Abstract
137 cases of malrotation and midgut volvulus seen over a 28-year period are reviewed to emphasize the patterns of clinical presentation. Although 62% presented as neonates, 20% were over 1 year of age. Vomiting was the sympton of paramount importance in 97% but was not initially bile-stained in 20%. Sixteen percent had diarrhea as a major symptom. Abdominal pain occurred in 96% of patients over 1 year of age. Clinical signs were not apparent in most cases until gut infarction had occurred. Radiographic examination of the abdomen was considered normal in more than 20%. Barium meal was the contrast examination with most accuracy and should be diagnostic if correctly interpreted. The significant mortality (19%) in all age groups was invariably related to delay in presentation or diagnosis.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
