Title: Delayed Presentation of Intestinal Malrotation: A Concealed Threat, Exploring the Diagnostic and Therapeutic Challenges
Authors: Dr. Aiswarya R Pillai, Dr. Aswathy Ravikumar, Dr. Asok Kumar G M
DOI: https://dx.doi.org/10.18535/jmscr/v13i12.02
Abstract
Intestinal malrotation is a congenital anomaly that may present with acute or chronic symptoms. While most cases are diagnosed in the neonatal period, delayed presentation beyond infancy poses diagnostic challenges due to nonspecific symptoms and low clinical suspicion. We report a case of a 10-year-old male with intermittent abdominal pain, who was found to have intestinal malrotation without volvulus. Laparoscopic Ladd’s procedure was performed with uneventful recovery. This case highlights the importance of maintaining a high index of suspicion for malrotation in older children with chronic or recurrent abdominal pain, to prevent potentially catastrophic complications.
Keywords: Intestinal malrotation, Ladd’s procedure, delayed presentation, pediatric surgery, volvulus
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