A Child With Malrotation and Severe Metabolic Alkalosis
Seyed Mohsen Dehghani, Naqi Dara, Mahmood Haghighat, Mohammad Hadi Imanieh, Karmella Kamali, Hamid Reza Foroutan
Abstract
Malrotation is an incomplete rotation and fixation of the intestine that occur during fetal development. It is a predisposing factor for development of volvulus. The most common presentation is bilious vomiting and other symptoms of gastrointestinal obstruction during infancy. In children may have a more prolonged course with episodic attacks of abdominal pain, vomiting, dehydration, malabsorption and poor weight gain from chronic intermittent lymphatic obstruction. Here a case of malrotation with dehydration, severe metabolic alkalosis (pH above 8.06) is reported in a school age child, who was survived with appropriate management.
doi:10.4021/ijcp101e
Keywords
Malrotation; Metabolic alkalosis; Child
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