Malrotation of volvulus and intestines

Malrotation is a disorder of the rotation of the intestine or a disorder of its attachment to the back wall of the abdomen. The normal intestine rotates counterclockwise. The a. mesenterica sup. acts as the axis of rotation. The unfixed intestine predisposes to volvulus(knot of the intestinal hinge) and to obstruction. It is sometimes associated with asplenism or congenital heart defects.

Symptomatology

 * Symptoms of acute or recurrent abdomen appear,
 * symptoms occur shortly after birth or at any time during the first year of life..

Diagnosis

 * On the X-ray we see the distribution of air - missing bubbles in the appendix,
 * the rotation disorder is confirmed by irigography.

Therapy

 * Surgical..

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 * syndrome arteriae mesentericae superioris
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