Abstract
Vomiting with failure to thrive in older children is a diagnostic challenge due to the diversity in the diagnosis. We report a case of a five-years-old girl with failure to thrive, history of recurrent vomiting and intermittent colicky pain abdomen since 45 days of life. Intestinal malrotation with Ladd's band was diagnosed based on clinical acumen, high- resolution computed tomography, barium follow through and intraoperative findings. Exploratory laparotomy with Ladd's procedure was performed under general anesthesia which showed malrotation at the duodenojejunal junction with a short route of mesentery with floating caecum with Ladd's band. Failure to thrive with malrotation of the gut in the older age group is rare in itself. As there are very few cases reported in this age group, so we undertook to report this case to increase the awareness of knowledge concerning the diagnosis and timely management to prevent the comorbidity of this condition.
Highlights
Intestinal malrotation is a congenital position of the duodenojejunal junction, a potentially life-threatening complication
As vomiting with failure to thrive in older children is a diagnostic challenge, so we report a case of a fiveyears-old girl with failure to thrive, history of recurrent vomiting and intermittent colicky pain abdomen
Intestinal malrotation is a disease of the newborn as it frequently manifests in the first month of life; adult manifestation is very rare.[5]
Summary
Intestinal malrotation is a congenital position of the duodenojejunal junction, a potentially life-threatening complication. A five years old girl child presented in the emergency department with multiple episodes of vomiting since one and half months of age. As vomiting with failure to thrive in older children is a diagnostic challenge, so we report a case of a fiveyears-old girl with failure to thrive, history of recurrent vomiting and intermittent colicky pain abdomen.
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