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Volvulus of small bowel in a case of simple meconium ileus.
MedLine Citation:
PMID:  22953274     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Meconium ileus is one of important causes of neonatal intestinal obstruction. Many patients respond well to nonsurgical management with enemas, however, few patients may develop complications in the postnatal period thus requiring urgent operation. A 2 day old newborn presented with clinical features of intestinal obstruction. There was a suspicion of meconium ileus. Contrast x-ray with gastrografin enema was suggestive of unused colon with beaded appearance. Patient had to be surgery as repeated enemas did not improve the condition and progressive abdominal distension occurred. At exploration twist of the dilated, meconium filled loop of small bowel found. De-twisting of the volvulus done and Bishop Koop ileostomy fashioned. Patient made an uneventful recovery. Stoma was closed six months later.
Authors:
Kanchan Kayastha; Bilal Mirza; Afzal Sheikh
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Publication Detail:
Type:  Journal Article     Date:  2011-03-10
Journal Detail:
Title:  APSP journal of case reports     Volume:  2     ISSN:  2218-8185     ISO Abbreviation:  APSP J Case Rep     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2012-09-06     Completed Date:  2012-09-06     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101570795     Medline TA:  APSP J Case Rep     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  7     Citation Subset:  -    
Affiliation:
Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.
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