Acta Pediátrica de México

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>Journals >Acta Pediátrica de México >Year 2013, Issue 3

Mejía-Camacho D, Alvarado-García R , Jiménez-Urueta PS, Pacheco-Mendoza BA, García-Leguízamo K
Extensive intestinal necrosis associated with volvulus. Deferred treatment
Acta Pediatr Mex 2013; 34 (3)

Language: Español
References: 7
Page: 123-126
PDF: 206.89 Kb.

Full text


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%.

Key words: Intestinal malrotation, volvulus, short bowel syndrome, second look laparotomy.


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>Journals >Acta Pediátrica de México >Year 2013, Issue 3

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