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Malrotacion intestinal

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19 papers 25 to 100 followers
By Ricardo Sordo Residente de cirugía
Iain Hennessey, Rebecca John, Roger Gent, Day Way Goh
BACKGROUND: Intestinal malrotation and particularly volvulus are potentially devastating conditions. Upper gastrointestinal (UGI) contrast studies have been considered the gold standard for diagnosis. However the use of ultrasonography (US) has been increasingly described. We describe a method for delineating the duodenal anatomy with US as a means to exclude malrotation. OBJECTIVE: To report our experience using US to assess intestinal rotation. MATERIALS AND METHODS: We conducted a retrospective audit of US scans performed at a tertiary referral centre to exclude malrotation for paediatric surgery between 2008 and 2011...
April 2014: Pediatric Radiology
Mohamed Sameh Shalaby, Kamal Kuti, Gregor Walker
No abstract text is available yet for this article.
November 26, 2013: BMJ: British Medical Journal
Yuka Nakajima, Hiroyuki Sakata, Tomohiro Yamaguchi, Norichika Yoshie, Taihei Yamada, Takaaki Osako, Mariko Terashima, Naomi Mambo, Ryuta Saka, Satoko Nose, Takashi Sasaki, Hiroomi Okuyama, Atsunori Nakao, Joji Kotani
Midgut malrotation is an anomaly of intestinal rotation that occurs during fetal development and usually presents in the neonatal period. We present a rare case of malrotation in a 14-year-old patient who presented with cramping, generalized right abdominal pain, and vomiting for a duration of one day. A computed tomography abdominal scan and upper gastrointestinal contrast studies showed malrotation of the small bowel without volvulus. Laparoscopy revealed typical Ladd's bands and a distended flabby third and fourth duodenal portion extrinsically obstructing the misplaced duodeno-jejunal junction...
May 17, 2013: World Journal of Emergency Surgery: WJES
Chee-Chee Koh, Sheng-Hong Tseng, Chia-Chi Weng, Yun Chen
A congenital membrane without intestinal malrotation is a rare cause of duodenal obstruction. Here we present an 11-year-old girl who had suffered from intermittent abdominal cramping pain and vomiting for more than 5 years. The image studies, including a plain abdomen roentgenogram and sonogram, showed no definite diagnosis. The upper gastrointestinal series and small bowel series showed the contrast was static over the third portion of the duodenum and the descending colon pulled up toward the epigastric area...
August 2013: Pediatrics and Neonatology
Guillaume Daniel, Aurélien Dupré
No abstract text is available yet for this article.
November 2013: Clinics and Research in Hepatology and Gastroenterology
Jeffrey Forris Beecham Chick, Nikunj Rashmikant Chauhan, Katherine Marie Mullen, John W Hanna, Ryan James Bair, Bharti Khurana
No abstract text is available yet for this article.
April 2013: Journal of Emergency Medicine
J Nath, A P Corder
Intestinal malrotation is an uncommon cause of abdominal pain and normally presents during infancy. Familial cases of malrotation are extremely rare in the absence of other congenital malformations. We present the case of a 22-year-old woman with undiagnosed chronic abdominal pain and her previously well 16-year-old brother who presented within 18 months of each other with acute midgut volvulus secondary to intestinal malrotation. Clinicians should be aware of this rare but serious cause of abdominal pain.
September 2012: Annals of the Royal College of Surgeons of England
J Chandra, C Grierson, H Bungay
AIM: To describe the frequency of normal variation in contour of the head and uncinate process of the pancreas in patients with intestinal malrotation, some of which can mimic neoplasm, and their relationship with mesenteric vascular inversion. METHODS: A retrospective analysis of 25 cases of intestinal malrotation on cross-sectional imaging [24 computed tomography (CT) examinations, one magnetic resonance imaging (MRI) examination], was performed by two specialist gastrointestinal radiologists...
December 2012: Clinical Radiology
Thomas Hanna, Jacob A Akoh
INTRODUCTION: Intestinal malrotation is a rare developmental abnormality occurring as a result of incomplete rotation during fetal life. It usually presents in the first few weeks of life, but may persist unrecognised into adult life. We report two interesting cases in elderly patients both characterised by a significant diagnostic challenge due to atypical clinical and radiological signs and in one case an unusual complication following laparotomy. CASE REPORTS: The first case was a 64-year-old man initially treated for diverticulitis but at laparotomy was found to have malrotation of the midgut and a perforated left-sided appendicitis...
October 2010: Annals of the Royal College of Surgeons of England
Deepika Nehra, Allan M Goldstein
BACKGROUND: The purpose of this study was to determine the incidence and clinical presentation of intestinal malrotation from infancy through adulthood by examining the experience of a single institution caring for patients of all ages with this condition. METHODS: We conducted a retrospective review on all patients diagnosed with intestinal malrotation at Massachusetts General Hospital between 1992 and 2009. Patient demographics, clinical history, diagnostic tests, operative procedures, and outcome variables were recorded...
