What is a major concern with malrotation in neonates?

Malrotation in neonates is a serious condition where the intestines and other abdominal organs are not positioned correctly within the abdomen. The major concern with malrotation is the potential for surgical emergency, as this condition can lead to volvulus, which is a twisting of the intestines. This twisting can obstruct blood flow, leading to ischemia and necrosis of intestinal tissue. If not diagnosed and treated promptly, malrotation can quickly become life-threatening, necessitating urgent surgical intervention to correct the malrotation and prevent severe complications.

In this context, surgical emergency is the most significant concern, as timely surgery can be critical to saving the neonate's life and preventing long-term complications. Other concerns related to malrotation, while relevant, do not present the same immediate risk level as the potential for a surgical crisis precipitated by volvulus.