Symptoms of bowel malrotation
What is the clinical presentation of bowel malrotation?
Patients with incomplete rotation who have intestinal obstruction usually present within the first week or first month of life (75% of patients). They present with an acute onset of bilious vomiting, which is always to be considered a surgical emergency. Some patients present later in childhood with intermittent mechanical obstruction, which manifests as cyclic vomiting. Bowel malrotation in the remaining patients is often found incidentally when the patients are studied for other complaints.
