The deadly vomit: malrotation and midgut volvulus

  title={The deadly vomit: malrotation and midgut volvulus},
  author={Alistair J. W. Millar and Heinz Rode and Ruth Brown and Sidney Cywes},
  journal={Pediatric Surgery International},
137 cases of malrotation and midgut volvulus seen over a 28-year period are reviewed to emphasize the patterns of clinical presentation. Although 62% presented as neonates, 20% were over 1 year of age. Vomiting was the sympton of paramount importance in 97% but was not initially bile-stained in 20%. Sixteen percent had diarrhea as a major symptom. Abdominal pain occurred in 96% of patients over 1 year of age. Clinical signs were not apparent in most cases until gut infarction had occurred… CONTINUE READING