The cecum is found to be placed below the stomach and in the midline. Which of the following abnormality must have taken place while rotation of the gut?: (A) Non rotation, (B) Mal rotation, (C) Reversed rotation, (D) Mixed rotation
Answer is B. In classical intestinal malrotation, this process fails; the duodenojejunal flexure lies to the right of the midline and the caecum is central, creating a narrow base for the small bowel mesentery, which predisposes to mid-gut volvulus (Fig. 6.21). Malrotation with volvulus is life-threatening and typically presents with bilious vomiting. Bile- Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-85