Midgut Volvulus – A Rare Cause of Recurrent Acute Kidney Injury in Adolescence (Case Report)

Abstract

A15-year-old boy presented with recurrent episodes of non-bilious vomiting for the past 9 years. During these episodes he also had dehydration and oliguria. He required hospitalization during each episode that was marked by features of acute kidney injury. A plain radiograph showing ground glass opacity raised suspicion. Imaging studies confirmed intestinal malrotation with intermittent midgut volvulus. Following correction of malrotation by Ladd’s procedure, he became asymptomatic. Delayed presentation of malrotation beyond infancy is rare. Recurrent acute kidney injury is an unusual complication of late manifesting malrotation in adolescence