; Othman, Mohd Yusran Bin; Hing, Erica Yee

doi:10.1007/s10140-024-02201-9

Emerg Radiol

2024

DOI: 10.1007/s10140-024-02201-9

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The performance of ultrasound and upper gastrointestinal study in diagnosing malrotation in children, with or without volvulus

Mohamad Sufian Mohamed Burhan,

Hamzaini Abd Hamid,

Faizah Mohd Zaki

et al.

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Cited by 1 publication

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Ileocaecal Volvulus With an Intestinal Rotational Abnormality and Internal Hernia in a Paediatric Patient: A Case Report

Soini,

Hilska,

Sallisalmi

et al. 2024

Case Reports in Surgery

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Background: Caecal volvulus in the paediatric population is uncommon, yet at worst this condition is a life‐threatening surgical emergency. In children, caecal volvulus can be associated with a variety of predisposing factors such as chronic constipation, intestinal malrotation, or neurological disease.Case Representation: We present a rare case of caecal volvulus, internal hernia, and an intestinal rotational abnormality in a previously healthy 8‐year‐old boy. The patient presented with a history of abdominal pain and vomiting for 3 days and was admitted to the hospital in a severe septic shock. After the initial stabilisation with fluids and vasopressors, an emergency laparotomy was performed. A necrotic caecum volvulus, a transmesocolic hernia, and an abnormal rotation of the small intestine were diagnosed. The necrotic bowel segment was resected in a right‐sided hemicolectomy, after which a resection distal to medial colic artery was cut‐off to achieve normal anatomy. The patient was discharged on the 12th postoperative day in good health and has since returned to normal active life without any health issues within the follow‐up of 5 months.Conclusions: Caecal volvulus and internal hernia can lead to a life‐threatening condition requiring immediate surgical treatment. Rare causes of abdominal pain in children should be kept in mind when severe symptoms are present.

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Ileocaecal Volvulus With an Intestinal Rotational Abnormality and Internal Hernia in a Paediatric Patient: A Case Report

Soini,

Hilska,

Sallisalmi

et al. 2024

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

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The performance of ultrasound and upper gastrointestinal study in diagnosing malrotation in children, with or without volvulus

Cited by 1 publication

References 28 publications

Ileocaecal Volvulus With an Intestinal Rotational Abnormality and Internal Hernia in a Paediatric Patient: A Case Report

Ileocaecal Volvulus With an Intestinal Rotational Abnormality and Internal Hernia in a Paediatric Patient: A Case Report

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