The Teaching Point

The diagnosis of malrotation can be challenging and relies on thorough clinical and radiological evaluations. It is essential to ensure adequate radiological images are obtained and that these correspond to the clinical picture.






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From the manuscript

The malrotated baby a diagnostic dilemma

Free full text article: The malrotated baby  a diagnostic dilemma

Abstract
We present a case in which misinterpretation of radiological images resulted in an incorrect diagnosis of malrotation. This case highlights the importance of adequate radiological review of images and of ensuring that the clinical picture matches the findings. Had this not been questioned in this case the baby could have undergone an unnecessary operation with potential mortality and morbidity.






References



1. Ford EG, Senac MO, Srikanth MS, Weitzman JJ. Malrotation of the Intestine in Children. Ann Surg 1992; 215(2):172-8.
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2. Applegate KE, Anderson JM, Klatte EC. Intestinal Malrotation In Children: A Problem-Solving Approach to the Upper Gastro-intestinal system.Radiographics 2006; 26:1485-1500.
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3. Dilley AV, Pereia J, Shi EC. The radiologist says malrotation: does the surgeon operate?. Paediatric Surgery International 2000; 16:45-49.
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1. Malrotation

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