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Table 1 Clinical data

From: Congenital intestinal malrotation in adolescent and adult patients: a 12-year clinical and radiological survey

 

Total

Age <21 years

Age 21–50 years

Age >50 years

Sex ratio (m:f)

17:22

5:5

5:13

6:4

Number patients

39

10

18

11

Secondary malrotationa

3

1

2

0

Symptoms at diagnosis

 Abdominal pain

31 (79 %)

7 (70 %)

16 (89 %)

8 (73 %)

 Intestinal obstruction

5 (13 %)

3 (30 %)

1 (6 %)

1 (9 %)

 Incidental diagnosis

3 (8 %)

0 (0 %)

2 (11 %)

1 (9 %)

Duration of symptoms

 Hours/days

3 (8 %)

1 (10 %)

1 (6 %)

1 (9 %)

 Months

7 (18 %)

1 (10 %)

1 (6 %)

5 (45 %)

 Years

26 (67 %)

8 (80 %)

13 (72 %)

5 (45 %)

 During childhood

19 (49 %)

6 (60 %)

10 (56 %)

3 (27 %)

Imagingb

 UGI

4

2

0

2

 CT

32

7

16

9

 MRI

1

0

1

0

 “Whirlpool sign”c

7/33 (21 %)

1/5 (20 %)

3/13 (23 %)

3/7 (43 %)

Treatment

Conservative treatment

8 (21 %)

0 (0 %)

4 (22 %)

4 (36 %)

Ladd’s surg. procedure

31 (79 %)

10 (100 %)

14 (78 %)

7 (64 %)

Midgut volvulus without impaired bloodflow

7

1

5

1

Midgut volvulus with impaired blood flow

8

5

1

2

 Resection small intestine

4

3

0

1

Recurrencies

5 (16 %)

2 (20 %)

2 (14 %)

2 (29 %)

  1. aCDH n = 1, gastroschisis n = 1, omphalocele n = 1
  2. b“Imaging” denotes the radiologic procedure that lead to diagnosis. Two patients had no imaging due to emergency surgery (Age ≤20 years n = 1, age 21–50 years n = 1)
  3. cOut of 33 patients where CT-studies were available for reviewing