Intestinal Malrotation in Older Children – A Case Series of Delayed Diagnosis

Background: Intestinal malrotation presents with symptoms that can be easily confused with other non-surgical conditions in children. In this case series, we aimed to increase awareness about this condition for its early recognition and management; and contribute to the current knowledge on this condition.Case report: In this case series, we present five cases of Intestinal malrotation where the diagnosis was not suspected by the primary physicians. They subsequently had delayed surgical referral leading to morbidity and mortality.Conclusion: Intestinal Malrotation in older children is usually not suspected due to atypical symptoms. Its diagnosis should be considered in older children with recurrent abdomen pain, especially if there is an associated history of malnutrition or poor weight gain. Early identification of malrotation by the attending physicians is of utmost importance. The patient should be referred for early surgical intervention to prevent morbidity and mortality. Education related to the timely diagnosis of malrotation in older children is crucial.