Abstract
A case of the midgut volvulus with malrotation in one-day-old boy was presented. He started to vomit from the night of the birth day.
Scout film on admission showed air in the stomach and the upper jejunum which localized in the upper abdomen and scanty air beyond (Fig. 1).
Gastrografin enema showed almost normal calibered transverse colon which made a sharp angle turn (hair pin turn) at the right side of the vertebral column and ended at the left of the vertebra, manifesting bird's beak like tapering.
Laparotomy disclosed the midgut excluding the upper jejunum had rotated around the superior mesenteric artery in a clockwise direction about 270 degrees.
The voluvulus was reduced and the cecum was transferred to the left lower quadrant of the abdomen. The postoperative course was complicated with severe jaundice and wound infection, but he recovered and was discharged on 29th p.o.day.
