A Child With Malrotation and Severe Metabolic Alkalosis

Abstract

Malrotation is an incomplete rotation and fixation of the intestine that occur during fetal development. It is a predisposing factor for development of volvulus. The most common presentation is bilious vomiting and other symptoms of gastrointestinal obstruction during infancy. In children may have a more prolonged course with episodic attacks of abdominal pain, vomiting, dehydration, malabsorption and poor weight gain from chronic intermittent lymphatic obstruction. Here a case of malrotation with dehydration, severe metabolic alkalosis (pH above 8.06) is reported in a school age child, who was survived with appropriate management. doi:10.4021/ijcp101e