MALROTATION IN NEONATES AND CHILDREN: OUTCOME AND EXPERIENCE AT A TERTIARY CARE HOSPITAL

Abstract

Aim: To study the clinical features, Investigations and Surgical Outcome of Neonates and Children with Intestinal Malrotation.
Materials and Methods: This is a Retrospective study of patients with Intestinal Malrotation admitted and treated from January 2015 to December 2022 (8years). The data pertaining to the age, sex, investigations, associated complications, management, outcome
was taken and reviewed.
Results: A total of 38 patients underwent surgery for Malrotation of which 26 were males and 12 were females. Of these 38 patients 30 were neonates and 8 were children.The most common symptom was bilious vomitting in neonates and recurrent pain abdomen in
children. Most common investigation done to diagnose intestinal malrotation was upper gastrointestinal contrast study along with Ultrasound abdomen. Of these 38 patients associated volvulus was noted in 29 patients. Of the 38 patients two neonates expired with a mortality rate of 5.3%.
Conclusion: High degree of suspicion is required to diagnose intestinal malrotation in children. In all neonates with bilious vomittings intestinal malrotation must be ruled out. Ultrasound abdomen with colour doppler and upper gastrointestinal contrast study are
useful routine diagnostic tools. As associated volvulus with vascular compromise can be detrimental, early diagnosis and prompt management significantly reduces the morbidity and mortality.