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• Incidental discovery of KIT‐mutated mastocytoma in a colon polyp
  Naseema Gangat, Ellen McPhail, Kaaren Reichard, Attilio Orazi, Animesh Pardanani, Ayalew Tefferi
  American Journal of Hematology.2024; 99(5): 973.     CrossRef

Most infants with repaired gastroschisis develop normally and remain in good health. About 10% of patients with gastroschisis have other malformations. We report a case of choledocholithiasis and intestinal malrotation in an adolescent with repaired gastroschisis. A 17-year-old girl presented with fever, jaundice, and abdominal pain. She had undergone an operation to repair gastroschisis at birth. Physical examination revealed icteric sclera, a tight abdominal wall, and a longitudinal surgical scar at the midline. An abdominal computed tomography scan revealed a round calcifying lesion near the pancreas and a midline-positioned liver and gallbladder. Absence of the retroperitoneal duodenum and the anterior and left-sided position of the superior mesenteric vein compared with the superior mesenteric artery were observed. Results of abarium examination revealed intestinal malrotation. Endoscopic retrograde cholangiopancreatography revealed diffuse dilatation of the biliary trees and a malpositioned gallbladder. A single stone was removed by using a basket. The clinical symptoms improved after the patient underwent endoscopic retrograde cholangiopancreatography.

Citations

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• Delayed Presentation of Malrotation after Infancy: A Systematic Review Based on Clinical Presentations, Associated Anomalies, Diagnosis, and Management
  Charu Sharma, Nitinkumar Bhajandas Borkar, C. Ashwin, Chandrasen Sinha
  Journal of Indian Association of Pediatric Surgeons.2024; 29(5): 417.     CrossRef
• Unusual Aspect of a Choledocholithiasis
  Matthias Breidert, Markus Weber, Stefan Wildi
  Gastroenterology.2020; 159(5): 1660.     CrossRef