Document Detail

Intestinal malrotations: a review and report of thirty cases.
MedLine Citation:
PMID:  18058748     Owner:  NLM     Status:  MEDLINE    
Intestinal malrotation is a developmental anomaly affecting the position and peritoneal attachments of the small and large bowels during organogenesis in foetal life. It has been defined as absent or incomplete rotation and fixation of the embryonic gut around the superior mesenteric artery. In the present paper, we review the definition, history, embryology/aetiology, epidemiology, symptoms and signs, diagnosis and treatment of intestinal malformations. Moreover, we report the records of 30 cases of malrotation admitted to our department over a period of five years. The final intraoperative diagnosis of the cases presented was 53.3% pure malrotation, 33.3% malrotation with mid-gut volvulus, 6.7% malrotation with duodenal atresia, 3.3% malrotation with Meckel's diverticulum and duodenal atresia, and 3.3% malrotation and biliary atresia. Preoperative imaging studies were performed for 27 cases and surgical management was successfully conducted without any mortality among the cases studied. This article provides an overview of basic and clinical aspects of intestinal malrotation. In addition, the signs and symptoms, imaging findings, and final intraoperative diagnoses presented by the subjects reported on are of potential use and clinical interest.
S Aslanabadi; A Ghalehgolab-Behbahan; M Jamshidi; P Veisi; S Zarrintan
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Folia morphologica     Volume:  66     ISSN:  0015-5659     ISO Abbreviation:  Folia Morphol. (Warsz)     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-05-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0374620     Medline TA:  Folia Morphol (Warsz)     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  277-82     Citation Subset:  IM    
Division of Paediatric Surgery, Children's Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
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MeSH Terms
Biliary Atresia / pathology,  physiopathology
Child, Preschool
Digestive System Abnormalities / pathology*,  physiopathology*
Duodenal Obstruction / etiology,  pathology,  physiopathology
Duodenum / pathology,  physiopathology
Infant, Newborn
Intestinal Diseases / pathology*,  physiopathology*
Intestinal Volvulus / etiology,  pathology,  physiopathology
Intestines / abnormalities*,  blood supply,  physiopathology*
Meckel Diverticulum / pathology,  physiopathology

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