ABSTRACT

Malrotation is the term used to denote an interference with the normal process of orderly return of the fetal intestine from the physiological hernia to the abdominal cavity during which it undergoes systematic rotation and fixation.1-11

The intestine initially develops as a tube extending down the midline of the embryo. As the intestine lengthens it protrudes through the umbilical ring into the physiological umbilical hernia where it undergoes further lengthening before returning back into the abdominal cavity. Three stages of development of the midgut are recognized:

Stage I 4-10 weeks: midgut protrudes and develops in the physiological umbilical hernia.