Why is Malrotation and Volvulus so Dangerous?

What is volvulus? What is intestinal malrotation?

What is normal intestinal rotation? Nonrotation? Reversed rotation?

This video will help you understand all of these as well as volvulus, a life threatening diagnosis...just the word volvulus is enough to get any surgeon's attention!


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Intestinal rotation is a difficult topic to understand in anatomy and embryology. It's a very important topic to understand because of the implications if intestinal rotation does proceed correctly.

In this video I'm going to make it easy and straightforward for you! I'm even going to put on a funny looking anatomy apron to help illustrate everything!

Malrotation volvulus is a life threatening problem and a critical topic in surgery.

How do you evaluate the child with bilious emesis and what should you be most worried about?

In addition to malrotation volvulus there is a spectrum of rotational abnormalities including non rotation, reversed rotation, paraduodenal hernia and malrotation without volvulus that can be difficult to understand.

Today I'm going to take you through a clinical case of a 5 week old with bilious emesis and we're going to understand the following critical topics:

1.). What is malrotation with volvulus and when should I be concerned?
2.). What does normal intestinal rotation look like?
3.). What are the intestinal rotation abnormalities?
4.). How do I workup malrotation volvulus and the intestinal rotation abnormalities?
5.). How do I interpret an upper gastrointestinal contrast study in these patients?
6.). How can ultrasound be helpful in patients with malrotation?
7.). How do I treat malrotation volvulus and IRA?
8.). What is a Ladds procedure?

This is a lot of information for sure but I'm confident that this talk will help you in your studies to understand a critically important topic!

We're going to cover a few clinical cases as well and at the bottom of the description I'll put the answers so you can check yourself!


Check out these AMAZING timestamps and fast forward if you need to:

Start 00:00
Clinical Case of Malrotation Volvulus 01:21
Epidemiology of Malrotation 03:27
What is normal intestinal rotation? 05:11
What is Malrotation? 07:20
Classifying Intestinal Rotation Anomalies 08:40
Symptoms of Malrotation? 13:04
Workup of Intestinal Rotation Anomalies 14:05
Treatment of Intestinal Rotation Anomalies? 18:54


REFERENCES
https://citizensurgeon.co/Malrotation...
https://citizensurgeon.co/Malrotation...
Chapter 31 Holcomb and Ashcraft's Pediatric Surgery https://citizensurgeon.co/Ashcraft

WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!

DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!

Affiliate Links - There are a few links in the description that may lead to a kickback to me to help support the channel.