Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Sep 21;19(12):6108-6111.
doi: 10.1016/j.radcr.2024.09.064. eCollection 2024 Dec.

Late presentation of midgut malrotation with obstruction in a 5-year-old female: A case report

Tahani AlHarshan  1 , Ibrahim AlWakid  1 , Ibtihal Almeshawi  2 , Yara AlGoraini  1
Affiliations
Case Reports

Late presentation of midgut malrotation with obstruction in a 5-year-old female: A case report

Tahani AlHarshan et al. Radiol Case Rep. .

Abstract

Midgut malrotations are rarely diagnosed beyond infancy. Delays in recognition and diagnosis can result in death. Here, we report the case of a 5-year-old girl who presented with a 1-year history of intermittent abdominal pain and vomiting. An abdominal computed tomography scan with contrast confirmed the diagnosis of midgut malrotation with obstruction; therefore, the Ladd procedure was performed, and the child was discharged uneventfully. Clinicians must maintain a high level of suspicion because this diagnosis is unusual in this age group.

Keywords: Intestinal obstruction; Ladd's procedure; Malrotation; Pediatric emergency; Whirlpool Sign.

PubMed Disclaimer

Figures

Fig 1:
Fig. 1
Abdominal plain radiographs showed multiple air fluid levels with numerous dilated bowel loops.
Fig 2:
Fig. 2
Abdominal computed tomography (CT) with contrast: A coronal and sagittal view showed multiple dilated jejunal loops with twisted mesentery, giving a whirlpool-like appearance with the duodenojejunal flexure in the right of the midline.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Filston HC, Kirks DR. Malrotation: the ubiquitous anomaly. J Pediatr Surg. 1981;16(4):614–620. doi: 10.1016/0022-3468(81)90015-4. Suppl 1. - DOI - PubMed
    1. Menghwani H, Piplani R, Yhoshu E, Jagdish B, Sree BS. Delayed presentation of malrotation: case series and literature review. J Indian Assoc Pediatr Surg. 2023;28:271–277. doi: 10.4103/jiaps.jiaps_2_23. - DOI - PMC - PubMed
    1. Brezler E, Sico R, Seifarth FG. Midgut volvulus in a pediatric patient with chronic constipation, congenital intestinal malrotation, and internal transmesocolic hernia. BMJ Case Rep. 2023;16 doi: 10.1136/bcr-2022-254425. - DOI - PMC - PubMed
    1. Ford EG, Senac MO, Srikanth MS, Weitzman JJ. Malrotation of the intestine in children. Ann Surg. 1992;215:172–178. doi: 10.1097/00000658-199202000-00013. - DOI - PMC - PubMed
    1. Lamichhane A, Sharma R, Rajkarnikar R, Awale R, Shrestha P, Oli NC. A five years old child with failure to thrive and vomiting presenting as a diagnostic dilemma: a case report. JNMA J Nepal Med Assoc. 2020;58:600–603. doi: 10.31729/jnma.5134. - DOI - PMC - PubMed

Publication types

LinkOut - more resources