What is the common age group affected by midgut volvulus?

• A. Elderly patients
• B. Children under 5
• C. Infants
• D. Adults over 50

Answer: (C)

Midgut volvulus is a surgical emergency primarily seen in infants, particularly those under 5 years of age. This condition occurs when the small intestine twists around itself, leading to obstruction and potentially compromising the blood supply to the bowel. In infants, this can be related to congenital issues such as malrotation, where the intestine does not properly position itself in the abdomen during fetal development.

The condition typically presents with sudden-onset severe abdominal pain, bilious vomiting, and distension. The anatomical and physiological factors in infants, such as their shorter and more mobile intestines, contribute to an increased likelihood of this condition occurring compared to older age groups. In contrast, midgut volvulus is less common in older children and adults, who may experience more diverse types of gastrointestinal emergencies instead. Understanding these age-related risk factors is essential for proper diagnosis and timely intervention in cases of suspected volvulus.