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Malrotation of the Midgut in Infants and ChildrenA 25-Year Review
Lt Col Richard J. Andrassy, MD, MC, USAF;
G. Hossein Mahour, MD, MS, FRCS, FACS
Arch Surg. 1981;116(2):158-160.
Abstract
• Seventy-four patients were operated on at Childrens Hospital of Los Angeles between 1951 and 1977 for abnormalities of intestinal rotation with or without volvulus. The mortality in this group of patients was 4% and represents a significant improvement from the 23% mortality previously reported from this institution between 1937 and 1951. Neonatal patients had bilious vomiting and signs of high intestinal obstruction while older children had a more chronic course characterized by intermittent episodes of abdominal pain. Evaluation with contrast studies and early celiotomy is mandatory to prevent bowel necrosis. We outline the associated gastrointestinal anomalies and management of these combined anomalies.
(Arch Surg 116: 158-160, 1981)
Author Affiliations
From the Division of Pediatric Surgery, Childrens Hospital of Los Angeles, and the University of Southern California School of Medicine, Los Angeles. Dr Andrassy is now with Keesler AFB Medical Center, Biloxi, Miss.
Footnotes
Accepted for publication June 26, 1980.
Reprint requests to Division of Pediatric Surgery, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Mahour).
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