title: Late diagnosis of intestinal malrotation treated with gastrojejunal bypass : a case report.
abstract: We report the case of a male African patient who presented at day 8 of life with recurrent episodes of proximal small intestine occlusion, which was treated conservatively, because of misdiagnosis. Physical and cognitive development was normal throughout with, however, some episodes of stagnation. At the age of 15 years the recurrence of symptoms, not responding to the current conservative treatment, resulted in severe weight loss with BMI at 11 kg/m(2). The œsogastroduodenal barium study disclosed an extrinsic duodenal compression compatible with a congenital duodenal band. Because of the major concerns related to the patient and to the medical environment, jejunostomy for feeding was first performed to improve his weight. A year later the intestinal malrotation was cured by gastrojejunal bypass. The postoperative clinical course was favorable. The patient resumed a normal life and schooling. His BMI is currently 21.5 kg/m(2).
authors.affiliation: Chirurgie digestive, Centre Hospitalier de Wallonie Picarde Tournai, Tournai, Belgium.
authors.forename: B
authors.initials: B
authors.lastname: Essola
authors.forename: P
authors.initials: P
authors.lastname: Jissendi-Tchofo
authors.forename: W
authors.initials: W
authors.lastname: Mfam
authors.forename: C
authors.initials: C
authors.lastname: Ngongang
authors.forename: J
authors.initials: J
authors.lastname: Soh
authors.forename: L
authors.initials: L
authors.lastname: Soh Mba
authors.forename: E
authors.initials: E
authors.lastname: Ebana Mvogo
authors.forename: Ph
authors.initials: P
authors.lastname: Hauters
mesh_terms: D057210:Delayed Diagnosis; D004065:Digestive System Abnormalities / Q000175:diagnosis* / Q000601:surgery; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D045822:Intestinal Volvulus / Q000175:diagnosis* / Q000601:surgery; D007421:Intestine, Small / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D007583:Jejunum / Q000601:surgery*; D007813:Laparotomy / Q000379:methods*; D008297:Male; D011860:Radiography, Abdominal / Q000379:methods*; D014463:Ultrasonography