Surgically Managed Isolated Midgut Malrotation-A Clinical Study of 34 Children

Malrotation is the most common congenital malformation of the small intestine A prospective study conducted at Alkarama teaching hospital, during January 2017 to December 2018, including 34 children (20 males and 14 females) less than 15 years old who were undergoing a Ladd procedure with a diagnosis of isolated intestinal malrotation confirmed by surgery; cases complicated by volvulus were excluded. Patients were followed up and evaluated prospectively. Findings revealed that the median age was 15 days. About 91% of cases aged less than five years. Almost 70.5%, of them at their first month of life. Classical presentations were mainly found in cases at their first year of life, while a typical presentations were reported in older children. The main and sufficient diagnostic tool for malrotation was the upper gastro-intestinal contrasts studies, it was sufficiently diagnostic in 50% of cases. Postoperative complications reported in 7 cases and unfortunately, 3 cases (8.8%) died of septicemia. In conclusion, The Ladds’ a significant efficient procedure with low mortality and morbidity rates in treatment of children with midgut malrotation.