Intestinal malrotation
(Redirected from Malrotation)
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| Intestinal malrotation | |
|---|---|
| Synonyms | Malrotation |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Vomiting, abdominal pain, bloating, constipation |
| Complications | Volvulus, intestinal obstruction, peritonitis |
| Onset | Usually neonatal period |
| Duration | Chronic |
| Types | N/A |
| Causes | Congenital developmental disorder |
| Risks | Midgut volvulus, intestinal ischemia |
| Diagnosis | Upper gastrointestinal series, abdominal X-ray, CT scan |
| Differential diagnosis | Pyloric stenosis, Hirschsprung's disease, necrotizing enterocolitis |
| Prevention | None |
| Treatment | Surgical intervention (e.g., Ladd's procedure) |
| Medication | None specific |
| Prognosis | Good with early treatment |
| Frequency | 1 in 500 live births |
| Deaths | N/A |
Intestinal malrotation' is a medical condition that involves a malformation of the intestinal tract. This condition is usually present at birth and can cause a variety of symptoms, including abdominal pain, vomiting, and constipation.
Causes
Intestinal malrotation is caused by an abnormal development of the intestines while the fetus is in the womb. During normal development, the intestines rotate into their correct position, but in cases of intestinal malrotation, this rotation does not occur properly. This can lead to a variety of complications, including volvulus, which is a twisting of the intestines that can cause a blockage.
Symptoms
The symptoms of intestinal malrotation can vary greatly depending on the severity of the condition. Some individuals may not experience any symptoms, while others may experience severe abdominal pain, vomiting, and constipation. In severe cases, the condition can lead to life-threatening complications, such as intestinal obstruction or necrotizing enterocolitis.
Diagnosis
Diagnosis of intestinal malrotation is typically made through a combination of physical examination, medical history, and imaging tests. These tests may include an abdominal ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI).
Treatment
Treatment for intestinal malrotation typically involves surgery to correct the position of the intestines. This surgery, known as a Ladd's procedure, involves untwisting the intestines and securing them in the correct position. In some cases, a portion of the intestine may need to be removed if it has become damaged.
See also
References
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Contributors: Prab R. Tumpati, MD