Clinical Study of Midgut Volvulus
Journal of the Korean Association of Pediatric Surgeons
;
: 30-36, 2007.
Article
in Korean
| WPRIM
| ID: wpr-30505
ABSTRACT
Intestinal malrotation is usually asymptomatic and most often is found during abdominal exploration for other surgical diseases. However, a serious complication of intestinal malrotation, midgut volvulus is a true surgical emergency of childhood. The clinical findings, diagnostic procedures, treatment, and prognosis of midgut volvulus were reviewed by a retrospective study. Between 1980 and 2005, 29 patients with midgut volvulus ranging in age from 1 day and 15 years were treated at HanYang University Hospital. Seventy-nine percent of the patients presented before 1 month of age. Midgut volvulus occurred 2 times more frequently in male. The clinical findings were bilious vomiting (96.6 %), irritability (34.5 %), abdominal distention (13.8 %), abdominal pain (10.3 %), and palpable abdominal mass (6.9 %). The diagnosis was made by abdominal simple x-ray (17.2 %), upper gastro-intestinal contrast study (37.9 %), abdominal sonogram (20.7 %), abdominal CT (3.4 %), and abdominal exploration (20.7 %). Among the 29 patients, 5 patients developed gangrene of small intestine due to strangulation and underwent resection of bowel. Two patients died due to sepsis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Vomiting
/
Tomography, X-Ray Computed
/
Abdominal Pain
/
Retrospective Studies
/
Sepsis
/
Intestinal Volvulus
/
Diagnosis
/
Emergencies
/
Gangrene
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Association of Pediatric Surgeons
Year:
2007
Type:
Article
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