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Mesenteric Cyst Mimicking Malrotation – A Case Report - Abstract

Gregory J Shepherd, Ross Fisher



Presented is the case of an eight-year-old girl with an intra-abdominal cyst, symptoms consistent with malrotation and an upper gastro-intestinal (UGI) contrast which confirmed an abnormally placed duodenojejunal (DJ) flexure. At operation the radiological findings were confirmed but after resection of the cyst the DJ flexure position was reassessed and shown to have returned to normal and so an unnecessary Ladd procedure was avoided. Upper gastrointestinal contrast study is the gold standard for diagnosis, but carries a 15% false positive rate. Awareness of the limitations of UGI contrasts is vital when planning the management of suspected malrotation in the presence of mesenteric cysts. This case highlights the importance of always reassessing the position of the DJ flexure after resecting any cyst in patients with suspected malrotation on UGI contrast.

Keywords: mesenteric cyst, malrotation, volvulus, contrast study


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