Case of the Week

6-Year-Old Treated for Congenital Intestinal Malrotation

  • The 6-year-old girl used to vomit every time after eating and even after 6 years of birth this disease remained a mystery.
  • Congenital Intestinal malrotation is a rare prenatal abnormality in which a baby’s bowel does not form or rotate properly in the abdomen.
  • JP Pediatrician Dr. Rabi Kumar along with veteran surgeon Dr. Biswajit Mohapatra diagnosed the disease with modern diagnostic equipment available at Jp Hospital.
  • Treated under BSKY Smart Health Card of Odisha Govt.

This is the strange story of a 6-year-old girl Ms. Subanya Kishan who is a resident of Kuchinda. She used to vomit every time after eating. Seeing this, her parents have taken her to various medical institutions in both Kuchinda & Jharsuguda but nothing fruitful happened. Even after two years, the condition of this girl remained unchanged. She still vomited after eating. Generally, this kind of disease gets detected within 5 to 7 days of birth but in the case of Subanya Kishan, even after 6 years of her birth, the disease was still a mystery.

Last month, when Subanya vomited uncontrollably, she lost almost 13KGs within 12 days. As the condition of the girl worsened, her family felt helpless. After hearing about the free treatment for BSKY cardholders at JP Hospital, they rushed her to JP hospital. First, they consulted with consultant paediatrician Dr. Rabi Kumar. In the first consultation too, the disease was not detected. Then Dr. Rabi Kumar consulted with Dr. Biswajait Mohapatra for his advice and with the help of modern diagnostics and laparoscopy, it was found that the girl is suffering from a condition called “Congenital Malrotation”. Whatever the girl eats, it doesn’t reach the stomach and is digested as usual and comes out in the form of vomit. Dr. Rabi Kumar found the disease and later after consulting with Dr. Biswajit Mohapatra, he started the surgery procedure. After the surgery, the girl was shifted to PICU and after staying there for 5 days, she was permitted to eat. This time she didn’t vomit.

Dr. Biswajit Mohapatra said that in his 30 years of experience, he only has seen this type of case twice or thrice. With the joint efforts of both Dr. Rabi Kumar and Dr. Biswajit Mohapatra, the girl is able to lead a normal and healthy life again. As Subanya’s family comes from a lower socio-economic background and has the BSKY card, the entire treatment was free of cost. For which the family thanked the Govt. of Odisha along with the medical team of JP hospital.

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