Chronic intestinal obstruction mimicking malrotation in children.
Three children with acute bowel obstruction were suspected of having malrotation because each had low position of their duodenojejunal junction (dj-j) on upper gastrointestinal examination. At laparotomy, there was no malrotation and other causes were found for the bowel obstruction. All three had chronic intestinal dilatation. We suggest that long-standing intestinal distention may cause inferior displacement of the dj-j, thereby mimicking incomplete rotation of the midgut, and abnormal mesenteric fixation.
D002648:Child; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging*; D007422:Intestines / Q000002:abnormalities*; D007579:Jejunal Diseases / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography