Malrotation presenting beyond infancy: a clinical study


  • Anil Balraj T. Department of Paediatric Surgery, Niloufer hospital, Hyderabad, Telangana, India
  • S. Srinivas Department of Paediatric Surgery, Niloufer hospital, Hyderabad, Telangana, India
  • K. Ramesh Reddy Department of Paediatric Surgery, Niloufer hospital, Hyderabad, Telangana, India
  • Manisha Reddy G. Department of Paediatric Surgery, Niloufer hospital, Hyderabad, Telangana, India
  • Anusiri Inugala Department of Paediatric Surgery, Niloufer hospital, Hyderabad, Telangana, India



Malrotation, Volvulus


Background: Intestinal malrotation is a congenital anomaly that results from abnormal or incomplete rotation and fixation of midgut during embryonic development. This study was done at Niloufer Hospital and Institute for Women and Child Health, Hyderabad with an aim of evaluating the clinical presentation, diagnosis, management and outcome of malrotation presenting beyond 1 year of life

Methods: Overall 50 cases of malrotation presented to the department of pediatric surgery over a period of 2 year (April 2015 to April 2017). 12 patients of these 50 (12/50) whose age was above 1 year i.e. who were beyond infancy were studied in this study

Results: Out of the 12 patients, 6 were female and 6 were male. Age of patients ranged from 15 months to 13 years. Younger patients below 2 years commonly presented with typical symptoms of bilious vomiting and patients above 2 years of age presented with more varied and vague symptoms. 1/12 of patients presented with a poor general condition and succumbed during the course of treatment

Conclusion: Small intestinal obstruction due to malrotation is relatively common in neonatal period. Malrotation beyond infancy is an uncommon diagnosis. Malrotation in grown up children usually is not suspected due to varied symptoms. High index of suspicion is needed as early intervention and treatment in the form of Ladds procedure can prevent any catastrophic events like volvulus and bowel ischemia.


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Original Research Articles