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 %) |