Rotational Anomalies Case Study

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Rotational anomalies are one of the most frequent of embryonic malformations related to the digestive tract. The incidence of malrotation is ∼1:500 births and the symptomatic incidence is 1:6000 [1, 2]. Intestinal malrotation refers to incomplete midgut rotation and fixation in early fetal life and can consist of complete absence of rotation, incomplete rotation—less than 270—or inverse rotation. In most cases Malrotation can present with other congenital anomalies and It is typically diagnosed during the first year. We report a rare case of malrotation with LADD band presenting in an 11 year old girl accompanying intrinsic duodenal stenosis and annual stenosis. Case report : A 11-year-old-girl presented to the hospital with the chief complaints of abdominal pain, epigastric fullness, bilious vomiting, severe constipation and prolonged fatigue for 15 days.…show more content…
. A study suggests that the diagnosis of duodenal stenosis may be delayed because these infants are able to tolerate small feedings due to the incomplete nature of obstruction [8]. Postoperatively, the girl recovered well, and liquid oral feeds were started 6 days after surgery. The child was discharged 20 days after surgery and is thriving well at a follow-up of 4 months. In our case, we report a rare association between intrinsic and extrinsic stenosis of the duodenum in an 11-year-old girl due to the contemporary presence of Ladd's band and incomplete web. Patients who have malrotation without symptoms or with chronic symptoms are in danger of developing intestinal obstruction, with or without intestinal ischemia at any moment. A previous review of nine cases of intestinal malrotation reported eight cases had symptoms of intermittent abdominal pain for long duration, with or without vomiting before the production of a volvulus, obstruction, or other serious

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