Midgut volvulus with complete malrotation in an infant: First case report from Somalia
Year: 2025
Type: article
Study design: Case Report
Abstract: INTRODUCTION: Malrotation is a congenital anomaly affecting small and large bowels, with 1 in 500 live births globally. It's often accompanied by bilious vomiting, which may occur with or without abdominal distension. Midgut volvulus is a major complication that can arise from malrotation, presenting a significant risk to life and requiring immediate surgical intervention. This is the first case report of midgut volvulus with complete malrotation in an infant from Somalia. CASE PRESENTATION: Our case is a 40-day old term male presented with bilious vomiting and constipation for 5 days. He was resuscitated and underwent Color Doppler ultrasound of the abdomen that showed the whirlpool sign and reversal of superior mesenteric artery and superior mesenteric vein. Following the Ladd's procedure, he was discharged from the hospital, demonstrating effective feeding and the absence of vomiting. DISCUSSION: Intestinal malrotation, a congenital anomaly affecting approximately 1 in 500 live births, carries a significant risk of midgut volvulus, a life-threatening surgical emergency. This report presents the first documented case of complete intestinal malrotation with midgut volvulus in an infant from Somalia, highlighting the challenges of diagnosis and management in resource-constrained settings. The case highlights the importance of accessible diagnostic tools and prompt surgical intervention. CONCLUSION: This case highlights the importance of heightened awareness, sonographic expertise, and skilled surgical management of midgut volvulus with complete malrotation to improve outcomes, particularly in underserved regions where access to advanced pediatric care remains limited.
Authors: Mohamed Ahmed Abdillahi, Ahmed Abdi Aw Egge, Kenzu Bedru Hussen, Mumin Farah Ismail, Mohamoud Hashi Abdi, Amina Abdirazak Abadir
Institution: Amoud University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,090
OpenAlex ID: W4409604921