A Five Years Old Child with Failure To Thrive and Vomiting Presenting as a Diagnostic Dilemma: A Case Report

Vomiting with failure to thrive in older children is a diagnostic challenge due to the diversity in the diagnosis. We report a case of a five-years-old girl with failure to thrive, history of recurrent vomiting and intermittent colicky pain abdomen since 45 days of life. Intestinal malrotation with...

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Bibliographic Details
Published in:Journal of Nepal Medical Association 2020-08, Vol.58 (228), p.600-603
Main Authors: Lamichhane, Anita, Sharma, Rupesh, Rajkarnikar, Ramana, Awale, Rubee, Shrestha, Prapti, Oli, Nava Chandra
Format: Article
Language:English
Subjects:
Case Report
exploratory laparotomy
failure to thrive
intestinal malrotation
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Summary:Vomiting with failure to thrive in older children is a diagnostic challenge due to the diversity in the diagnosis. We report a case of a five-years-old girl with failure to thrive, history of recurrent vomiting and intermittent colicky pain abdomen since 45 days of life. Intestinal malrotation with Ladd’s band was diagnosed based on clinical acumen, high- resolution computed tomography, barium follow through and intraoperative findings. Exploratory laparotomy with Ladd’s procedure was performed under general anesthesia which showed malrotation at the duodenojejunal junction with a short route of mesentery with floating caecum with Ladd’s band. Failure to thrive with malrotation of the gut in the older age group is rare in itself. As there are very few cases reported in this age group, so we undertook to report this case to increase the awareness of knowledge concerning the diagnosis and timely management to prevent the comorbidity of this condition.
ISSN:0028-2715
1815-672X
DOI:10.31729/jnma.5134