title: [Malrotation with or without volvulus].
abstract: Malrotation occurs when there is a failure in the intestinal rotation leading to abnormal fixation to the abdominal wall and a mesentery with a short root. Volvulus is a life-threatening complication of malrotation. It can lead to irreversible intestinal necrosis and requires immediate attention. Early recognition of malrotation and surgical correction could prevent the onset of volvulus. We describe 3 cases of children with a malrotation. Case A involves a 2-year-old boy who suffered from repeated episodes of vomiting. Case B, a 1-month-old female, was taken to the general practitioner after acute onset of crying and flexing of the legs. Case C, a 5-year-old-boy with no medical history, had started vomiting hourly. In presenting these 3 cases, we highlight the dangers of untreated malrotation and make recommendations on how to manage a patient suspected of having this congenital abnormality.
authors.affiliation: Wilhelmina Kinderziekenhuis, afd. Kinderchirurgie, Utrecht.
authors.forename: Charlotte M
authors.initials: CM
authors.lastname: Heidsma
authors.forename: Caroline C C
authors.initials: CC
authors.lastname: Hulsker
authors.forename: David
authors.initials: D
authors.lastname: van der Zee
authors.forename: William H
authors.initials: WH
authors.lastname: Kramer
mesh_terms: D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D019468:Disease Management; D005260:Female; D006801:Humans; D007223:Infant; D045822:Intestinal Volvulus / Q000150:complications* / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D007421:Intestine, Small / Q000002:abnormalities*; D008297:Male; D014839:Vomiting / Q000175:diagnosis / Q000209:etiology*