Carrillo LM, Herrera-Víctor FJ, Mora-Montoya CE, López-Mincitar M, Ornelas-Álvarez VM

Language: Spanish
References: 17
Page: 265-270
PDF size: 551.83 Kb.

ABSTRACT

Intestinal malrotation with volvulus is a surgical emergency that if not treated has a fatal outcome. We present the case of a newborn who, hours after childbirth, presents data on sepsis and clinical signs of complete intestinal obstruction: biliary drainage through the orogastric tube, peristalsis present and decreased fecal output, it should be mentioned that he did not have abdominal distension. The diagnostic approach was performed as acute abdomen with clinical and radiological studies, corroborating intestinal malrotation with volvulus, performing surgical intervention.
In more than 93% of cases, the diagnosis is made by imaging. The clinical characteristics, diagnostic approach by image study and treatment will be discussed. It is essential to determine if there is volvulus with ischemia, in which case emergency laparotomy should be performed. It is key to improve the prognosis and reduce complications.

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