Intestinal malrotation and volvulus: Difference between revisions

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Malrotation means a malfunction in the rotation of the intestine or a malfunction in its attachment to the back wall of the abdomen. A normal intestine rotates counterclockwise. The superior mesenteric artery acts as the axis of rotation. An unfixed bowel predisposes to volvulus (knotting of the bowel hinge) and obstruction. It is sometimes associated with asplenism or congenital heart defects.

Clinical picture

Symptoms of acute or recurrent NPB appear,
symptoms are developed shortly after birth or anytime during the first year of life.

Diagnosis

On the X-ray, we can see the distribution of air - there are no bubbles in the area of the caecum,
rotation failure is then confirmed by irrigography.

Therapy

Surgical.

A person with a volvulus as seen on CT. Note the twisting of the bowel

Links

Source

BENEŠ, Jiří. Studijní materiály [online]. ©2007. [cit. 2010-04]. <http://www.jirben.wz.cz/>.

References

HRODEK, Otto – VAVŘINEC, Jan. Pediatrie. 1. edition. Galén, 2002. ISBN 80-7262-178-5.

ŠAŠINKA, Miroslav – ŠAGÁT, Tibor – KOVÁCS, László. Pediatria. 2. edition. 2007. ISBN 978-80-89171-49-1.

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 '''Malrotation''' means a '''malfunction in the rotation of the intestine or a malfunction in its attachment to the back wall of the abdomen'''. A normal intestine rotates counterclockwise. The superior mesenteric artery acts as the axis of rotation. An unfixed bowel predisposes to '''volvulus''' (knotting of the bowel hinge) and obstruction. It is sometimes associated with asplenism or congenital heart defects.
 === Clinical picture ===