Abstract
A neonate presented with bilious vomiting and hematochezia. The infantogram and upper gastrointestinal contrast study were suggestive of dextrogastria with malrotation of midgut. Laparotomy confirmed isolated dextrogastria, malrotation of the midgut and volvulus. Reverse Ladd’s procedure was done.
Highlights
Situs inversus totalis is reported in approximately 1:6000–1:8000 of the population [1]; situs inversus abdominus is rarer (1/4000–20,000 live births) [2] and isolated dextrogastria is anecdotal
A case of isolated dextrogastria with malrotation and volvulus of the midgut presenting as neonatal intestinal obstruction and hematochezia is described
A 5-day-old, term, male neonate born to the second degree consanguineous parents with an uneventful perinatal history presented on day 5 of life with bilious vomiting, hematochezia, inconsolable crying, and refusal of feeds for a few hours
Summary
Dextrogastria and malrotation of midgut in a neonate.
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