Neonatal small bowel obstruction due to malrotation: a clinical study

Srinivas S.; Reddy K. R.; Balraj T. A.; Gangadhar A.

doi:10.18203/2349-2902.isj20173107

Authors

Srinivas S. Department of Paediatric Surgery, Niloufer Hospital, Hyderabad, Telangana, India
Reddy K. R. Department of Paediatric Surgery, Niloufer Hospital, Hyderabad, Telangana, India
Balraj T. A. Department of Paediatric Surgery, Niloufer Hospital, Hyderabad, Telangana, India
Gangadhar A. Department of Paediatric Surgery, Niloufer Hospital, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20173107

Keywords:

Malrotation, Midgut volvulus

Abstract

Background:This study was done at Niloufer hospital and institute of child health, Hyderabad with an aim of evaluating the clinical presentation, diagnostic evaluation, management and outcome of malrotation of intestines in the neonates.

Methods: Cases of neonatal small intestinal obstruction due to malrotation presenting to the Department of Pediatric Surgery, Niloufer hospital over a period of two years were evaluated.

Results: A total of 38 newborns presented to our department with intestinal obstruction due to malrotation. 3/38 patients presented with extensive gangrene of midgut. 4/38 patients died during the course of treatment.

Conclusions: Malrotation is a relatively common cause of neonatal small bowel obstruction. A high index of suspicion is needed in neonates presenting with bilious vomiting. Early laparotomy prevents fatal complication of extensive gangrene due to midgut volvulus.

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Author Biography

Srinivas S., Department of Paediatric Surgery, Niloufer Hospital, Hyderabad, Telangana, India

Assistant professor, Department of paediatric surgery

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