Segmental dilatation of the ileum and intestinal malrotation

Abstract

Segmental dilatation of the intestine (SDI) is an uncommon cause of functional intestinal obstruction. Segmental dilatation of the ileum with malrotation was found in a 4-year-old girl presented with recurrent episodes of abdominal pain, nonbilious vomiting and severe growth retardation. She was treated successfully with resection of the dilated segment and end-to-end anastomosis. It is proposed that the association of SDI with malrotation may be a presentation of the failure in 'localized growth activity' of the bowel.