Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus

Congenital diarrhea and enteropathies (CODEs) are a rare heterogeneous group of inherited disorders that typically present with severe chronic diarrhea during the first weeks of life. As a broad range of illnesses can present similarly in infants, establishing a definitive cause for CODEs is challen...

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Main Authors: Cuifang Zheng, Song Sun, Ying Gong, Shijian Miao, Kuiran Dong, Ying Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2024.1494599/full
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author Cuifang Zheng
Song Sun
Ying Gong
Shijian Miao
Kuiran Dong
Ying Huang
author_facet Cuifang Zheng
Song Sun
Ying Gong
Shijian Miao
Kuiran Dong
Ying Huang
author_sort Cuifang Zheng
collection DOAJ
description Congenital diarrhea and enteropathies (CODEs) are a rare heterogeneous group of inherited disorders that typically present with severe chronic diarrhea during the first weeks of life. As a broad range of illnesses can present similarly in infants, establishing a definitive cause for CODEs is challenging. In this report, two infants were suspected to have CODE, with neonatal-onset chronic diarrhea and protein-losing enteropathy finally found to be due to intestinal malrotation and chronic midgut volvulus. Although the disease onset time was during the neonatal period, the typical findings of intestinal malrotation and volvulus were not present. Following the diagnostic approach for CODEs, both patients underwent extensive examinations without a definitive diagnosis. Intestinal malrotation was incidentally detected by an abdominal CT examination. After surgical correction of the underlying malrotation (Ladd's procedure), both infants had resolution of their diarrhea and hypoalbuminemia.
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institution Kabale University
issn 2296-2360
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
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series Frontiers in Pediatrics
spelling doaj-art-f301603f21e041babb69224ee531e1562025-01-14T06:10:30ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.14945991494599Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulusCuifang ZhengSong SunYing GongShijian MiaoKuiran DongYing HuangCongenital diarrhea and enteropathies (CODEs) are a rare heterogeneous group of inherited disorders that typically present with severe chronic diarrhea during the first weeks of life. As a broad range of illnesses can present similarly in infants, establishing a definitive cause for CODEs is challenging. In this report, two infants were suspected to have CODE, with neonatal-onset chronic diarrhea and protein-losing enteropathy finally found to be due to intestinal malrotation and chronic midgut volvulus. Although the disease onset time was during the neonatal period, the typical findings of intestinal malrotation and volvulus were not present. Following the diagnostic approach for CODEs, both patients underwent extensive examinations without a definitive diagnosis. Intestinal malrotation was incidentally detected by an abdominal CT examination. After surgical correction of the underlying malrotation (Ladd's procedure), both infants had resolution of their diarrhea and hypoalbuminemia.https://www.frontiersin.org/articles/10.3389/fped.2024.1494599/fullchronic diarrheaintestinal malrotationvolvuluscongenital diarrhea and enteropathiesprotein-losing enteropathymalabsorption syndrome
spellingShingle Cuifang Zheng
Song Sun
Ying Gong
Shijian Miao
Kuiran Dong
Ying Huang
Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus
Frontiers in Pediatrics
chronic diarrhea
intestinal malrotation
volvulus
congenital diarrhea and enteropathies
protein-losing enteropathy
malabsorption syndrome
title Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus
title_full Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus
title_fullStr Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus
title_full_unstemmed Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus
title_short Case Report: Neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus
title_sort case report neonatal onset intractable diarrhea and hypoproteinemia due to intestinal malrotation and chronic midgut volvulus
topic chronic diarrhea
intestinal malrotation
volvulus
congenital diarrhea and enteropathies
protein-losing enteropathy
malabsorption syndrome
url https://www.frontiersin.org/articles/10.3389/fped.2024.1494599/full
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