2013, Number 3
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Acta Pediatr Mex 2013; 34 (3)
Extensive intestinal necrosis associated with volvulus. Deferred treatment
Mejía-Camacho D, Alvarado-García R , Jiménez-Urueta PS, Pacheco-Mendoza BA, García-Leguízamo K
Language: Spanish
References: 7
Page: 123-126
PDF size: 206.89 Kb.
ABSTRACT
Intestinal malrotation with volvulus and extensive necrosisis is the
deadliest emergency faced by the pediatric surgeon. Treatment
consists in surgical repair using the technique described by William
Ladd in 1936. In some cases where viability is in questionable a second
look laparotomy upon placement of drains has been described.
We report the case of a one month old infant with cloacal extrophy
who had an intestinal volvulus. During the surgical procedure necrosis
of more than 90% of the vowel was seen. Surgical drains were
placed and second look laparotomy six weeks later was performed
with intestinal recovery of 70%.
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