Document Detail


Primary volvulus of the ileum in a preterm infant.
MedLine Citation:
PMID:  14976572     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary volvulus of the small intestine is rare in neonates. We report a case of primary volvulus of the ileum in a preterm newborn. Vomiting and abdominal distension began 10 hours after birth, followed by hypovolemia, hyponatremia, and acidosis. Plain abdominal radiograph revealed a pattern of diffuse ileus and very dilated loops at the right upper quadrant of the abdomen. Three days later, another plain film showed increased fluid accumulation and decreased air in these dilated loops. Emergency laparotomy revealed primary volvulus of the distal ileum with gangrenous change. Resection of the necrotic ileum with an end-to-end ileoileostomy was performed and the patient recovered fully. In a newborn with ileus and rapidly deteriorating hemodynamics, early surgical intervention is essential to achieve good prognosis.
Authors:
Yun Chen; Sheng-Hong Tseng; Hong-Shiee Lai; Wei-Jao Chen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  102     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-02-20     Completed Date:  2004-05-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  896-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Ileal Diseases / diagnosis*,  surgery
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / diagnosis*,  surgery
Intestinal Volvulus / diagnosis*,  surgery

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