Child health · UKMLA & AKT

Malrotation and midgut volvulus

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

Key high-yield points

  • Malrotation = failure of normal 270-degree embryological midgut rotation, leaving a narrow mesenteric pedicle. The entire midgut can twist on the SMA axis (volvulus), causing rapid ischaemia and gangrene within 4-6 hours.

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