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Importance of Second-Look Surgery in a Newborn Presenting With Early Malrotation.

作者信息

Kulkarni Varun, Khedkar Kiran, Ramteke Harshal, Lamture Yashwant, Nagtode Tushar, Giri Anamika

机构信息

Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Department of Pediatric Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Jul 4;14(7):e26551. doi: 10.7759/cureus.26551. eCollection 2022 Jul.

DOI:10.7759/cureus.26551
PMID:35936178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9348516/
Abstract

Intestinal malrotation refers to the abnormal positioning of the intestines due to a deviation from normal developmental stages. Volvulus is seen in 60%-70% of neonates diagnosed with intestinal malrotation. We are reporting a case of s six-day-old male who presented with multiple episodes of bilious vomiting and constipation and had malrotation of intestines with midgut volvulus. After a contrast upper GI study, the patient was taken for exploratory laparotomy, and extensive patches of an early stage of bowel ischemia were observed; resection was avoided at this stage. In the second-look surgery, all the gangrenous bowel loops were resected, and anastomosis was done.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/31b913826452/cureus-0014-00000026551-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/73ec72bd9df3/cureus-0014-00000026551-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/0568bcfb38f2/cureus-0014-00000026551-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/da9632f3a644/cureus-0014-00000026551-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/31b913826452/cureus-0014-00000026551-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/73ec72bd9df3/cureus-0014-00000026551-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/0568bcfb38f2/cureus-0014-00000026551-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/da9632f3a644/cureus-0014-00000026551-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc98/9348516/31b913826452/cureus-0014-00000026551-i04.jpg

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引用本文的文献

1
Second-Look Surgery for Intestinal Salvage in a Neonate With Midgut Volvulus and Intestinal Malrotation: A Case Report.
Cureus. 2025 Jul 23;17(7):e88600. doi: 10.7759/cureus.88600. eCollection 2025 Jul.

本文引用的文献

1
Long-term complications following intestinal malrotation and the Ladd's procedure: a 15 year review.肠旋转不良及Ladd手术的长期并发症:一项15年的回顾
Pediatr Surg Int. 2006 Apr;22(4):326-9. doi: 10.1007/s00383-006-1653-4. Epub 2006 Mar 4.
2
Intestinal obstruction in neonatal/pediatric surgery.新生儿/小儿外科中的肠梗阻
Semin Pediatr Surg. 2003 Nov;12(4):241-53. doi: 10.1053/j.sempedsurg.2003.08.005.
3
Malrotation and volvulus in infancy and childhood.婴幼儿期的肠旋转不良和肠扭转
Semin Pediatr Surg. 2003 Nov;12(4):229-36. doi: 10.1053/j.sempedsurg.2003.08.003.
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Malrotation of the intestine.肠旋转不良
World J Surg. 1993 May-Jun;17(3):326-31. doi: 10.1007/BF01658699.
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The role of second-look laparotomy in necrotizing enterocolitis.
J Pediatr Surg. 1986 Apr;21(4):323-5. doi: 10.1016/s0022-3468(86)80194-4.