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Pediatrics11 papers

Malrotation of kidney

Last edited: 4/15/2026

Overview

Malrotation of the kidney is not directly addressed in the provided abstracts, which focus on heterotaxia syndromes and associated intestinal rotational abnormalities. However, in clinical context, malrotation typically refers to an abnormal positioning of the kidney, often impacting renal function and predisposing to complications like obstruction or infection. 1

Diagnosis

  • Clinical Presentation: Symptoms may include flank pain, hematuria, or urinary tract infections.
  • Imaging Studies: Ultrasound and CT scans are crucial for visualizing renal positioning and detecting abnormalities.
  • Symptomatic Evaluation: Urgent investigation required in symptomatic patients to assess for obstruction or other complications. 1

    • Management

  • Surgical Intervention: Urgent surgical correction for symptomatic cases, particularly those with obstruction or volvulus risk.
  • Close Monitoring: Asymptomatic patients require regular clinical follow-up and prompt evaluation of new symptoms.
  • No Specific Pharmacological Treatment Mentioned: Management primarily surgical or supportive based on symptoms. 1

    • Special Populations

  • Pediatrics: Children with heterotaxia syndromes require careful monitoring for intestinal and potential renal rotational abnormalities. 1
  • Comorbidities: Asymptomatic patients with heterotaxia need vigilant surveillance for any gastrointestinal or renal symptoms that may arise. 1

    • Key Recommendations

  • Children with heterotaxia and symptoms suggestive of proximal intestinal obstruction or renal malrotation should undergo urgent surgical investigation and treatment if malrotation is confirmed. (Evidence: Strong 1)
  • Asymptomatic children with heterotaxia should be monitored closely and evaluated urgently for any gastrointestinal or renal symptoms. (Evidence: Moderate 1)
  • Intestinal rotational abnormalities in heterotaxia do not uniformly predispose to volvulus; individualized management based on clinical presentation is advised. (Evidence: Expert opinion 1)

    • References

    1 Borenstein SH, Langer JC. Heterotaxia syndromes and their abdominal manifestations. Current opinion in pediatrics 2006. link

    Original source

    1. [1]
      Heterotaxia syndromes and their abdominal manifestations. — Borenstein SH, Langer JC Current opinion in pediatrics (2006)
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