Ferre P, Bakchine H, Charitat J L, Fournet J P, Kleincknecht D
Ann Pediatr (Paris). 1989 May;36(5):326-9.
We report a case of complete volvulus of the small bowel in a ten-year-old child. This major complication of incomplete malrotation of the primary digestive loop usually occurs within the first few months of life. Our unusual clinical observation is the opportunity to point out that vomiting and abdominal pain may be overlooked, with the volvulus then appearing to be the first manifestation. Two other points are discussed: limitation of the length of bowel removed by performing two procedures 24 hours apart, and use of continuous reinstillation of the digestive chyme during postoperative nutritional management.
