ArticlePediatric surgery international2024
Clinical management of intestinal malrotation in different age groups.
Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The safety and feasibility of minimally invasive Ladd's procedures in adult patients: a NSQIP analysis.Surgical endoscopy · 2026Article
- Advancing pediatric malrotation surgery: robot-assisted versus laparoscopic Ladd's procedures.Updates in surgery · 2026Article
- Intestinal malrotation combined with superior mesenteric artery syndrome: a case report.Frontiers in pediatrics · 2026Article
- Neonate With Malrotation Without Volvulus.Journal of medical cases · 2025Article
- Congenital mesenteric absence of mid-gut with ileal volvulus: a case report.Journal of medical case reports · 2025Article
- A case report of a newborn who underwent ultra-high enterostomy and intestinal fluid return after necrosis of intestinal volvulus.Translational pediatrics · 2024Article
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Authors and funding
11 authors.
Funding
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Abstract
purposeIntestinal malrotation, characterized by abnormal intestinal positioning, can lead to severe complications like volvulus and internal hernias, especially in neonates and children. Our aim was to evaluate the diagnostic methods, treatment results and postoperative follow-up of pediatric patients treated for intestinal malrotation.
methodsThis retrospective study reviewed medical records of pediatric patients who underwent surgery for intestinal malrotation between January 2013 and January 2022. Data on demographics, symptoms, diagnostic approaches, surgical interventions, and postoperative outcomes were analyzed.
resultsThe study included 45 patients, with a male predominance (68.8%). Ages ranged from 1 day to 15 years, averaging 1.54 years. Presenting symptoms were acute abdomen (n = 21) and chronic abdominal pain with vomiting (n = 24). Diagnoses were established via physical exams and imaging, including upper gastrointestinal contrast studies and abdominal ultrasonography. All patients received the Ladd procedure, with some requiring necrotic bowel resection due to volvulus.
conclusionThe diagnosis and management of pediatric intestinal malrotation present significant challenges due to its variable symptoms and potential for life-threatening complications. Early and accurate diagnosis, followed by appropriate surgical management, is crucial. This study emphasizes the importance of diligent postoperative follow-up to identify and mitigate complications, particularly in younger and severely affected patients.
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