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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