- Clinical Images
- Open Access
Midgut volvulus in a 4-year-old male
© The Author(s) 2010
- Received: 7 September 2010
- Accepted: 13 September 2010
- Published: 2 November 2010
- Small Bowel Obstruction
- Chronic Diarrhea
- Classic Presentation
- Gastrointestinal Series
Midgut volvulus is a life-threatening complication caused by small bowel malrotation that leads to obstruction and ischemia. About 75% of all midgut volvulus cases occur within the 1st year of life, the majority of which are in the 1st month . The classic presentation is a newborn infant with bilious vomiting. Older children tend to present with a history of intermittent vomiting, chronic diarrhea, and vague abdominal pain, often leading to multiple hospital admissions with signs of malnourishment .
Abdominal x-ray can be useful in identifying small bowel obstruction. Upper gastrointestinal series is the diagnostic tool of choice, with the “corkscrew sign” often identified as an indicator of midgut volvulus .
Midgut volvulus is a surgical emergency that can quickly lead to bowel necrosis, sepsis, and death. Prompt diagnosis is therefore crucial for these patients. The treatment of choice is Ladd’s procedure.
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