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The radiologist says malrotation: does the surgeon operate?

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Abstract

The management of malrotation when it is an incidental finding is unclear. This retrospective study reports an analysis of radiological and operative findings in a series of 71 patients. There were no deaths. We report a false-positive rate of 15% for upper gastrointestinal contrast studies reported as showing malrotation. Our findings and a review of the literature demonstrate that in the asymptomatic child over 2 years of age, the evidence supporting mandatory correction of malrotation is weak.

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Authors and Affiliations

  1. Department of Surgery, Sydney Children's Hospital, High Street, Randwick, NSW 2031, Australia, , , , , , AU

    A. V. Dilley, E. C. P. Shi, S. Adams, I. B. Kern, B. Currie & G. M. Henry

  2. Department of Radiology, Sydney Children's Hospital, High Street, Randwick, NSW 2031, Australia, , , , , , AU

    J. Pereira

Authors
  1. A. V. Dilley
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  2. J. Pereira
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  3. E. C. P. Shi
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  4. S. Adams
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  5. I. B. Kern
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  6. B. Currie
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  7. G. M. Henry
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Accepted: 7 June 1999

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Dilley, A., Pereira, J., Shi, E. et al. The radiologist says malrotation: does the surgeon operate?. Pediatr Surg Int 16, 45–49 (2000). https://doi.org/10.1007/s003830050012

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  • DOI: https://doi.org/10.1007/s003830050012

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