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Órgano Oficial del Instituto Nacional de Pediatría

2008, Number 2

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Acta Pediatr Mex 2008; 29 (2)

Intestinal perinatal malrotation and volvulus

Baeza-Herrera C, Escobar-Izquierdo MA, Martínez-Rivera ML, García-Cabello LM, Nájera-Garduño HM

Language: Spanish
References: 19
Page: 73-77
PDF size: 261.48 Kb.


ABSTRACT

Introduction: Midgut volvulus is an acute surgical emergency, which most common in neonates. Typically, these patients present with acute onset of bilious vomit. Material and method: Ten neonates with midgut volvulus as a complication of intestinal malrotation are presented. The risk in the variables of volvulus and bowel necrosis were statistically assessed. Results: Seven were male patients. All newborns were at least 24 hours of age when operated; all had bowel necrosis and four of them a short bowel syndrome. Odss was 1.7 for volvulus and 5.2 for necrosis. Conclusions: When volvulus is present the risk of bowel infarction is high.


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