{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T20:08:00Z","timestamp":1781294880696,"version":"3.54.1"},"reference-count":10,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,8,4]]},"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>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\u2019s 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\u2019s procedure with resection and anastomosis of jejunal duplication cyst.<\/jats:p>","DOI":"10.1136\/bcr-2020-235526","type":"journal-article","created":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T02:31:45Z","timestamp":1598495505000},"page":"e235526","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Duplication cyst with midgut volvulus in a neonate: an unusual presentation"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6408-0447","authenticated-orcid":false,"given":"Nitin G","family":"Pai","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Kasturba Medical College, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Kasturba Medical College, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavithra","family":"Prabhakar","sequence":"additional","affiliation":[{"name":"Pathology, Melaka Manipal Medical College, Manipal, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Kasturba Medical College, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"2025082713040778000_13.8.e235526.1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1936.01190010050003"},{"key":"2025082713040778000_13.8.e235526.2","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1016\/B978-0-323-07255-7.00086-6","article-title":"Chapter 86: disorders of intestinal rotation and fixation","volume":"1","author":"Dassinger","year":"2012","journal-title":"Pediatr Surg"},{"key":"2025082713040778000_13.8.e235526.3","first-page":"SC10-3","article-title":"Neonatal intestinal obstruction: a 15 year experience in a tertiary care hospital","volume":"10","author":"Verma","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"2025082713040778000_13.8.e235526.4","unstructured":"Heiss K . Intestinal Duplications. In: Oldham KT , Colambani PM , Foglia RP , eds. Surgery of infants and children: scientific principles and practice. 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