Diagnostic methods in intestinal malrotation disorders

Czech version

Authors: P. Omaník ¹; M. Lacová ²; E. Murár ¹; R. Koreň ¹; J. Novotný ¹
Authors‘ workplace: Klinika detskej chirurgie SZU a DFNsP, Banská Bystrica prednosta prof. MUDr. M. Vidiščák, PhD. ¹; II. detská klinika SZU a DFNsP, Banská Bystrica prednosta prof. MUDr. K. Králinský, PhD. ²
Published in: Čes-slov Pediat 2014; 69 (5): 267-273.
Category: Original Papers

Overview

Introduction:
Intestinal malrotations in newborns are some of the most common congenital anomalies presenting with clinical symptoms. Their exact preoperative recognition despite using a wide range of imaging studies is very difficult, sometimes even impossible.

Material and methods:
The authors analyzed retrospectively (within 12 months) a group of patients admitted to the Pediatric Surgery Department, Children's University Hospital in Banska Bystrica, who were operated on for ileus with confirmed intestinal malrotation intraoperatively. The analysis was focused on the contribution of radiological examination methods in the diagnostics.

Results:
Five patients were operated on for intestinal malrotation during the period. 4 of them were neonates, one patient was 39 months old. The most relevant imaging studies proved so-called “dynamic ultrasound examination”, X-ray contrast enema (one case), contrast CT scan (one case). In contrary, the profit of conventional abdominal X-ray and standard ultrasound scans was almost negligible.

Conclusion:
In addition to clinical finding surgeon relies on the results of radiological examinations in the intestinal malrotation diagnostics. Although the diagnostic accuracy of some of them is high, we have to realize, that these are auxiliary methods. The local clinical finding remains crucial in the indication of surgical intervention.

Key words:
intestinal malrotation, ileus, acute abdomen, diagnostics

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Article was published in

Czech-Slovak Pediatrics

2014 Issue 5