Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive Care2219-40612587-6554Eco-Vector54910.30946/2219-4061-2019-9-2-73-78Intussusception of the bowel in a child malrotationSvarichVyacheslav G.<p>Head of the surgical department of the Republican children’s clinical hospital of Syktyvkar; Pushkin st., 116/6, Syktyvkar, 167004</p><p>Dr. Sci (Med), Professor of the department of surgery of the medical institute of the Syktyvkar state university n. a. Pitirim Sorokin; Oktyabrsky av., 55, Syktyvkar, 167001; phone: 8(8212)229844</p>svarich61@mail.ruLisitsynDmitriy A.<p>Head of the endoscopic department</p><p>Pushkin st., 116/6, Syktyvkar, 167004; phone: 8(8212)229844</p>arhliss@mail.ruIslentievRuslan N.<p>Physician surgical department</p><p>Pushkin st., 116/6, Syktyvkar, 167004; phone: 8(8212)229844</p>garina.lil@yandex.ruPerevozchikovEvgeniy G.<p>Physician surgical department</p><p>Pushkin st., 116/6, Syktyvkar, 167004; phone: 8(8212)229844</p>doctor-zhenya@yandex.ruKagantsovIlya M.<p>Head of the uronefrological department of the Republican children’s clinical hospital of Syktyvkar, Pushkin st., 116/6, Syktyvkar, 167004;</p><p>doctor of medical sciences, professor of the department of surgery of the medical institute of the Syktyvkar state university n. a. Pitirim Sorokin, Oktyabrsky av., 55, Syktyvkar, 167001; phone: 8(8212)229850</p>ilkagan@rambler.ruRepublican Children’s Clinical Hospital, SyktyvkarSyktyvkar State University named after P. Sorokin160820199273781508201915082019Copyright © 2019, Svarich V.G., Lisitsyn D.A., Islentiev R.N., Perevozchikov E.G., Kagantsov I.M.2019<p><strong>Introduction.</strong> During treatment of intussusception, the greatest difficulties occur when the disease is combined with other disorders and malformations.</p><p><strong>Materials and methods.</strong> Clinical observation on treatment in a child with bowel intussusception and malformation is presented. The course of the disease was rather difficult for exact diagnosis. Control of conservative disinvagination was inconclusive. During a surgery, a malrotation was detected. This affected the diagnostic and therapeutic tactics. The second component of obstruction represented by the abdominal adhesive process was also found and removed.</p><p><strong>Results.</strong> The conducted surgery allowed to confirm the effectiveness of the given conservative treatment, detect the concurrent pathology and remove the mechanical obstruction.</p><p><strong>Conclusion.</strong> The presented observation clearly demonstrates difficulties in exact diagnosis and control of conservative disinvaginaton when intestinal invagination is combined with congenital malrotation. As a result, the outcome of conservative disinvaginaton could be significantly controlled, commissure or the second component of invagination was removed and an exact diagnosis was made.</p>bowel intussusceptionmalrotationинвагинация кишечниканезавершенный поворот толстой кишки[1. Исаков Ю. Ф. Детская хирургия: национальное руководство. Москва: ГЭОТАР-Медиа; 2009. 1168 с.][2. Гераськин А. В., Дронов А. Ф., Смирнов А. Н. Залхин Д. В., Маннов А. 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