Malrotation of GUT - Dr. Bhavesh Doshi, Pediatric Surgeon

Case No. 21: Malrotation of GUT

• Neonatal surgical condition, often an emergency as mostly associated with volvulus of gut.
• Acute midgut volvulus: emergency where the Volvulus if not corrected leads to ischemia and necrosis of the bowel.
• Chronic midgut volvulus: This may present later in life. Often presents with chronic vomiting, intermittent colicky abdominal pain, malnutrition, etc.
• USG: Whirlpool flow pattern of the superior mesenteric artery and vein.
• Treatment is surgical: Ladd procedure includes: counterclockwise derotation of volvulus, lysis of Ladd peritoneal bands with straightening of the duodenum, appendectomy, placement of caecum in left iliac fossa.