Korean J Perinatol.
2010 Mar;21(1):86-90.
Primary Segmental Volvulus of the Ileum in 6 Day-old Premature Newborn
- Affiliations
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- 1Division of Pediatric Surgery, Department of Surgery, Keimyung University School of Medicine, Dongsan Medical Center, Daegu, Korea. choi1635@dsmc.or.kr
Abstract
- Primary segmental volvulus of small bowel which is not associated with intestinal malrotation is very rare in neonates and is considered as surgical emergency. Most of the primary segmental volvulus of small bowel occurs in ileum but the cause of volvulus is still not known. We report a 6 day-old-premature boy who was born weighing 1,720 g at 31th week of gestation. He was transferred to our hospital because of aggravated abdominal distension and bilious drainage through orogastric tube. Free intra-abdominal air was noted and emergency laparotomy confirmed primary segmental volvulus of the ileum with perforation of the necrotic bowel.