Malrotation Without Midgut Volvulus

  • Etiology: abnormal rotation of the gut as it returns to the abdominal cavity during embryogenesis
  • AXR: usually unremarkable
  • UGI: Duodenal-jejunal junction (ligament of Treitz) is where retroperitoneal duodenum comes out into peritoneum and it needs to be over left pedicle of spine or to left of spine and to be at level of duodenal bulb and failure to meet both of these criteria results in diagnosis of malrotation, small intestine in right side of abdomen and colon in left side of abdomen
  • Treatment: Ladd’s procedure

Cases of Malrotation Without Midgut Volvulus