The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review
Authors: Khurram Khaliq Bhinder, Zouina Sarfraz, Azza Sarfraz, Sameer Saleem Tebha, Nasir Ali Afsar
Background: Malrotation of the intestines is an uncommon pediatric condition that typically presents in the first month of life. Case Presentation: Using the SCARE 2020 Guidelines, we report a case of a 12-year-old female with omphalocele and bilobed liver herniation presenting with chronic intestinal malrotation. A computed tomography of the abdomen and pelvis with IV contrast revealed a peritoneal defect measuring 4 cm in the upper abdomen, containing the gut including pylorus, duodenum while retrospective distension of the stomach was seen up to the pylorus. The open Ladds procedure was performed to correct the defect. No complications were noted intra- or 1 month post-operatively. Patients with intestinal malrotation may present with abdominal pain, intestinal obstruction, nausea, or vomiting. Conclusion: The open Ladds procedure was deemed safe, feasible, and effective in a resource limited country like Pakistan, in the treatment of young children with intestinal malrotation.
Keywords: Intestinal malrotation, omphalocele, liver herniation, Ladd’s procedure, Pakistan, case report.
Authors
Correspondence to:
Zouina Sarfraz, Research and Publications, Fatima Jinnah Medical University, Lahore, Pakistan zouinasarfraz@gmail.com
Publication history:
Received 11 May 2021
Revised 27 Jun 2021
Accepted 05 Aug 2021
Published online 26 Aug 2021
Published in print 28 Aug 2021
Bhinder KK, Sarfraz Z, Sarfraz A, Tebha SS, Afsar NA. The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review. EJMCR. 2021; 5(8): 246-248. doi:
10.24911/ejmcr/173-1620750924
Bhinder KK, Sarfraz Z, Sarfraz A, Tebha SS, Afsar NA. The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review. https://www.ejmcr.com/?mno=80708 [Access: April 18, 2024]. doi:
10.24911/ejmcr/173-1620750924
Bhinder KK, Sarfraz Z, Sarfraz A, Tebha SS, Afsar NA. The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review. EJMCR. 2021; 5(8): 246-248. doi:
10.24911/ejmcr/173-1620750924
Bhinder KK, Sarfraz Z, Sarfraz A, Tebha SS, Afsar NA. The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review. EJMCR. (2021), [cited April 18, 2024]; 5(8): 246-248. doi:
10.24911/ejmcr/173-1620750924
Bhinder, K. K., Sarfraz, . Z., Sarfraz, . A., Tebha, . S. S. & Afsar, . N. A. (2021) The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review. EJMCR, 5 (8), 246-248. doi:
10.24911/ejmcr/173-1620750924
Bhinder, Khurram Khaliq, Zouina Sarfraz, Azza Sarfraz, Sameer Saleem Tebha, and Nasir Ali Afsar. 2021. The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review. European Journal of Medical Case Reports, 5 (8), 246-248. doi:
10.24911/ejmcr/173-1620750924
Bhinder, Khurram Khaliq, Zouina Sarfraz, Azza Sarfraz, Sameer Saleem Tebha, and Nasir Ali Afsar. "The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review." European Journal of Medical Case Reports 5 (2021), 246-248. doi:
10.24911/ejmcr/173-1620750924
Bhinder, Khurram Khaliq, Zouina Sarfraz, Azza Sarfraz, Sameer Saleem Tebha, and Nasir Ali Afsar. "The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review." European Journal of Medical Case Reports 5.8 (2021), 246-248. Print. doi:
10.24911/ejmcr/173-1620750924
Bhinder, K. K., Sarfraz, . Z., Sarfraz, . A., Tebha, . S. S. & Afsar, . N. A. (2021) The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review. European Journal of Medical Case Reports, 5 (8), 246-248. doi:
10.24911/ejmcr/173-1620750924