Malrotation is an abnormality in which the intestine does not form in the correct way in the abdomen. It occurs early in the pregnancy (around the tenth week) and develops when the intestine fails to coil into the proper position in the abdomen. One of the earliest signs of malrotation is abdominal pain and cramping caused by the inability of the bowel to push food past the obstruction. Other symptoms of malrotation may include:
• Frequent vomiting, often green or yellow-green in color
• A swollen, firm abdomen
• Pale color
• Poor appetite
• Little or no urine (due to fluid loss)
• Infrequent bowel movements
• Blood in the stools
• Lethargy (showing little energy)
HOW IS MALROTATION DIAGNOSED?
After performing a thorough physical exam, the doctor will order tests that evaluate the position of the intestine, and show whether it is twisted or blocked. These tests may include:
• Abdominal x-ray: an x-ray that may show intestinal obstructions
• Barium enema x-ray: Barium is a liquid that makes the intestine show up better on the x-ray. For this test, barium is inserted into the intestine through the anus and then x-rays are taken.
• CT scan: This test uses computers and x-rays to produce many pictures from multiple angles to give doctors an accurate picture of the body..
HOW IS MALROTATION TREATED?
General surgeons may perform an emergency laparotomy for acutely ill patients affected by Malrotation. Treatment for Malrotation aims at correcting the rotation of the bowel, cutting the fibrous bands over the duodenum and widening the mesenteric pedicle that separates the duodenum and cecum
DID YOU KNOW?
Often multiple surgeries are required to treat Malrotation