The radiologist says malrotation: does the surgeon operate?
The management of malrotation when it is an incidental finding is unclear. This retrospective study reports an analysis of radiological and operative findings in a series of 71 patients. There were no deaths. We report a false-positive rate of 15% for upper gastrointestinal contrast studies reported as showing malrotation. Our findings and a review of the literature demonstrate that in the asymptomatic child over 2 years of age, the evidence supporting mandatory correction of malrotation is weak.
Dilley
A V
AV
Department of Surgery, Sydney Children's Hospital, High Street, Randwick, NSW 2031, Australia.
Pereira
J
J
Shi
E C
EC
Adams
S
S
Kern
I B
IB
Currie
B
B
Henry
G M
GM
D002675:Child, Preschool; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000175:diagnosis* / Q000601:surgery; D007422:Intestines / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D007813:Laparotomy / Q000706:statistics & numerical data; D011859:Radiography; D011871:Radiology; D012189:Retrospective Studies; D016037:Single-Blind Method