Skip to main content
Top
Published in: International Journal of Emergency Medicine 1/2011

Open Access 01-12-2011 | Case report

Abdominal pain with a twist

Authors: Rachael Mathews, Sam Thenabadu, Thiagarajan Jaiganesh

Published in: International Journal of Emergency Medicine | Issue 1/2011

Login to get access

Abstract

Malrotation in children is due to either an incomplete or non-rotation of the foetal mid-gut during perinatal development. Presentation is usually in the first few weeks of life, often with life-threatening volvulus and ischaemia. However, it can be a rare cause of abdominal pain in older children and young adults. We present such a case, as a reminder to emergency physicians that malrotation should be considered in the differential diagnosis of recurrent or chronic abdominal pain not only in children but also in adolescents.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ladd WE: Congenital obstruction of the duodenum in children. N Engl J Med 1932, 206: 277–283. 10.1056/NEJM193202112060604CrossRef Ladd WE: Congenital obstruction of the duodenum in children. N Engl J Med 1932, 206: 277–283. 10.1056/NEJM193202112060604CrossRef
2.
go back to reference Stewart DR, Colodny AL, Daggett WC: Malrotation of the bowel in infants and children: a 15 year review. Surgery 1976, 79: 716–20. Stewart DR, Colodny AL, Daggett WC: Malrotation of the bowel in infants and children: a 15 year review. Surgery 1976, 79: 716–20.
3.
go back to reference Andrassy RJ, Mahour GH: Malrotation of the midgut in infants and children: a 25-year review. Arch Surg 1981, 116: 158–60.CrossRef Andrassy RJ, Mahour GH: Malrotation of the midgut in infants and children: a 25-year review. Arch Surg 1981, 116: 158–60.CrossRef
4.
go back to reference Kamal IM: Defusing the intra-abdominal ticking bomb: intestinal malrotation in children. CMAJ 2000, 162: 1315–7.PubMedCentral Kamal IM: Defusing the intra-abdominal ticking bomb: intestinal malrotation in children. CMAJ 2000, 162: 1315–7.PubMedCentral
5.
go back to reference Spigland N, Brand ML, Yazbeck S: Malrotation presenting beyond the neonatal period. J Paediatr Surg 2000, 25: 1139–1142.CrossRef Spigland N, Brand ML, Yazbeck S: Malrotation presenting beyond the neonatal period. J Paediatr Surg 2000, 25: 1139–1142.CrossRef
6.
go back to reference Powell DM, Othersen HB, Smith CD: Malrotation of the intestines in children: the effect of age on presentation and therapy. J Pediatr Surg 1989, 24: 777–80. 10.1016/S0022-3468(89)80535-4CrossRef Powell DM, Othersen HB, Smith CD: Malrotation of the intestines in children: the effect of age on presentation and therapy. J Pediatr Surg 1989, 24: 777–80. 10.1016/S0022-3468(89)80535-4CrossRef
7.
go back to reference Zerin JM, DiPietro MA: Mesenteric vascular anatomy at CT: normal and abnormal appearances. Radiology 1991, 179(3):739–42.CrossRef Zerin JM, DiPietro MA: Mesenteric vascular anatomy at CT: normal and abnormal appearances. Radiology 1991, 179(3):739–42.CrossRef
8.
go back to reference Orzech N, Navarro OM, Langer JC: Is ultrasonography a good screening test for intestinal malrotation? J Pediatr Surg 2006, 41: 1005–9. 10.1016/j.jpedsurg.2005.12.070CrossRef Orzech N, Navarro OM, Langer JC: Is ultrasonography a good screening test for intestinal malrotation? J Pediatr Surg 2006, 41: 1005–9. 10.1016/j.jpedsurg.2005.12.070CrossRef
9.
go back to reference Daneman A: Malrotation: the balance of evidence. Paediatr Radiol 2009, 39(suppl 2):S144–166. Daneman A: Malrotation: the balance of evidence. Paediatr Radiol 2009, 39(suppl 2):S144–166.
10.
go back to reference Matzke GM, Dozois EJ, Larson DW, Moir CR: Surgical management of intestinal malrotation in adults: comparative results for open and laparoscopic Ladd procedures. Surg Endosc 2005, 19: 1416–9. Epub 2005 Aug 25 10.1007/s00464-004-8249-7CrossRef Matzke GM, Dozois EJ, Larson DW, Moir CR: Surgical management of intestinal malrotation in adults: comparative results for open and laparoscopic Ladd procedures. Surg Endosc 2005, 19: 1416–9. Epub 2005 Aug 25 10.1007/s00464-004-8249-7CrossRef
11.
go back to reference Palanivelu C, Rangarajan M, Shetty AR, Jani K: Intestinal malrotation with midgut volvulus presenting as acute abdomen in children: value of diagnostic and therapeutic laparoscopy. J Laparoendosc Adv Surg Tech A 2007, 17: 490–2. 10.1089/lap.2006.0103CrossRef Palanivelu C, Rangarajan M, Shetty AR, Jani K: Intestinal malrotation with midgut volvulus presenting as acute abdomen in children: value of diagnostic and therapeutic laparoscopy. J Laparoendosc Adv Surg Tech A 2007, 17: 490–2. 10.1089/lap.2006.0103CrossRef
12.
go back to reference Messineo A, Macmillan JH, Palder SB, Filler RM: Clinical factors affecting mortality in children with malrotation of the intestine. J Paediatr Surg 1995, 27: 1343–1345.CrossRef Messineo A, Macmillan JH, Palder SB, Filler RM: Clinical factors affecting mortality in children with malrotation of the intestine. J Paediatr Surg 1995, 27: 1343–1345.CrossRef
Metadata
Title
Abdominal pain with a twist
Authors
Rachael Mathews
Sam Thenabadu
Thiagarajan Jaiganesh
Publication date
01-12-2011
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2011
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1186/1865-1380-4-21

Other articles of this Issue 1/2011

International Journal of Emergency Medicine 1/2011 Go to the issue