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Int J Emerg Med. 2011 Jun 2;4:21. doi: 10.1186/1865-1380-4-21.

Abdominal pain with a twist.

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Emergency Department, St Georges Hospital-London, Blackshaw Road, Tooting, London, SW17 0QT, UK.


Malrotation in children is due to either an incomplete or non-rotation of the foetal mid-gut during perinatal development. Presentation is usually in the first few weeks of life, often with life-threatening volvulus and ischaemia. However, it can be a rare cause of abdominal pain in older children and young adults. We present such a case, as a reminder to emergency physicians that malrotation should be considered in the differential diagnosis of recurrent or chronic abdominal pain not only in children but also in adolescents.

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