Neonatal intestinal obstruction with isolated levocardia

An unusual case of isolated levocardia, duodenal obstruction, and malrotati on with volvulus is reported. Three cases of situs inversus abdominus with malrotation with volvulus have been reported to date. The current case is t he fourth case and only the second survivor in the series. In cases of situ s inversus abdominus, because of inversion of viscera, the volvulus may occ ur in an anticlockwise direction and, thus, should be derotated in a clockw ise direction. Copyright (C) 2000 by W.B. Saunders Company.