Neonate With Malrotation Without Volvulus

Authors

  • Musab Al Shelali
  • Leena Alwakeel
  • Khalid AlMahmoud
  • Lama Alfakhri
  • Abdulrahman Alzahrani
  • Amal Yousif

DOI:

https://doi.org/10.14740/jmc5110

Keywords:

Neonate, Malrotation, Volvulus, Pediatric emergency

Abstract

Intestinal malrotation is a rare congenital anomaly that often presents as an acute surgical emergency in neonates, requiring prompt diagnosis and intervention to prevent life-threatening complications. We report the case of a 14-day-old male infant who presented with a 24-h history of bilious vomiting and bloody stools, accompanied by severe dehydration and laboratory findings suggestive of volvulus. Imaging studies confirmed intestinal malrotation, and the patient underwent an urgent open Ladd’s procedure, which revealed malrotation without volvulus. The patient successfully recovered with the resolution of symptoms and normalization of laboratory parameters. This case underscores the importance of early recognition, timely surgical management, and multidisciplinary care in ensuring favorable outcomes for neonates with intestinal malrotation.

Author Biographies

  • Musab Al Shelali, Pediatric Resident, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

    Pediatric Resident, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

  • Leena Alwakeel, Pediatric Resident, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

    Pediatric Resident, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

  • Khalid AlMahmoud, Pediatric Resident, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

    Pediatric Resident, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

  • Lama Alfakhri, 1. Pediatric Emergency Fellow, King Saud University Medical City, Riyadh, Saudi Arabia. 2. Pediatric Emergency Fellow, Saudi Commission For Health Specialties (SCFHS), Riyadh, Saudi Arabia.
    1. Pediatric Emergency Fellow, King Saud University Medical City, Riyadh, Saudi Arabia.
    2. Pediatric Emergency Fellow, Saudi Commission For Health Specialties (SCFHS), Riyadh, Saudi Arabia.
  • Abdulrahman Alzahrani, 1. Pediatric Emergency Fellow, Saudi Commission For Health Specialties (SCFHS), Riyadh, Saudi Arabia. 2. Emergency Administration, King Fahad Medical City, Second Health Cluster, Riyadh, Saudi Arabia.

    Pediatric Emergency Fellow, Saudi Commission For Health Specialties (SCFHS), Riyadh, Saudi Arabia

    Emergency Administration, King Fahad Medical City, Second Health Cluster, Riyadh, Saudi Arabia

  • Amal Yousif, Consultant Pediatric Emergency, Pediatric Department of Emergency Medicine, King Saud University Medical City, Riyadh, Saudi Arabia

    Consultant Pediatric Emergency, Pediatric Department of Emergency Medicine, King Saud University Medical City, Riyadh, Saudi Arabia

Downloads

Published

2025-10-10

Issue

Section

Case Report

How to Cite

1.
Al Shelali M, Alwakeel L, AlMahmoud K, Alfakhri L, Alzahrani A, Yousif A. Neonate With Malrotation Without Volvulus. J Med Cases. Published online October 10, 2025. doi:10.14740/jmc5110