Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14276

Keywords:

gastroesophageal reflux; intestinal malrotation

Abstract

This case report is about a 7 year old boy with gastroesophageal reflux disease (GERD) treating since his first years of life. Despite the adequate clinical treatment for this pathology, he occasionally presented with early post-prandial vomits, sometimes requiring hospital internment for hydro electrolyte disorder compensation. After being referred by a General Surgeon, who thought a fundoplication was needed, the patient went to the Dirceu Arcoverde Hospital during a vomiting crisis to be evaluated by a Pediatric Surgeon. The hypothesis of intestinal malrotation associated or not with duodenal web was promptly suggested. The image exams corroborated and Ladd’s surgery was successfully performed. The case report was elaborated through the analysis of medical records of two medical services and reasoned by bibliographic research in the Scielo and Pubmed databases. Our goal with this paper is to bring to memory a differential diagnosis that is rare to a common pathology compatible group of symptoms and highlight the importance of a multidisciplinary team look. If exposed to a patient diagnosed with GERD, associated with growth stop of any kind and refractory clinical treatment, other diagnosis must be made and intestinal malrotation is one of them.

Author Biographies

Ana Letícia de Aragão Oliveira Araripe, Hospital Estadual Dirceu Arcoverde

General Surgery Medical resident of the  Dirceu Arcoverde State Hospital

Juliana Almeida, Policlínica de Parnaíba

Pediatrician at Policlínica de Parnaíba - Centro Integrado de Especialidades Médicas CIEM (fomentado pela FAPEPI)

Pediatrician at Dirceu Arcoverde State Hospital

Coordinator of the pediatric internship of the Delta do Parnaíba Federal University

Priscila Favoritto Lopes, Policlínica de Parnaíba

Pediatric Surgeon of the Policlínica de Parnaíba - Centro Integrado de Especialidades Médicas CIEM (fostered by FAPEPI)

Pediatric Surgeon of the Dirceu Arcoverde State Hospital

Coordinator of the Surgery Internship of Delta do Parnaíba Federal University

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Published

18/04/2021

How to Cite

ARARIPE, A. L. de A. O. .; ALMEIDA, J.; LOPES, P. F. . Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease . Research, Society and Development, [S. l.], v. 10, n. 4, p. e49010414276, 2021. DOI: 10.33448/rsd-v10i4.14276. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14276. Acesso em: 11 may. 2021.

Issue

Section

Health Sciences