An unusual association of gastroduodenal phytobezoar and malrotation of the midgut.

This report describes, for the fi rst time, the association of phytobezoar and malrotation of midgut in an 18-month-old male child. He recovered after Ladd's operation, enterotomy removal of the bezoar and tapering duodenoplasty. Nowadays gastroduodenal phytobezoars are increasingly treated by non-surgical methods such as endoscopic disintegration or enzymatic dissolution. The case reported herein emphasizes that underlying anatomical malformations must be excluded before initiating medical management of gastroduodenal phytobezoars in children.