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Information for Parents

Malrotation / Volvolus/ Bilious Vomiting

  • What is this disease?

    • In the womb, around the tenth week of pregnancy the bowel moves back into the abdomen and coils up to fit into the limited space there. If the bowel does not coil up in the correct position this is called Malrotation.

    • Volvulus is a complication of Malrotation and occurs when the bowel twists so the blood supply to that bit of the bowel is cut off.

  • How it is diagnosed?

    • It is clinically suspected by bilious vomiting in new born. Plain xray, UGI contrast, USG abdomen and sometimes CECT is required to confirm the diagnosis.

  • How it is treated?

    • Surgery is the only modality available to treat this condition.

  • When it should be operated?

    • The surgery for malrotation with volvulus is an emergency as there is risk of intestine becoming gangrenous.

  • Are there other alternative methods of treatment?

    • Medical management is not successful in this condition.

  • What all I need to know before my child surgery?

    • Read “All you need to know before your child's surgery” information booklet in website.

  • How is the surgery done?

    • Exploratory laparotomy is done and intestine in placed in non rotation position. Earlier appendicectomy was integral part of this surgery(Ladd procedure). However, many pediatric surgeons omit this now.

  • Remarks

    • For more details of surgery, contact your surgeon

  • Related Photographs and videos

    • Few photographs of steps done by me and video link is given here for learning purposes

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