March 2011: Surgery
Jeroen Hagendoorn, Daisy Vieira-Travassos, David van der Zee
BACKGROUND: Intestinal malrotation in neonates or infants may require urgent surgical treatment, especially when volvulus and vascular compromise of the midgut are suspected. Successful laparoscopic management of malrotation has been described in a number of case reports. It remains unclear, however, whether laparoscopy for the treatment of malrotation has a success rate equal to that of open surgery and what relative risks exist in terms of conversion and redo surgery in larger numbers of patients...
January 2011: Surgical Endoscopy
Yousef El-Gohary, Mohamed Alagtal, John Gillick
Intestinal malrotation associated with a volvulus requires immediate surgical intervention. The long-term sequelae of Ladd's procedure and its complications are not well defined. We designed this study to investigate the long-term complications following operative intervention for intestinal malrotation. Patients who have undergone a Ladd's procedure for malrotation from January 1999 till December 2008, from two tertiary centres, were identified using the Hospital Inpatient Enquiry system. Charts were analysed to obtain information about mode of presentation, method of diagnosis and postoperative outcomes...
February 2010: Pediatric Surgery International
Emily T Durkin, Dennis P Lund, Aimen F Shaaban, Michael J Schurr, Sharon M Weber
BACKGROUND: Intestinal malrotation in adulthood may present with a variety of chronic symptoms. Surgical intervention frequently leads to other complications in these patients. We hypothesized that the chronic nature of malrotation in adults could cause a delay in diagnosis and increased perioperative complications. STUDY DESIGN: All patients diagnosed with intestinal malrotation from July 2002 through July 2006 were included. IRB approval was obtained. Outcomes in patients less than 16 years of age were compared with outcomes from those older than 16...
April 2008: Journal of the American College of Surgeons
Amy W Moldrem, Harry Papaconstantinou, Harshal Broker, Steve Megison, D Rohan Jeyarajah
BACKGROUND: Midgut malrotation most commonly presents in young children. This diagnosis is not often entertained in the adolescent or adult with abdominal complaints. We reviewed our experience with this subset of malrotation patients. METHODS: A retrospective review of medical records from adolescent or adult patients identified with a diagnosis of anomaly of intestinal fixation or malrotation, who were treated within our health system between 1993 and 2004. RESULTS: A total of 33 patients were diagnosed with malrotation and treated with Ladd's procedure...
July 2008: World Journal of Surgery
Tao Fu, Wei Dong Tong, Yu Jun He, Ya Yuan Wen, Dong Lin Luo, Bao Hua Liu
OBJECTIVE: The aim of this study was to review our experience with diagnosis and surgical management of intestinal malrotation in adult patients. PATIENTS AND METHODS: A retrospective review of the surgical outcome of adults with intestinal malrotation was performed. Twelve patients were observed and treated between July 1996 and July 2006 (4 women and 8 men; the mean age of the patients was 28.5 years). Surgical outcomes, including postoperative complications, deaths, and resolution of preoperative symptoms, were measured...
September 2007: World Journal of Surgery
Helena O B Taylor, Matthew Barish, David Soybel
No abstract text is available yet for this article.
August 2006: Clinical Gastroenterology and Hepatology
G M Matzke, E J Dozois, D W Larson, C R Moir
BACKGROUND: This study aimed to characterize the clinical features of intestinal malrotation in adults, and to compare the results for the open and laparoscopic Ladd procedures. METHODS: Between 1984 and 2003, 21 adult patients with a mean age of 36 years (range, 14-89 years) were surgically treated for intestinal malrotation. The clinical data collected included age, gender, presenting symptoms, diagnostic tests, type of operation, operative time, narcotic requirement, time to oral intake, length of hospital stay, and outcome...
October 2005: Surgical Endoscopy
Marcus M Malek, Randall S Burd
PURPOSE: Because malrotation most commonly presents in infants, treatment recommendations for older children (>1 year) have been based on data obtained from small case series. The purpose of this study was to use a large national database to determine the clinical significance of older children presenting with malrotation to develop treatment recommendations for this group. METHODS: Records of children undergoing a Ladd's procedure were identified in the Kids' Inpatient Database, an administrative database that contains all pediatric discharges from 27 states during 2000...
January 2005: Journal of Pediatric Surgery
A F Uba, L B Chirdan, S T Edino
BACKGROUND: The clinical diagnosis of intestinal malrotation in the older child is not always easy because of its non-specific presentations. The aim of this study was to determine the pattern of presentation of malrotation in older Nigerian children. METHODS: The clinical, radiological and operative records of all the children aged 2 years or above, managed for malrotation at the Jos University Teaching Hospital between March 1992 and December 2002 were retrospectively reviewed...
January 2005: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
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