Intestinal Malrotation Questions & Answers

Updated: Dec 19, 2018
  • Author: Denis D Bensard, MD, FACS, FAAP; Chief Editor: Carmen Cuffari, MD  more...
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Questions & Answers

Overview

What is intestinal malrotation?

What is the pathophysiology of intestinal malrotation?

What is the prevalence of intestinal malrotation?

What is the mortality and morbidity associated with intestinal malrotation?

What are the sexual predilections of intestinal malrotation?

Which age groups have the highest prevalence of intestinal malrotation?

Presentation

Which clinical history findings are characteristic of acute midgut volvulus?

Which clinical history findings are characteristic of chronic midgut volvulus?

Which clinical history findings are characteristic of acute duodenal obstruction?

Which clinical history findings are characteristic of chronic duodenal obstruction?

Which clinical history findings are characteristic of internal intestinal herniation?

Which factors determine the clinical presentation of intestinal malrotation?

Which physical findings are characteristic of acute midgut volvulus?

Which physical findings are characteristic of chronic midgut volvulus?

Which physical findings are characteristic of acute duodenal obstruction?

Which physical findings are characteristic of chronic duodenal obstruction?

Which physical findings are characteristic of internal intestinal herniation?

Which factors affect the physical findings of intestinal malrotation?

DDX

What are the differential diagnoses for Intestinal Malrotation?

Workup

What is the role of CBC count in the workup of intestinal malrotation?

What is the role of serum lab tests in the workup of intestinal malrotation?

What is the role of blood chemistries in the workup of intestinal malrotation?

What is the role of urinalysis and urine culture in the workup of intestinal malrotation?

What is the role of blood typing and screening in the workup of intestinal malrotation?

What is the role of PT and aPTT in the workup of intestinal malrotation?

What is the role of plain radiography in the workup of intestinal malrotation?

What is the role of an upper GI series in the workup of intestinal malrotation?

What is the role of contrast enema in the workup of intestinal malrotation?

What is the role of ultrasonography in the workup of intestinal malrotation?

What is the role of CT scanning in the workup of intestinal malrotation?

What is the role of an NG tube in the workup of intestinal malrotation?

What is the role of central venous catheter placement in the workup of intestinal malrotation?

Treatment

How is intestinal malrotation treated?

What is the role of surgery in the treatment of intestinal malrotation treated?

What is the surgical treatment for midgut volvulus?

What is the surgical treatment for duodenal obstruction?

What is the role of appendectomy in the treatment of intestinal malrotation?

What is the role of laparoscopy in the treatment of intestinal malrotation?

How is intestinal malrotation treated in patients with heterotaxy syndromes?

Which specialist consultations are beneficial to patients with intestinal malrotation?

Follow-up

What is included in the long-term monitoring of patients with intestinal malrotation?

How are developmental delays treated in children with intestinal malrotation?

What is included in immediate postoperative care following surgery for intestinal malrotation?

How is malnutrition prevented following surgery for intestinal malrotation?

When is patient transfer considered for the treatment of intestinal malrotation?

What are the possible complications of intestinal malrotation?

What is the prognosis of intestinal malrotation?