title: Intestinal malrotation as a misdiagnosis of pediatric colchicine resistant familial Mediterranean fever.
abstract: BACKGROUND
  Familial Mediterranean fever (FMF) is a disorder characterized by recurrent attacks of fever and serosal inflammation, particularly abdominal pain. Other disease processes, including medical and surgical emergencies, may mimic FMF, especially in atypical cases.
  
  
  METHODS
  We present a case of an adolescent male, referred to us with a diagnosis of colchicine resistant FMF, ultimately diagnosed with intestinal malrotation and recurrent volvulus.
  
  
  CONCLUSIONS
  In atypical presentations of FMF with potential "red flags", a thorough patient history is extremely important and should result in prompt referral for the appropriate diagnostic tests.
authors.affiliation: Pediatric Department, Shaare Zedek Medical Center, P.O. Box 3235, 9103102, Jerusalem, Israel.
authors.forename: Merav
authors.initials: M
authors.lastname: Heshin-Bekenstein
authors.affiliation: Pediatric Rheumatology Unit, Shaare Zedek Medical Center, P.O. Box 3235, 9103102, Jerusalem, Israel. hashkesp@szmc.org.il.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Hashkes
mesh_terms: D000293:Adolescent; D003078:Colchicine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004065:Digestive System Abnormalities / Q000175:diagnosis*; D004351:Drug Resistance; D010505:Familial Mediterranean Fever / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D045822:Intestinal Volvulus / Q000175:diagnosis*; D008297:Male; D050257:Tubulin Modulators / Q000627:therapeutic use
chemical_list: D050257:Tubulin Modulators; D003078:Colchicine