title: Intestinal Rotation Abnormalities and Midgut Volvulus.
abstract: Rotation abnormalities may be asymptomatic or may be associated with obstruction caused by bands, midgut volvulus, or associated atresia or web. The most important goal of clinicians is to determine whether the patient has midgut volvulus with intestinal ischemia, in which case an emergency laparotomy should be done. If the patient is not acutely ill, the next goal is to determine whether the patient has a narrow-based small bowel mesentery. In general, the outcomes for children with a rotation abnormality are excellent, unless there has been midgut volvulus with significant intestinal ischemia.
authors.affiliation: Division of General and Thoracic Surgery, Hospital for Sick Children, University of Toronto, Room 1524, 555 University Avenue, Toronto, Ontario M5G1X8, Canada. Electronic address: jacob.langer@sickkids.ca.
authors.forename: Jacob C
authors.initials: JC
authors.lastname: Langer
mesh_terms: D002648:Child; D003952:Diagnostic Imaging; D004065:Digestive System Abnormalities / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D045822:Intestinal Volvulus / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D007813:Laparotomy / Q000379:methods*
keywords: Bilious vomiting; Heterotaxia; Intestinal obstruction; Malrotation; Nonrotation