title: The radiologist says malrotation: does the surgeon operate?
abstract: 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.
authors.affiliation: Department of Surgery, Sydney Children's Hospital, High Street, Randwick, NSW 2031, Australia.
authors.forename: A V
authors.initials: AV
authors.lastname: Dilley
authors.forename: J
authors.initials: J
authors.lastname: Pereira
authors.forename: E C
authors.initials: EC
authors.lastname: Shi
authors.forename: S
authors.initials: S
authors.lastname: Adams
authors.forename: I B
authors.initials: IB
authors.lastname: Kern
authors.forename: B
authors.initials: B
authors.lastname: Currie
authors.forename: G M
authors.initials: GM
authors.lastname: Henry
mesh_terms: 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