Child health · UKMLA & AKT

Malrotation and midgut volvulus

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise malrotation and midgut volvulus — the full SA Note notes add investigations, management, complications and 10 practice questions.

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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