A puzzling paradox: congenital bowel malrotation masquerading as duodenal atresia in a case of non-bilious emesis

Jamani, Nurjasmine Aida and Mohd Lotfi, Amirah and Hassan, Radhiana (2024) A puzzling paradox: congenital bowel malrotation masquerading as duodenal atresia in a case of non-bilious emesis. Medical Journal of Malaysia Case Reports, 3 (3). pp. 152-155. ISSN 2948-3859

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Abstract

Intestinal malrotation is a congenital abnormal bowel position within the peritoneal cavity, usually involving small and large bowels. It is considered primarily a disease of infancy with infrequent occurrence beyond the first year of life. The twisting and malposition of the intestine can cut off the blood supply. If undiagnosed for a prolonged duration, it can be fatal. Diagnosing malrotation of the gastrointestinal (GI) tract in newborn babies in primary care settings can be challenging, where it needs a structured approach with supportive clinical findings and examinations. Although it can be a straightforward diagnosis, approximately 15% of upper GI (UGI) studies result in equivocal findings, leading to false-positive and false-negative interpretations.1 We report a case of a five-day-old infant presenting with nonbilious vomiting with radiographic imaging of a double bubble sign, which was subsequently found to have bowel malrotation.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	bowel malrotation, duodenal atresia, non-bilious emesis
Subjects:	R Medicine > R Medicine (General) R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ370 Disease of children
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	Dr Nurjasmine Aida Jamani
Date Deposited:	08 Jan 2025 11:32
Last Modified:	08 Jan 2025 11:32
URI:	http://irep.iium.edu.my/id/eprint/117733

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