Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case report
BackgroundBoth intestinal malrotation and situs inversus are usually asymptomatic and extremely rare. We reported a case of congenital intestinal malrotation, duodenal obstruction, dextrocardia, and pancreatic and splenic hypoplasia in a newborn.Case presentationThe patient was a 17-day-old prematur...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1554891/full |
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| author | Jianhong Yan Hang Yang Han Xiao Chuanxin Li |
| author_facet | Jianhong Yan Hang Yang Han Xiao Chuanxin Li |
| author_sort | Jianhong Yan |
| collection | DOAJ |
| description | BackgroundBoth intestinal malrotation and situs inversus are usually asymptomatic and extremely rare. We reported a case of congenital intestinal malrotation, duodenal obstruction, dextrocardia, and pancreatic and splenic hypoplasia in a newborn.Case presentationThe patient was a 17-day-old premature infant who had experienced recurrent vomiting for 5 days. Upper gastrointestinal and small intestine contrast imaging indicated intestinal malrotation and duodenal obstruction. Abdominal contrast-enhanced CT showed a small, underdeveloped pancreas, multiple nodular soft tissue densities in the area anterior to the left kidney and posterior to the stomach, and unclear splenic venous and arterial structures. Cardiac CT revealed dextrocardia with an atrial septal defect (secundum type). The laparoscopic Ladd's procedure was performed. The postoperative course was uneventful, and the patient recovered well during a 4-month follow-up.ConclusionsThis patient was very young and presented with multiple abnormalities. This case highlights the importance of early diagnosis, timely referral, and management of such rare congenital anomalies to achieve favorable outcomes. |
| format | Article |
| id | doaj-art-991f26cd02c145fbb427645ce551b6d5 |
| institution | OA Journals |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-991f26cd02c145fbb427645ce551b6d52025-08-20T02:08:23ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-04-011310.3389/fped.2025.15548911554891Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case reportJianhong YanHang YangHan XiaoChuanxin LiBackgroundBoth intestinal malrotation and situs inversus are usually asymptomatic and extremely rare. We reported a case of congenital intestinal malrotation, duodenal obstruction, dextrocardia, and pancreatic and splenic hypoplasia in a newborn.Case presentationThe patient was a 17-day-old premature infant who had experienced recurrent vomiting for 5 days. Upper gastrointestinal and small intestine contrast imaging indicated intestinal malrotation and duodenal obstruction. Abdominal contrast-enhanced CT showed a small, underdeveloped pancreas, multiple nodular soft tissue densities in the area anterior to the left kidney and posterior to the stomach, and unclear splenic venous and arterial structures. Cardiac CT revealed dextrocardia with an atrial septal defect (secundum type). The laparoscopic Ladd's procedure was performed. The postoperative course was uneventful, and the patient recovered well during a 4-month follow-up.ConclusionsThis patient was very young and presented with multiple abnormalities. This case highlights the importance of early diagnosis, timely referral, and management of such rare congenital anomalies to achieve favorable outcomes.https://www.frontiersin.org/articles/10.3389/fped.2025.1554891/fullintestinal malrotationduodenal obstructiondextrocardiapremature infantLadd's procedure |
| spellingShingle | Jianhong Yan Hang Yang Han Xiao Chuanxin Li Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case report Frontiers in Pediatrics intestinal malrotation duodenal obstruction dextrocardia premature infant Ladd's procedure |
| title | Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case report |
| title_full | Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case report |
| title_fullStr | Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case report |
| title_full_unstemmed | Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case report |
| title_short | Congenital intestinal malrotation, duodenal obstruction combined with dextrocardia: a rare case report |
| title_sort | congenital intestinal malrotation duodenal obstruction combined with dextrocardia a rare case report |
| topic | intestinal malrotation duodenal obstruction dextrocardia premature infant Ladd's procedure |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1554891/full |
| work_keys_str_mv | AT jianhongyan congenitalintestinalmalrotationduodenalobstructioncombinedwithdextrocardiaararecasereport AT hangyang congenitalintestinalmalrotationduodenalobstructioncombinedwithdextrocardiaararecasereport AT hanxiao congenitalintestinalmalrotationduodenalobstructioncombinedwithdextrocardiaararecasereport AT chuanxinli congenitalintestinalmalrotationduodenalobstructioncombinedwithdextrocardiaararecasereport |