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Papers of the Week

2022 Feb

Clin Pract Cases Emerg Med



18-year-old with Abdominal Pain Due to Congenital Bowel Malrotation: A Case Report.


McMahon E, Penfold M, Cain M
Clin Pract Cases Emerg Med. 2022 Feb; 6(1):53-56.
PMID: 35226849.


Congenital bowel malrotation resulting in midgut volvulus is traditionally regarded as a diagnosis of infancy. Rarely, congenital bowel malrotation is diagnosed in adolescents or adults and requires a high index of suspicion. Presentations can be acute or chronic, and physical examination findings are nonspecific. Diagnosis is primarily achieved through abdominal computed tomography (CT) or during exploratory laparotomy. The pathophysiology in late-onset malrotation is similar to neonatal malrotation, with a division of Ladd's bands – peritoneal fibrous bands that connect the cecum to the right lower quadrant retroperitoneum – as the definitive treatment. We present a case of congenital bowel malrotation in an adolescent with persistent and worsening migratory abdominal pain.