Management of typical and atypical intestinal malrotation

Background: “Atypical Malrotation” has been increasingly diagnosed at the authors' institution. Methods: The authors reviewed retrospectively 201 consecutive operations for malrotation over 5 years to anatomically classify, and describe results of operation for, atypical malrotation. The ligame...

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Bibliographic Details
Published in:Journal of pediatric surgery 2002-08, Vol.37 (8), p.1169-1172
Main Authors: Mehall, John R., Chandler, John C., Mehall, Rachel L., Jackson, Richard J., Wagner, Charles W., Smith, Samuel D.
Format: Article
Language:English
Subjects:
Adolescent
Adult
atypical malrotation
Biological and medical sciences
Child
Child, Preschool
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infant
Infant, Newborn
Intestinal malrotation
Intestines - abnormalities
Intestines - surgery
Male
Malformations
Medical sciences
Retrospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:Background: “Atypical Malrotation” has been increasingly diagnosed at the authors' institution. Methods: The authors reviewed retrospectively 201 consecutive operations for malrotation over 5 years to anatomically classify, and describe results of operation for, atypical malrotation. The ligament of Treitz (LOT) was classified as high if left of midline and above the 12th thoracic vertebra, low if left of midline and below the 12th thoracic vertebra, and typical if absent or right of midline. Results: A total of 201 patients underwent operation for malrotation, in 176 there were adequate radiologic studies to allow classification of the LOT. Typical malrotation was present in 75 patients, low LOT in 56, and a high LOT in 45. Volvulus was more common in the Typical group compared with the other 2 groups (12 of 75 v 1 of 56 low; 1 of 45 high; P
ISSN:0022-3468
1531-5037
DOI:10.1053/jpsu.2002.34465