caa a22 4500 465771734 CHVBK 20180323111930.0 cr unu---uuuuu 170327e19900101xx s 000 0 eng 10.1007/BF00179634 doi (NATIONALLICENCE)springer-10.1007/BF00179634 Intestinal malrotation and volvulus in infancy [Elektronische Daten] [L. Rasmussen, O. Andersen, S. Pedersen] Intestinal malrotation is most commenly complicated by volvulus in the first weeks of life. Early diagnosis and surgical intervention are needed to prevent gangrene of the midgut and peritonitis. When the diagnosis of intestinal malrotation is suspected, a plain X-ray film of the abdomen must be perfomed. In 4 of 21 cases we found a low intestinal obstruction, which was complicated by a high risk of intestinal gangrene and high mortality. These X-ray findings should lead to emergency surgery. If the plain X-ray film shows the "double bubble sign” (N = 14), then intestinal malrotation and volvulus as well as duodenal atresia are possible diagnosis. As both conditions require surgery, no further examinations are necessary. With a nonspecific pattern (N = 3), a barium meal should be performed in order to classify the disease type. We recommend that operation should be performed in most cases based on the findings on the plain X-ray film and that cases with low intestinal obstruction should be operated upon as emergencies. Springer-Verlag, 1990 Children nationallicence Intestinal malrotation nationallicence Surgical treatment nationallicence Volvulus nationallicence Rasmussen L. Department of Pediatrics, Odense University Hospital, DK-5000, Odense C, Denmark aut Andersen O. Department of Surgical Gastroenterology, Odense University Hospital, DK-5000, Odense C, Denmark aut Pedersen S. Department of Surgical Gastroenterology, Odense University Hospital, DK-5000, Odense C, Denmark aut Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 27-29 0179-0358 5:1<27 1990 5 383 https://doi.org/10.1007/BF00179634 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00179634 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rasmussen L. Department of Pediatrics, Odense University Hospital, DK-5000, Odense C, Denmark aut NATIONALLICENCE 700 1- Andersen O. Department of Surgical Gastroenterology, Odense University Hospital, DK-5000, Odense C, Denmark aut NATIONALLICENCE 700 1- Pedersen S. Department of Surgical Gastroenterology, Odense University Hospital, DK-5000, Odense C, Denmark aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 27-29 0179-0358 5:1<27 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer