Child presents with recurrent abdominal pain and bilious vomiting, Condition was diagnosed by barium follow through. Surgery was done, mesentric widening, appendicectomy, cutting the Ladd&;s band. What is the diagnosis?

Correct Answer: Mal rotation
Description: malrotation and its associated anomalies includes the following..Associated Anomalies (20%) * Congenital diaphragmatic hernia of Bochdalek. * Prune belly syndrome. * Duodenal atresia. * Oesophageal atresia. Presentations * Acute/recurrent/subacute intestinal obstruction. * Midgut volvulus (30%), (usually clockwise rotation) with features of strangulation, perforation, peritonitis. * Shock, septicaemia, passage of dark blood per rectum, oedema and erythema of anterior abdominal wall. * In children - failure to thrive, recurrent abdominal, cyclical vomiting, constipation and diarrhoea. ref:SRB&;s manual of surgery ,ed 3,pg no 861
Category: Surgery
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