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Intestinal Malrotation

Signs & Symptoms

 Intermittent abdominal pain
Note: 20% in adults
Ref: Uptodate [ Intestinal malrotation in children]
Congenital heart disease
Note: Associated congenital defect
Ref: Uptodate [ Intestinal malrotation in children]
Abrupt onset abdominal pain
Note: 20% in adults
Ref: Uptodate [ Intestinal malrotation in children]
Fluorescent yellow vomiting Gr. children #Children
Ref: Uptodate [ Intestinal malrotation in children]

Physical Examination

 Hemodynamic instability
Note: due to Hypovolemia, due to acute midgut volvulus
Ref: Uptodate [ Intestinal malrotation in children]
Abdominal distension
Ref: Uptodate [ Intestinal malrotation in children] Epocrates [ https://www.epocrates.com/online/diseases/753/intestinal-malrotation#history-exam]
Failure to thrive Gr. children #Children
Ref: Uptodate [ Intestinal malrotation in children]

Lab / Serology

 Septic shock #Children
Ref: Uptodate [ Intestinal malrotation in children]
Malabsorption
Ref: Uptodate [ Intestinal malrotation in children]

Imagin Study

 Duodenal obstruction #adults
Ref: Uptodate [ Intestinal malrotation in children]
Peritonitis
Note: due to Volvulus with perforation
Ref: Uptodate [ Intestinal malrotation in children]
Acute duodenal obstruction #Children
Ref: Uptodate [ Intestinal malrotation in children]

Complication

 Septic shock #Children
Ref: Uptodate [ Intestinal malrotation in children]

Risk Factors

 Age < 1
Ref: Epocrates [ https://www.epocrates.com/online/diseases/753/intestinal-malrotation#history-exam]

Cause

Other