Malrotation

Question 1

What is malrotation?

Answer 1

Abnormal twisting of the bowel due to incomplete rotation during embryogenesis

Question 2

Volvulus

Answer 2

1. Major complication of malrotation

2. Torsion of the colon causing ischaemia of the bowel

Question 3

Ladd’s bands

Answer 3

1. Major complication

2. Bands of tissue which obstruct the duodenum can form

Question 4

When does malrotation with volvulus present?

Answer 4

3 - 7 days after birth

Question 5

Main presentation of malrotation (+ volvulus)

Answer 5

1. Billous vomiting
   - Green vomitting
   - if vomiting is delayed it is likely that obstruction is in the large colon
2. Abdominal pain and tenderness

Question 6

Tx

Answer 6

Surgical - Ladd’s procedure