Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/32920
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Type: Journal article
Title: Malrotation with recurrent volvulus presenting with cholestasis, pruritus, and pancreatitis
Author: Kirby, C.
Freeman, J.
Ford, W.
Davidson, G.
Furness, M.
Citation: Pediatric Surgery International, 2000; 16(1-2):130-131
Publisher: Springer
Issue Date: 2000
ISSN: 0179-0358
1437-9813
Abstract: A patient aged 16 years was referred following numerous episodes of intense pruritus associated with persistently altered liver function tests. Ultrasound (US) demonstrated the superior mesenteric vein positioned more to the left than usual and abnormal orientation of the duodenum, consistent with a midgut malrotation. Endoscopic retrograde cholangiopancreatography the common bile duct, suggesting a malrotation with chronic or recurrent volvulus. A classic malrotation with 180 degrees volvulus was noted at operation. A second child previously thought to have recurrent idiopathic pancreatitis was noted to have ampullary distortion secondary to malrotation following presentation with an intestinal obstruction. Pruritus and pancreatitis have not been previously reported with malrotation, although cholestatic jaundice has been described. The diffculties in diagnosis and the role of US are discussed. Ladd's procedure is the appropriate treatment for this condition.
Keywords: Intestines; Humans; Cholestasis; Intestinal Obstruction; Pancreatitis; Pruritus; Adolescent; Female
RMID: 0001003036
DOI: 10.1007/s003830050040
Appears in Collections:Paediatrics publications

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