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Most infants with repaired gastroschisis develop normally and remain in good health. About 10% of patients with gastroschisis haveother malformations. We report a case of choledocholithiasis and intestinal malrotation in an adolescent with repaired gastroschisis. A17-year-old girl presented with fever, jaundice, and abdominal pain. She had undergone an operation to repair gastroschisis at birth. Physical examination revealed icteric sclera, a tight abdominal wall, and a longitudinal surgical scar at the midline. An abdominal computedtomography scan revealed a round calcifying lesion near the pancreas and a midline-positioned liver and gallbladder. Absence ofthe retroperitoneal duodenum and the anterior and left-sided position of the superior mesenteric vein compared with the superior mesentericartery were observed. Results of abarium examination revealed intestinal malrotation. Endoscopic retrograde cholangiopancreatographyrevealed diffuse dilatation of the biliary trees and a malpositioned gallbladder. A single stone was removed by using a basket. The clinical symptoms improved after the patient underwent endoscopic retrograde cholangiopancreatography.

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