Presentation
Billious vomiting and abdominal distension
Patient Data
Age: 22 days
Gender: Female
From the case:
Intestinal malrotation
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Abdominal x-ray demonstrates a prominent gastric outline with little distal intraluminal gas, and no air in the rectum. Lateral shoot through demonstrates no evidence of free intraabdominal gas.
From the case:
Intestinal malrotation
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Barium administered via naso-gastric tube, demonstrates malrotation with the DJ flexure not on the left side of the abdomen. The small bowel passes inferiorly from the second part of the duodenum.
Case Discussion
The patient had a laparotomy, where malrotation was confirmed. No bowel infarction observed. A week after the procedure the child developed ileus, but was treated conservatively and made an uncomplicated further recovery.