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Malrotation - Coggle Diagram
Malrotation
Imaging studies
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Ultrasound
- Vein to the left of artery
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Embryology
Midgut- development begins c differantiation of primitive intestinal tract into foregut, midgut, hidgut4 wk of gestation4 stages:
- Herniation
- Rotation
- Retraction
- Fixation
Intestinal loop
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Turns
3 90 ˚ turns
- 90 ˚ outside the abdomen
- 90˚ return to cavity 10 weeks
- 90˚ inside the abdomen
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Ladd
Eviscerate
- Detorsion counterclockwise
- Band lysis
- Widen Mesentery breadth
- Appendectomy
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Incomplete rotation
Partial rotation of both segments. Ladd bands.
+Higher risk of volvulus bc mesenteric origin is shorter
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