A Clinical Review of Symptomatic Intestinal Malrotation
Journal of the Korean Surgical Society
;
: 246-249, 2007.
Article
in Korean
| WPRIM
| ID: wpr-154002
ABSTRACT
PURPOSE:
Intestinal malrotation can have variable clinical presentations, and is a disease that may cause bilious vomiting. This study was performed to analyze the clinical characteristics of patients with symptomatic intestinal malrotation.METHODS:
From Jan 2001 to Dec 2005, 11 cases of malrotation, receiving surgical procedure, and were retrospectively reviewed for their clinical characteristics.RESULTS:
There were 8 male (72.7%) and 3 female (27.3%) patients. At the time of the operation, 10 patients (90.9%) were in the neonatal period. According to the clinical manifestations, bilious vomiting was seen in all cases (100%), with other symptoms (fever, lethargy and abdominal distention) observed in certain cases. Of the several diagnostic tools available, abdominal sonography and UGI series showed sensitivities of 100%. According to the operative findings, 6 cases (54.5%) had malrotation only, with the other 5 (45.5%) having additional midgut volvulus. The Ladd procedure was routinely performed in all cases, with additional detorsion or bowel resection performed in the cases of malrotation with midgut volvulus. After a definite procedure, an adhesive intestinal obstruction developed in 3 cases (27.3%), with surgical correction for the obstruction performed in one case. There were no cases of mortality.CONCLUSION:
Intestinal malrotation could be of preferential concern for those neonates presenting with bilious vomiting. The proper diagnosis, via abdominal sonography, and early surgical management for intestinal malrotation will show a good result.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vomiting
/
Adhesives
/
Retrospective Studies
/
Mortality
/
Intestinal Volvulus
/
Diagnosis
/
Lethargy
/
Intestinal Obstruction
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2007
Type:
Article
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