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Case report
Duplication cyst with midgut volvulus in a neonate: an unusual presentation
  1. Nitin G Pai1,
  2. Santosh Prabhu1,
  3. Pavithra Prabhakar2 and
  4. Vijay Kumar1
  1. 1Department of Paediatric Surgery, Kasturba Medical College, Manipal, India
  2. 2Pathology, Melaka Manipal Medical College, Manipal, Manipal, India
  1. Correspondence to Dr Santosh Prabhu; psantoshprabhu{at}


Incomplete intestinal fixation or malrotation of gut with midgut volvulus is one of the important causes of bilious vomiting in neonates. The incidence of malrotation of gut in population is 4% and that of duplication cyst is 1:4500. Patients with malrotation are prone to develop midgut volvulus due to their narrow mesenteric base demanding urgent surgical intervention. Common associated anomalies are intrinsic duodenal obstruction, internal hernias, caecal volvulus, anorectal malformations and Hirschsprung’s disease. The present case refers to a 4-day-old neonate who presented with malrotation of gut with reverse volvulus and an associated gastrointestinal duplication cyst, which is a rare association with only few reported case reports. After imaging with ultrasound and contrast radiograph, the baby underwent prompt surgical intervention in the form of Ladd’s procedure with resection and anastomosis of jejunal duplication cyst.

  • paediatric surgery
  • neonatal health
  • congenital disorders
  • neonatal and paediatric intensive care
  • pathology

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  • Contributors NGP was involved in concept design, manuscript preparation, editing, review and submission. SP was involved in clinical care, manuscript review and editing. PP was involved in clinical care and data review. VK was involved in clinical care and manuscript review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.