J Korean Surg Soc.  2011 Jun;80(Suppl 1):S85-S87. 10.4174/jkss.2011.80.Suppl1.S85.

Primary segmental volvulus of the ileum mimicking meconium plug syndrome

• Jung E
• Choi SO
• Park WH

• KMID: 2096659
• DOI: http://doi.org/10.4174/jkss.2011.80.Suppl1.S85

Abstract

Primary segmental volvulus (PSV) of the ileum in neonate occurs rarely but shows an aggressive clinical course. Thus, early diagnosis is important to prevent necrosis and perforation of the intestine. We report a case of PSV of the ileum in a 2-day-old female neonate whose clinical features and radiologic findings appeared to be meconium plug syndrome.

Keyword

Primary segmental volvulus; Meconium plug syndrome; Newborn

MeSH Terms

Early Diagnosis
Female
Humans
Ileum
Infant, Newborn
Intestinal Volvulus
Intestines
Meconium
Necrosis

Figure

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  Fig. 1 (A, B) Contrast enema at 3rd day reveals multiple filling defects in entire colon. (C) Contrast enema of 5th day shows 'bird-beak' appearance in terminal ileum (black arrow) with small amount of meconium plugs in sigmoid colon.

• 

  Fig. 2 (A) Segment of ileal volvulus was seen 2 cm proximal to ileocecal valve (white arrow). (B) Tip of forceps indicates paper-thin distal twisted portion of ileal volvulus. A, appendix; C, cecum.

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