Malrotation volvulus in a neonate: a novel surgical approach

A newborn presented with bilious vomiting secondary to a malrotation and presumed perinatal-onset volvulus. Laparotomy was performed at 20 h of age at which the volvulus was derotated. Nevertheless the small but not the large bowel appeared to be completely ischaemic and non-viable. A second-look la...

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Veröffentlicht in:Pediatric surgery international 2006-04, Vol.22 (4), p.393-394
Hauptverfasser: Houben, C H, Mitton, S, Capps, S
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Capps, S
description A newborn presented with bilious vomiting secondary to a malrotation and presumed perinatal-onset volvulus. Laparotomy was performed at 20 h of age at which the volvulus was derotated. Nevertheless the small but not the large bowel appeared to be completely ischaemic and non-viable. A second-look laparotomy was performed 24 h later with no significant improvement. In a new approach to the problem, nothing further was done and the child was left alone on parenteral nutrition and naso-gastric aspiration for 11 weeks. Further exploration showed that 40 cm of small bowel had survived intact and restorative surgery was carried out. Parenteral nutrition was discontinued after 9 months and the child, now aged 3.5 years, is thriving.
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subjects Digestive System Surgical Procedures - methods
Female
Follow-Up Studies
Humans
Infant, Newborn
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestinal Volvulus - surgery
Intestine, Small - surgery
Intubation, Gastrointestinal - methods
Parenteral Nutrition - methods
Vomiting - etiology
title Malrotation volvulus in a neonate: a novel surgical approach
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