Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report
Clinical Medicine Research
Volume 2, Issue 5, September 2013, Pages: 101-104
Received: Aug. 20, 2013; Published: Sep. 20, 2013
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Authors
Baba Usman Ahmadu, Department of Paediatrics, Federal Medical Centre Yola, P. O. Box 200, Jimeta-Yola, Adamawa State, Nigeria
Yakubu Mava, Department of Paediatrics Bingham University, Jos, Plateau state, Nigeria; Visiting Consultant Paediatrician FMC Yola
Joshua Habila Sharah, Department of Paediatrics Federal Medical Centre Yola, Nigeria
Abdurrahman Raji Maryam, Department of Paediatrics Federal Medical Centre Yola, Nigeria
Paul Dogra, Department of Paediatrics Federal Medical Centre Yola, Nigeria
Salihu Akbar, Department of Paediatrics Federal Medical Centre Yola, Nigeria
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Abstract
Mid-gut volvulus in the absence of malrotation of the gut is rare in neonates and rarer in term babies and can be fatal if intervention is delayed. Herein we report a case of a neonate who had billous vomiting, abdominal distension and moderate dehydration. His abdominal radiograph showed gaseous distension of the stomach, ground glass pattern and calcifications. Exploratory laparotomy revealed mid-gut volvulus complicated by atresia and 75 centimeter length of intestinal gangrene involving the distal one-third of the jejunum and ileum. However, no evidence of malrotation of the gut was found. Resection of the gangrenous segment with jejuno-caecal anastomosis was carried out in addition to blood transfusion, antibiotic and fluid therapy. Patient’s condition improved, he passed stools on the 5th postoperative day, and oral sips were commenced.
Keywords
Mid-Gut Volvulus without Malrotation, Term Neonate, Special Care Baby Unit, Federal Medical Centre Yola, Nigeria
To cite this article
Baba Usman Ahmadu, Yakubu Mava, Joshua Habila Sharah, Abdurrahman Raji Maryam, Paul Dogra, Salihu Akbar, Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report, Clinical Medicine Research. Vol. 2, No. 5, 2013, pp. 101-104. doi: 10.11648/j.cmr.20130205.12
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